[MCOH-EH] Policy Change and Vaccine Status

[Allen Kraut]

We don't have the resources to review current staff to see if they meet an updated standard. However if  a staff member such as the one you presented was identified if an exposure follow up , we would use the current standard to determine if they need to be furloughed.

Allen Kraut MD, FRCPC
Medical Director, Occupational Health
Winnipeg Regional Health Authority Integrated Sites
Associate Professor
Departments of Internal Medicine and
    Community Health Sciences
Max Rady College of Medicine, Rady Faculty of Health Sciences
University of Manitoba
NA627
700 McDermot Ave.
Winnipeg, Manitoba
R3E 0T2
Canada

Phone 204-787-4814
Fax 204-789-3905
e-mail allen.kraut at umanitoba.ca<mailto:allen.kraut at umanitoba.ca>
________________________________



From: MCOH-EH <mcoh-eh-bounces at mylist.net> On Behalf Of David S. Cockrum via MCOH-EH
Sent: Friday, May 3, 2024 10:30 AM
To: MCOH-EH <mcoh-eh at mylist.net>
Cc: David S. Cockrum <David.S.Cockrum at hitchcock.org>
Subject: [MCOH-EH] Policy Change and Vaccine Status

Caution! This message was sent from outside the University of Manitoba.

Question for my peers-

Does your program ask employees to update their vaccine status when a hospital policy change impacts their immune status?

Our case: EE onboarded 2015, at that time our policy allowed a verbal report by the employee of past chicken pox (though CDC guidance specified a lab or provider verified diagnosis). Our policy since been updated, though we currently don't even accepted the provider reported history (I may change that part!).

This EE's record was reviewed as part of a routine record review process to help ensure overall program compliance. The lack of proper varicella immunity according to current policy was noted. We are now asking him to get a titer to confirm his immune status (vaccine status not available). For reasons that are not clear, he is refusing because it's "invasive."

Does your program routinely require updating this kind of employee health history status when internal policy changes occur?

Thanks,

David

David S. Cockrum, MD, MPH
He/Him/His
Medical Director & Section Chief
Occupational & Environmental Medicine
Department of Medicine
Tel (603) 653-3881 | Fax (603) 650-0930
Dartmouth-Health.org

Dartmouth Hitchcock Medical Center
[cid:image003.jpg at 01DA9F96.50F7D160]<https://www.dartmouth-health.org/>     [cid:image004.png at 01DA9F96.50F7D160]



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