ࡱ> ^a]g bjbj kRr\r\ $***Pz$*0J````;$ 30505050505050$2N5^Y0!;;!!Y0``n0!^``/!30,|i-`0U<X,k/000,55$i-i-z5.!!!!!!!Y0Y0!!!0!!!!5!!!!!!!!! > : Queens University Belfast Occupational Health Service Vaccinations Policy Introduction The University recognises that some staff and students should be offered safe and effective vaccines against a variety of organisms as an additional measure to prevent against accidental infection. The purpose of this policy is to provide guidance to staff responsible for the organisation of work or study programmes which may result in exposure to potentially infectious material. Legislation Screening and vaccination programmes in the University are carried out as a requirement under one or more of the following statutory documents: Health and Safety at Work (Northern Ireland) Order, 1974 Management of Health and Safety at Work Regulations (Northern Ireland), 2000 Control of Substances Hazardous to Health Regulations(Northern Ireland) 2003 Guidance on Health Clearance for Tuberculosis, Hepatitis B, Hepatitis C and HIV for New Healthcare Workers with Direct Clinical Contact with Patients, DHSSPSNI, 2009 Application Work/ Study activities for which vaccination may be required Handling or culturing of human pathogens or purified biological toxins Handling or processing of human blood, serum or tissue specimens Contact with patients including work or study in clinical areas Contact with human or animal wastes Animal handlers Fieldwork Travel outside of the UK Epidemics or disease outbreaks For standard recommendations for common University activities see Appendix A. Implementation: summary of arrangements Heads of Schools and Directors should ensure Principal Investigators, Course Organisers and others in managerial charge of work processes or study programmes that may involve any of above specified activities are aware of the policy. Risk assessments (e.g. COSHH) for such work / study should consider the need for vaccination. Where vaccination is used as a control measure, this should be documented in the risk assessment The person-in-charge of new work / study programmes for which vaccination may be needed should inform the University Occupational Health Service of the work / study. The person in charge of the work / study should ensure staff & students are informed of the need for vaccination & arrangements for getting vaccinated. Department Health & Safety Inspections should check that an up-to-date record of staff & students immunisation status is being kept. Supply and administration of Vaccines Vaccines are ordered, stored and administered in accordance with the current guidance as given by DHSSPS(NI) Immunisation Against Infectious Disease (The Green Book) or Travax Guidance, as appropriate. ActivityImmunisationStatusCommentBooster Doses RequiredUndergraduate medical, dentistry, nursing & midwifery trainingHepatitis B MandatorySeries of 3 vaccinations and blood test necessary to complete primary schedule. Further vaccination required if poor immune response.Single booster @ 5 yearsMMR (Measles, Mumps and Rubella)MandatoryEvidence of two vaccination or positive serology required as proof of immunity to measles and rubellaNoTuberculosis (BCG)MandatoryEvidence of previous BCG or testing for pre-existing immunity from earlier vaccination or exposure to TB required before vaccination with BCG.NoChickenpoxMandatoryOnly if no past history of infection and a negative blood testNo Clinical WorkHepatitis BRecommendedMandatory if involved in surgery or other exposure-prone proceduresSingle booster @ 5 yearsMMRMandatoryAs for UG trainingNoTuberculosisMandatoryAs for UG trainingNoChickenpoxMandatoryAs for UG trainingNoOther patient contactAs for clinical workExact requirements can vary between NHS TrustsLaboratory work with human blood, serum or unfixed tissueHepatitis BRecommendedUsually recommended unless samples actively screened for hepatitis or sourced from a screened population or an individuals involvement in the work lasts for less than eight weeks. Vaccination not required if not directly involved in handling potentially infected material. Single booster @ 5 yearsDeliberate work with Hepatitis B culturesHepatitis BMandatoryUsually recommended unless samples actively screened for hepatitis or sourced from a screened population or an individuals involvement in the work lasts for less than eight weeks. Vaccination not required if not directly involved in handling potentially infected material.Single booster @ 5 yearsDeliberate work with N. Meningitides culturesMeningitisMandatoryVaccine choice (ACWY or C-conjugate) will be dependent on strains in use. The risk assessment for the work should specify the strain being used.1-3 years depending on level of risk (risk assessment should specify)Other laboratory work with human pathogensRelevant vaccineRecommendedVaccination usually recommended if available. Decision will be based on risk assessment. Risk assessment for the work should be passed to the University Occupational Health Physician for decisionOverseas travelVariableVariableRecommendations will be based on risk assessment which considers destination, duration of stay and activities undertaken. Some vaccination is likely for fieldwork or stays of more than a few days in countries other than Northern and Central Europe and North America. Recommendations will be made in line with those from UK reference authorities ( HYPERLINK "http://www.fitfortravel.nhs.uk" www.fitfortravel.nhs.uk and Travax)VariableMaintenance workTetanus, Hepatitis ARecommendedOnly maintenance staff whose work may involve regular contact with sewageHepatitis A: single booster at one yearGrounds MaintenanceTetanusRecommendedMost adults have lasting immunity from childhood vaccinations Maximum of 5 doses in lifetime.     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