http://jid.oxfordjournals.org/content/197/7/950.long

 

Actually 26% negative for mumps alone.

Rate is much greater if you include indeterminants.

 

Melanie Swift, MD

Director, Vanderbilt Occupational Health Clinic

http://occupationalhealth.vanderbilt.edu

 

From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net] On Behalf Of Kumar, Bindu, MD
Sent: Tuesday, November 03, 2015 9:59 AM
To: MCOH/EH
Subject: Re: [MCOH-EH] Vaccination

 

Dr. Swift,

Do you have the reference for the 20% negative/indeterminate statistic you mention below? We are currently reviewing our processes in this regard.  Also, can I ask whether your institution has looked at making Tdap mandatory as a one time adult dose, if no documentation provided?   Thank you in advance for your expertise and response.

 

Bindu Kumar MD, CCBOM, MRO

Associate Medical Director

Occupational and Travel Health

Main Line Health

484-476-2881

Fax: 484-476-2158

 

From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net] On Behalf Of Swift, Melanie
Sent: Friday, September 18, 2015 12:53 PM
To: MCOH/EH
Subject: Re: [MCOH-EH] Vaccination

 

We follow CDC recommendations and require proof of immunity to measles, mumps and rubella.

 

Proof of immunity for measles and mumps can be met by date of birth before 1957.

 

We accept documentation of vaccine, or positive immunity tests. If they do not have proof of immunity for measles and mumps, we offer vaccination.

We do not perform screening for immunity in lieu of vaccination, the exemption being people born prior to 1957 who only need rubella vaccination.

 

Individuals may elect to have lab testing done (at their own expense) with our warning that approximately 20% of adults will have negative or indeterminate results on at least 1 of the 3 tests so would need an MMR in that event.

 

Post-vaccination serology is not recommended.

 

Melanie Swift, MD

Director, Vanderbilt Occupational Health Clinic

http://occupationalhealth.vanderbilt.edu

 

From: MCOH-EH [mailto:mcoh-eh-bounces+melanie.swift=vanderbilt.edu@mylist.net] On Behalf Of Kuschel-Rapaski, Betty
Sent: Friday, September 18, 2015 11:40 AM
To: mcoh-eh@mylist.net
Subject: [MCOH-EH] Vaccination

 

Good afternoon

 

Does anyone mandate the MMR vaccination if the employees titers are negative?

 

If yes, would you be willing to talk with me on how you accomplished this mandate?  Also, would you share your policy with me?

 

Thank you, your support and sharing is always appreciated.

 



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