| Activity | Immunisation | Status | Comment | Booster doses required |
|---|
| Undergraduate medical training |
Hepatitis B |
Mandatory |
Series of 3 vaccinations & blood test necessary to complete schedule. This takes at least two months to complete |
Single booster @ 5 years |
| MMR (Measles, Mumps Rubella) |
Mandatory |
Evidence of two vaccinations or positive serology required as proof of immunity to measles & rubella |
No |
| Tuberculosis (BCG) |
Recommended |
Testing for pre-existing immunity from earlier vaccination or exposure to mycobacteria required before vaccination. |
No |
| Chickenpox |
Mandatory |
Only if no past history of infection and a negative blood test |
No |
| Clinical work |
Hepatitis B |
Recommended |
Mandatory if involved in surgery or other “exposure-prone procedure” |
Single booster @ 5 years |
| MMR |
Mandatory |
As for UG training |
No |
| Tuberculosis |
Recommended |
|
No |
| Chickenpox |
Mandatory |
|
No |
| Other patient contact |
As for clinical work |
|
Exact requirements can vary between NHS trusts |
|
| Laboratory work with human blood, serum or unfixed tissue |
Hepatitis B |
Recommended |
Usually recommended unless samples actively screened for hepatitis or sourced from a screened population or an individual's involvement in the work lasts for less than eight weeks. Vaccination is not required if not directly involved in handling or for short-term use of blood in practical classes. |
Single booster @ 5 years |
| Deliberate work with Hepatitis B cultures |
Hepatitis B |
Mandatory |
|
Single booster @ 5 years |
| Deliberate work with N. Meningitides cultures |
Meningitis |
Mandatory |
Vaccine choice (ACWY, B or C- conjugate) will be dependent on strains in use. The risk assessment for the work should specify |
1-3 years depending on level of risk (risk assessment should specify) |
| Other laboratory work with human pathogens |
Relevant vaccine |
Recommended |
Vaccination usually recommended if available. Decision will be based on risk assessment.Risk assessment for the work (DP1) should be passed to the College OH Physician for decision |
|
| Overseas travel |
Variable |
Variable |
Recommendations will be based on risk assessment which considers destination, duration of stay & activities undertaken. Some vaccination is likely for fieldwork or stays of more than a few days in countries other than Northern and Central Europe and North America. Recommendations will be made in line with those from UK reference authorities (Fit for Travel &NATHNAC) |
Variable |
| Maintenance work |
Tetanus, Hepatitis A |
Recommended |
Only maintenance staff whose work may involve regular contact with sewage. |
Hepatitis A: single booster at one year |
| Early Years Education Staff |
As for clinical work |
Recommended |
|
|
| Grounds maintenance |
Tetanus |
Recommended |
Most adults have lasting immunity from childhood vaccinations |
|
| Cleaning |
None |
Not applicable |
Urgent HepB vaccination if inoculation accident with discarded needle |
|
| Welding |
Pneumococcus |
Recommended |
Recommended for anyone carrying out welding more than once per week. Anyone welding for >4 hours per month, on average, may be vaccinated on request |
No |
