[MCOH-EH] Tdap and varicella immunizations for HCWs

[Galaid Edward I]

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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