[MCOH-EH] Tdap and varicella immunizations for HCWs

[Derrico, Barbara (IHS/OKC/LAW)]

As a best practice standard, we update Tdap on hire if not current.  Departments such as Engineering/Environmental Services also needs it since they are working with construction, plumbing, etc.  We do the same for Varicella status.

Respectfully,
Barbara Derrico RN
Acting Assistant Chief Nurse
Lawton Service Unit
Room 3-29  Third Floor
580-354-5454  office
Barbara.derrico at ihs.gov<mailto:Barbara.derrico at ihs.gov>
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Prevention is Proactive...wash in-wash out.   Every patient-every day!

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From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Galaid Edward I
Sent: Monday, October 12, 2015 10:50 AM
To: mcoh-eh at mylist.net; Occ-Env-Med-L at listserv.unc.edu
Subject: [MCOH-EH] Tdap and varicella immunizations for HCWs

Cross-posting MCOH and OEM-L.

Any thoughts about updating HCWs'  Tdap as a best practice for selected areas of the hospital...for example, ED, OB, pedes, and employer-sponsored daycare center.  In the past, we had offered it to these departments and reportedly there were few takers.
According to CDC, the 2014 provisional rate was 9.1/100,000 population nationally, and here in SC it was 3.3 (157 cases).

For varicella, our current policy is obtaining titers on those with a  self-reported history of disease or documentation of a full course of vaccine.   We are offering vaccine to those identified as being susceptible.

CDC's recommendations are pretty straight forward.  http://www.cdc.gov/vaccines/adults/rec-vac/hcw.html    But they don't necessarily address practical considerations.  If you respond directly to me, I will summarize all for the lists.

Thanks

Ed Galaid

Edward I. Galaid, MD, MPH
ABIM, ABPM
Medical Director, Occupational Health Partners
Roper St . Francis       Charleston, SC
Member, ACOEM Task Group on Medical Guidance for Law Enforcement Officers
Member, NFPA 1582 Writing Group - NFPA Technical Committee on Fire Fighter Safety and Health
843-906-0519


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