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

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@mylist.net> On Behalf Of Carr, Jennifer L.
Sent: Monday, October 16, 2023 12:27 PM
To: 'MCOH-EH' <mcoh-eh@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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