<p>CURRENT OHS IMMUNITY AND HEALTH REQUIREMENTS </p><p>NOTE: DOCUMENTATION means written documentation of the date of vaccination or screening by a health care provider/facility.</p><p>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.</p><p>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.</p><p>RUBELLA: Documentation of one dose of live virus vaccine or (German measles) Laboratory evidence of past rubella infection.</p><p>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.</p><p>TETANUS, Documentation of one dose of Tdap vaccine, unless age 64 years or older. DIPHTHERIA, PERTUSSIS (Tdap)</p><p>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.</p><p>TUBERCULOSIS: Documentation of screening via two-step testing, using Mantoux method. </p><p>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.</p><p>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..</p><p>OTHER: Job and/or work site-specific health requirements may also be required. </p><p>(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.</p><p>Share: Immunity Req 06/13.07.doc</p>