Page 11 - JRCERT Update Articles

JRCERT Update

Table 1
Recommended Vaccines for Health Care Workers 20-25
Vaccine Recommendation Additional information
Hepatitis B (hep B) 3-dose series of Recombivax HB (Merck) or Blood-borne viral disease of the liver.
Engerix-B (GSK) or a 2-dose series of Heplisav-B
(Dynavax Technologies); hepatitis B surface
antibody serologic test performed 1-2 months
after the final dose of both series
Influenza (flu) 1 dose annually Upper and lower respiratory viral infection that can lead
to hospitalization.
Measles, mumps, 1 or 2 doses of MMR vaccine depending on Measles is a respiratory viral disease that can lead to serious
and rubella (MMR) birth date (1957 or after), previous vaccination, complications. Mumps is a viral disease that causes swelling
or evidence of immunity of the salivary glands. Rubella is a viral disease that can result
in miscarriage and birth defects.
Varicella 2 doses of varicella vaccine Varicella, also called chicken pox, is caused by the varicella
zoster virus.
Tetanus, diphtheria, 1 dose of Tdap vaccine with a Td or Tetanus, also called lockjaw, is a disease caused by a toxin-
and acellular Tdap booster every 10 years and during producing bacterium, which results in muscle contractions.
pertussis (Tdap) each pregnancy Diphtheria is a bacterial infection that affects the respiratory
system. Pertussis, also called whooping cough, is dangerous
for babies.
COVID-19 2-dose primary series (Pfizer-BioNTech, COVID-19 is a viral infection that causes a variety of symptoms
Moderna, or Novavax) and appropriate boosters and is high risk for older adults and those with heart disease,
lung disease, and diabetes.

their records from their parents or caregivers, high Programs also need to consider ways to address
school or college health services, previous employers, exemptions to immunization policies such as allergies
and personal physicians or clinics. If records cannot be and religious or philosophical concerns. Allergies to
found and blood tests do not show immunity, vaccines vaccines and their components are rare; most often they
might need to be repeated. State public health depart- are associated with components such as egg, gelatin,
ments provide recommendations or requirements for and yeast, or related to latex. People who are moder-
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college student vaccinations, especially for those living ately or severely immunocompromised have specific
on campus. Health care programs can have additional recommendations for COVID-19 vaccines, including
requirements based on clinical site expectations and boosters. Health care workers and students who are
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affiliation agreements. The educational institution or allergic or immunocompromised should talk with their
program must determine an appropriate method for physician to determine the best course for them regard-
storing this information, in compliance with the Health ing vaccinations. Programs also should be prepared to
Insurance Portability and Accountability Act (HIPAA). follow appropriate policies related to vaccine exemp-
Some programs choose their own secure file storage, tions and exceptions.
while others might use a service to retain students’
health information. There are pros and cons to each Vaccine Challenges and Concerns
approach. No matter the storage type, programs must There are a variety of challenges and concerns
be careful to ensure these health records are secured regarding vaccines, including access, safety, hesitancy,
and HIPAA compliant. and compliance. One challenge during the COVID-19

310 asrt.org/publications
Reprinted with permission from the American Society of Radiologic Technologists for educational purposes. ©2023. All rights reserved.