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
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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