[MCOH-EH] Vaccination practice

[Tracey O'Neal Hooker]

Melanie
Why do you vaccinate rather than check titers/look for need?  My group
tends to check titers. Are there any concerns with revaccinating older
adults any reason to avoid?
Thanks for the conversation.

Tracey O'Neal Hooker D.O.
ThedaCare at Work
Appleton WI

On Thu, Oct 19, 2023 at 5:01 PM Swift, Melanie D., M.D., MPH via MCOH-EH <
mcoh-eh at mylist.net> wrote:

> Tdap is offered/encouraged but not mandatory for any group of employees.
> It is an indicator on the USNWR survey for children’s hospitals so it’s
> helpful to optimize vaccination rates there if nowhere else. However the
> USNWR metric has remained (so far) limited to just one adult dose of Tdap,
> which could have been as long ago as 2005 when the vaccine came out!
>
>
>
> MMR and varicella vaccination/immunity are required, with an exemption
> process for people unable to be vaccinated who lack evidence of immunity.
> In the absence of vaccination records, we recommend/prefer to vaccinate the
> person rather than check serology.
>
>
>
> *Melanie*
>
>
>
> *Melanie Swift, MD, MPH*
>
> (She/her)
> Vice Chair, Division of Public Health, Infectious Diseases and
> Occupational Medicine
>
> Medical Director, Mayo Clinic Physician Health Center
> <https://www.mayoclinic.org/departments-centers/preventive-occupational-aerospace-medicine/physician-health-center/referrals>
>
> Associate Medical Director, Occupational Health Service
>
> Phone 507.284.2560
>
> _______________________________
> *Mayo Clinic*
> 200 First Street SW
> Rochester, MN 55905
> www.mayoclinic.org
>
>
>
>
>
> *From:* MCOH-EH <mcoh-eh-bounces+swift.melanie=mayo.edu at mylist.net> *On
> Behalf Of *Carr, Jennifer L.
> *Sent:* Monday, October 16, 2023 12:27 PM
> *To:* 'MCOH-EH' <mcoh-eh at mylist.net>
> *Subject:* [EXTERNAL] [MCOH-EH] Vaccination practice
>
>
>
> Team,
> I am looking to assess the industry practice regarding vaccine
> requirements.
>
> Do you require all employees to be up to date with TDAP? Do you require
> those not immune or with low titers to receive MMR, Varicella?
>
> Thank you,
>
> Jennifer
>
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