[MCOH-EH] [EXTERNAL] MCOH-EH Digest, Vol 253, Issue 202

Fiorella, Kristie K. Kristie.Fiorella at ohiohealth.com
Wed Jul 11 05:10:50 PDT 2018
Previous message (by thread): [MCOH-EH] [EXTERNAL] Re: Incompletely Vaccinated HepB & Immunity Titers
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You can go to: http://www.immunize.org/catg.d/p2109.pdf  as a great resource on Hep B and HealthCare Personnel. It includes FAQ's that address long term immunity.

Kristie Fiorella, MS, RN, COHN-S
Case Manager, Disability Services I Associate Health
OhioHealth Employer Services
393 East Town Street, Ste. 202 Columbus, OH 43215

Desk: (614) 566.9172 | Fax: (614) 533.1020
Fax: (614) 533.0039 (LOA documents)
Kristie.Fiorella at OhioHealth.com
OhioHealth.com/Employer Services



-----Original Message-----
From: MCOH-EH <mcoh-eh-bounces at mylist.net> On Behalf Of mcoh-eh-request at mylist.net
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Subject: [EXTERNAL] MCOH-EH Digest, Vol 253, Issue 202

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Today's Topics:

   1. Re:  Incompletely Vaccinated HepB & Immunity Titers
      (fldocstu at aol.com)
   2. Re:  Incompletely Vaccinated HepB & Immunity Titers
      (Patrick, ReGina)


----------------------------------------------------------------------

Message: 1
Date: Tue, 10 Jul 2018 08:33:00 -0400
From: fldocstu at aol.com
To: mcoh-eh at mylist.net
Subject: Re: [MCOH-EH] Incompletely Vaccinated HepB & Immunity Titers
Message-ID: <164842e3f99-179b-b31a at webjas-vac110.srv.aolmail.net>
Content-Type: text/plain; charset="utf-8"


List,

I may be missing something, so ask for enlightenment.  If someone comes in knowing that they had the 3 series of HepB vaccine and you receive a positive HepBSAb titer on your pre-hire testing, why would you give a repeat series if the person cannot produce written documentation of the vaccines?  I received my vaccines many years ago and the institution is no longer available to ask for records, nor did we think of that at the time.  Would not the positive titer itself suffice for proof of immunity?  I have not been asked in the past by any employer or hospital for proof of vaccine, just proof of immunity.


And what do you do with a person who doesn't remember if they had ever been vaccinated (happens more times than I can count), yet has a sufficient HepBSAb titer?  It doesn't mean that they never received the series.  Then, too, what do you do if the person received two vaccines only, but has a significantly positive titer?  Why would you give them the third, especially if it had been a while since the first two? For example, I became significantly symptomatic after my second vaccine (OK, it WAS in the stone ages at the early start of vaccinations and they weren't as refined as they are curently), so a titer was done prior to getting the third.  I had a high Ab titer, so it was decided that I had been properly immunized and that the risks of having the third were outweighed by the possible of a worsened reaction.  BTW, I had a documented 0 titer prior to the vaccine series.

Just curious.

Stuart A. Sandler, DO


-----Original Message-----

Today's Topics:

   1. Re:  #ExtMail# Incompletely Vaccinated HepB & Immunity Titers
      AND ? requiring Hepatitis B vaccination for employees?
      (Schweitzer, Kit)
----------------------------------------------------------------------

Message: 1
Date: Mon, 9 Jul 2018 22:32:14 +0000
From: "Schweitzer, Kit" <KSchweitzer at peacehealth.org>
To: "MCOH/EH" <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] #ExtMail# Incompletely Vaccinated HepB &
        Immunity Titers AND ? requiring Hepatitis B vaccination for employees?
Message-ID:
        <MWHPR10MB1488B9A500DFCC0A0C27A544B1440 at MWHPR10MB1488.namprd10.prod.outlook.com>

Content-Type: text/plain; charset="us-ascii"

We require documentation of 3 Hep B vaccs AND positive titer to ensure life long immunity as recommended by CDC. We start the series over if they don't have documentation and only a titer. If documentation and no titer, we draw a titer.
Thank you.




