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IMMUNIZATION RECOMMENDATIONS FOR PHSA EMPLOYEES Many diseases can be prevented with vaccination. Immunization helps protect your health and prevents disease transmission between you and your family, patients, clients or residents. This is important because, as a health care worker, you are more at risk of exposure to communicable disease in the workplace. PHSA provides free vaccinations to staff at any of its immunization clinics. New Employees: Call the Workplace Health Call Centre to report and discuss your immunizations. Have your immunization records on hand. You may be referred to a staff immunization clinic, your family physician or another alternate service. What to expect: You will be asked to report the day/month/year of previous immunizations or results of related testing. The Occupational Health Nurse will complete an immunity and risk status assessment, and recommend vaccinations if needed. Workplace Health strongly recommends that employees take advantage of this benefit to avoid the spread of communicable diseases, but the final choice whether to receive these vaccinations is up to each employee. Vaccinations are available at no cost to PHSA employees. Current Employees (employed >3 months): Please send all available immunity records to the PHSA Occupational Health Nurse via our confidential fax (604-708-2021) or email ([email protected]). Use your work email to ensure it is secure. Alternatively, you can bring your records to any PHSA Workplace Health Immunization clinic. Recommendation: Born in or after 1957: 2 doses of measles vaccination given at least one month apart OR lab test indicating immunity. Those born 1956 and earlier have likely had the disease and are considered immune. Vaccination will be given as MMR. MUMPS Mumps is a disease caused by a virus. It can cause fever, headaches and swelling of the salivary glands and cheeks. It can lead to serious illness, such as inflammation of the brain, seizures or brain damage. Mumps can also cause temporary deafness and painful testicular swelling for males. Recommendation: Born 1957-1969: one dose of mumps vaccine OR Born 1970 and later: two doses of mumps vaccine given at least one month apart OR acute case of mumps diagnosed by a physician with lab confirmation of acute disease. Those born 1956 and earlier have likely had the disease and are considered immune. Vaccinations will be given as MMR. RUBELLA Rubella infection in adults may cause swelling and pain in the joints. Infections in the first three months of pregnancy have an 85% risk of causing severe damage to the developing baby. Rubella outbreaks in health care facilities are of particular concern due to the potential spread to pregnant women. Recommendation: One dose of rubella vaccine or a lab test indicating immunity. Vaccination will be given as MMR. Tetanus also known as lockjaw, is caused by bacteria mostly found in the soil. When the bacteria enter the skin through a cut or scrape, they produce a poison that can cause painful tightening of muscles all over the body. It is very serious if the breathing muscles are affected. Up to 1 in 5 people who get tetanus may die. Recommendation: Tetanus/Diphtheria booster dose recommended every 10 years. MEASLES Measles is a highly contagious virus that can cause a fever, rash, inflamed eyes, cold-like symptoms and inflammation of the brain which can lead to seizures, deafness or brain damage. It can be more severe in infants, children and adults with weakened immune systems. TETANUS Recommended vaccinations for PHSA employees: Revised15March2016 References: HealthLinkBC Files 2013 IMMUNIZATION RECOMMENDATIONS FOR PHSA EMPLOYEES DIPHTHERIA Recommendation: Tetanus/Diphtheria booster dose recommended every 10 years. Varicella (chickenpox) infection tends to be more severe in adults. During early pregnancy, the virus can cause problems for the developing baby. The virus stays in the body and may become active again causing shingles, a painful viral infection of the nervous tissue. Recommendation: Immunity includes history of disease after the age of 12 months, physician-diagnosed varicella disease or herpes zoster (shingles), a lab test indicating immunity, or documentation of two doses of varicella vaccine given at least six weeks apart. INFLUENZA Diphtheria is a serious infection of the nose and throat caused by diphtheria bacteria. The bacteria are spread through the air by people sneezing or coughing and by direct skin-to-skin contact. The disease can result in very serious breathing problems. It can also cause heart failure and paralysis. About 1 in 10 people who get diphtheria may die. CHICKEPOX Influenza (‘flu’) is an infection of the upper airway caused by the influenza virus. A person with influenza is at risk of other infections, including viral or bacterial pneumonia. All health care workers are at risk of getting and spreading the influenza virus to their patients, families and friends. It is important to prevent spreading the virus to people at high risk of complications from influenza, such as the elderly or those with heart or lung disorders, weakened immune systems or other chronic medical conditions. Requirement: All PHSA employees, including Medical Staff (physicians, residents, dentists and midwives), volunteers, students, contractors, and vendors must be vaccinated annually against influenza or wear a surgical/procedure mask during influenza season (approximately the beginning of December to the end of March) when in a patient care area in accordance with the PHSA Influenza Control Program Policy. Above individuals can receive a free shot at on-site clinics, from their family physician, community pharmacies or through Public Health. HEPATITIS B Hepatitis B is a virus that attacks the liver. It can cause serious disease including permanent liver damage (cirrhosis). Hepatitis B is also the main cause of liver cancer, which can be fatal. Hepatitis B virus is spread from one infected person to another by contact with blood or body fluids. Mothers who are infected with hepatitis B virus can pass the virus to their newborn babies during delivery. POLIO PHSA employees at all sites must report their flu vaccination or decision to decline vaccination at influenzareporting.phsa.ca. Polio is a disease caused by infection with a virus. While most polio infections show no symptoms, others can result in paralysis of arms or legs and even death. Paralysis occurs in about 1 in 200 people infected with the polio virus. Polio can be spread by contact with the bowel movements (stool) of an infected person. This can happen from eating food or drinking water contaminated with stool. Recommendation: for health care providers who may be exposed to blood or body fluids through needle stick or other similar injuries, bites or splashes. You are considered immune to hepatitis B if you have completed a series of Hepatitis B vaccines (3 doses) and have a lab test result indicating immunity. People who do not develop immunity to an initial series will be offered a second series. Recommendation: primary childhood series then one adult booster dose for health care providers who may be exposed to feces. Questions? Go to POD or BCAS Intranet. Attend a PHSA Immunization Clinic Email [email protected] Revised15March2016 References: HealthLinkBC Files 2013