Hugh Pickens writes writes "ABC News reports that Indiana University Health Goshen Hospital has fired eight employees after they refused mandatory flu shots, stirring up controversy over which should come first: employee rights or patient safety. The fired nurses include Joyce Gingerich and Sue Schrock who filed appeals on religious grounds. 'I feel like in my personal faith walk, I have felt instructed not to get a flu vaccination, but it's also the whole matter of the right to choose what I put in my body...' adding that she has not had a flu vaccine for 30 years as a result of a choice she made because of her Christian faith. Over the last several years, hospitals have been moving toward mandatory vaccinations because many only have 60 percent vaccination rates says Dr. William Schaffner, chair of preventive medicine at Vanderbilt University Medical Center. Schaffner adds that nurses in particular tend to be the most reluctant to get vaccinated among health care workers, 'There seems to be a persistent myth that you can get flu from a flu vaccine among nurses,' says Schaffner. 'They subject themselves to more influenza by not being immunized, and they certainly do not participate in putting patient safety first.' But Jane M. Orient, M.D., executive director of the Association of American Physicians and Surgeons, says the scientific case for flu vaccine mandates is very weak and that there is no evidence showing that vaccinated workers are less likely to transmit virus. 'The scientific and religious concerns are in a sense backward,' says Orient. 'Advocates of the mandate are full of evangelical zeal and are quick to portray skeptics as wicked and selfish. It's like a secular religion, based on faith in vaccine efficacy and safety.'"