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Message: 2
Date: Wed, 11 Jul 2018 11:31:33 +0000
From: "Patrick, ReGina" <rpatrick at LakelandHealth.org>
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] Incompletely Vaccinated HepB & Immunity Titers
Message-ID:
        <DM5PR15MB165901D273E0DFDCB3C065B4B25A0 at DM5PR15MB1659.namprd15.prod.outlook.com>

Content-Type: text/plain; charset="utf-8"

Here is a great resource that I use from the immunization action coalition.
It may help to give clarity to your questions.
ReGina

ReGina Patrick RN
Associate Health and Wellness
Human Resources
Lakeland Health
1234 Napier Avenue
Saint Joseph, Michigan 49085
Tele: 269-985-4516
Fax:   269-934-8079





From: MCOH-EH [mailto:mcoh-eh-bounces+rpatrick=lakelandhealth.org at mylist.net] On Behalf Of Stuart Sandler via MCOH-EH
Sent: Tuesday, July 10, 2018 8:33 AM
To: mcoh-eh at mylist.net
Cc: fldocstu at aol.com
Subject: Re: [MCOH-EH] Incompletely Vaccinated HepB & Immunity Titers

[https://clicktime.symantec.com/a/1/oNmwK8NVl5iTO_jQb4ZoP8JJss_v9Z4p2V-BHIcQEhY=?d=_h2gAPHBPy-xA0YMsygyZUD2z3YfgdVWFhAfZGarTVkFXFXc3amhyQOGaB6jjrpfda06SwwJbmqq95tjMblzdfGOqV9iVSaBOpOUItoHAouo1Gpuxrw3vcEg8amgSxVAn_H-bIHRAlC6f8C-eMWEdYdEn7L2Szm9LQfpU0rfiBFad5Cmfmks5sEZzFUYTXLOXet40U2d0f8ZDmpIXyfOxI58rXMKudBjjYx5jt6lzSXTcLEjUjZFisLbj2vVKg6H9paqwPfcs-WXUWfl0iBif01BM6YyR9KzAkFk07aoqV_E20ylTsw7D2Dq0whWBjcT7aNGOCw5Vw2RiD7cv7sIOjA3TRmHtsTTtmL5aCGuRz8ZROwU1rk-WwOh0phmyBAg8BH2XMeT8rRyjwR7PXidng%3D%3D&u=https%3A%2F%2Flakelandregionalimage.blob.core.windows.net%2Fexternalimage%2Fexternalmessage.png]
List,

I may be missing something, so ask for enlightenment.  If someone comes in knowing that they had the 3 series of HepB vaccine and you receive a positive HepBSAb titer on your pre-hire testing, why would you give a repeat series if the person cannot produce written documentation of the vaccines?  I received my vaccines many years ago and the institution is no longer available to ask for records, nor did we think of that at the time.  Would not the positive titer itself suffice for proof of immunity?  I have not been asked in the past by any employer or hospital for proof of vaccine, just proof of immunity.


And what do you do with a person who doesn't remember if they had ever been vaccinated (happens more times than I can count), yet has a sufficient HepBSAb titer?  It doesn't mean that they never received the series.  Then, too, what do you do if the person received two vaccines only, but has a significantly positive titer?  Why would you give them the third, especially if it had been a while since the first two? For example, I became significantly symptomatic after my second vaccine (OK, it WAS in the stone ages at the early start of vaccinations and they weren't as refined as they are curently), so a titer was done prior to getting the third.  I had a high Ab titer, so it was decided that I had been properly immunized and that the risks of having the third were outweighed by the possible of a worsened reaction.  BTW, I had a documented 0 titer prior to the vaccine series.

Just curious.

Stuart A. Sandler, DO


-----Original Message-----

Today's Topics:

1. Re: #ExtMail# Incompletely Vaccinated HepB & Immunity Titers AND ? requiring Hepatitis B vaccination for employees?
(Schweitzer, Kit)


----------------------------------------------------------------------

Message: 1
Date: Mon, 9 Jul 2018 22:32:14 +0000
From: "Schweitzer, Kit" <KSchweitzer at peacehealth.org<mailto:KSchweitzer at peacehealth.org>>
To: "MCOH/EH" <mcoh-eh at mylist.net<mailto:eh at mylist.net>>
Subject: Re: [MCOH-EH] #ExtMail# Incompletely Vaccinated HepB & Immunity Titers AND ? requiring Hepatitis B vaccination for employees?
Message-ID:
<MWHPR10MB1488B9A500DFCC0A0C27A544B1440 at MWHPR10MB1488.namprd10.prod.outlook.com<mailto:MWHPR10MB1488B9A500DFCC0A0C27A544B1440 at MWHPR10MB1488.namprd10.prod.outlook.com>>

Content-Type: text/plain; charset="us-ascii"

We require documentation of 3 Hep B vaccs AND positive titer to ensure life long immunity as recommended by CDC. We start the series over if they don't have documentation and only a titer. If documentation and no titer, we draw a titer.
Thank you.



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