CURRENT OHS IMMUNITY AND HEALTH REQUIREMENTS

NOTE: DOCUMENTATION means written documentation of the date of vaccination or screening by a health care provider/facility.

MEASLES: Documentation of two doses of live virus vaccine administered on or after the first birthday, with the second dose administered at least 1 month after the first, or Laboratory evidence of past measles (rubeola) infection.

MUMPS: Documentation of two doses of live virus vaccine administered on or after the first birthday or Laboratory evidence of past mumps infection, or documentation of past mumps infection by a health care provider are considered indicators for immunity to mumps.

RUBELLA: Documentation of one dose of live virus vaccine or (German measles) Laboratory evidence of past rubella infection.

VARICELLA: History of chickenpox (verbal history is adequate) or Laboratory evidence confirming past infection or Two doses of live virus vaccine administered on or after the first birthday.

TETANUS, Documentation of one dose of Tdap vaccine, unless age 64 years or older. DIPHTHERIA, PERTUSSIS (Tdap)

HEPATITIS B: Required for staff at risk for occupational exposure to blood, blood-contaminated body fluids, other body fluids, or contaminated sharps. Vaccination, or declination, required within 10 days of beginning work. Documentation of three doses of Hepatitis B vaccine (HBV) administered over 6 months and laboratory evidence of adequate immunity.

TUBERCULOSIS: Documentation of screening via two-step testing, using Mantoux method.

Documentation of annual tuberculin skin testing (TST) is required for all employees, non-employees and volunteers who share airspace with persons in patient care and/or clinical research areas. Children's hospital buildings, clinic and research buildings should be considered potential shared airspace. History of past disease requires documentation confirming a previous positive tuberculin skin test and documentation of a normal chest x-ray. Thereafter, complete the “Annual Tuberculosis Symptom Surveillance Record” if annual tuberculosis screening is required.

INFLUENZA: Documentation of annual dose of inactivated virus.vaccine. Or documentation of immunization from outside provider. NOTE: If outside immunization is Live Attenuated Influenza Vaccine (LAIV), Children’s work restrictions and furlough may apply..

OTHER: Job and/or work site-specific health requirements may also be required.

(Over) References: 1. MMWR “Immunization of Health-Care Workers”, December 26, 1997 / Vol. 46/ No. RR-18 2. CDC HICPAC, AJIC “Guidelines for Infection Control in Healthcare Personnel”, June 1998 3. WAC 246-320-165, and WAC 246-320-9902 (15) 4. CDC “Epidemiology and Prevention of Vaccine-Preventable Diseases”, 9th Ed., January 2006 5. http://www.cdc.gov/nip/diseases/mumps/mumps-faqs.htm?s_cid=ccu050106_mumps1_r_e (Mumps-FAQs on CDC website, downloaded 5/2/2006) 6. Preventing Tetanus, Diphtheria, and Pertussis Among Adolescents: Use of Tetanus Toxoid, Reduced Diphtheria Toxoid and Acellular Pertussis Vaccine. Recommendations of the Advisory Committee on Immunization Practices (ACIP) MMWR March 24, 2006/55(RR03): 1-34 7. Public Health Seattle & King County, Health Advisory – May 1, 2006: Update: Information for Healthcare Providers on New Tdap Vaccine.

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