NHS FORTH VALLEY Guidelines for Hepatitis B Vaccination in High Risk Groups

Size: px
Start display at page:

Download "NHS FORTH VALLEY Guidelines for Hepatitis B Vaccination in High Risk Groups"

Transcription

1 NHS FORTH VALLEY Guidelines for Hepatitis B Vaccination in High Risk Groups Approved 01/04/2012 Version 1.0 Date of First Issue 01/04/2012 Review Date 01/02/2014 Date of Issue 01/04/2012 EQIA Yes Author / Contact Juliet Tucker/ Debbie Forbes Group / Committee Final Approval Women & Children Clinical Governance Committee Version st April 2012 page 1 of 7

2 NHS Forth Valley Consultation and Change Record Contributing Authors: Consultation Process: Juliet Tucker Consultant Paediatricians NNU staff Distribution: FV Intranet NNU Change Record Date Author Change Version 28/10/10 JAT Update schedule according to comments/feedback 2.0 Version st April 2012 page 2 of 7

3 NHS Forth Valley Women & Children s Unit Hepatitis B Vaccination in High Risk Groups Table of Contents Table of Contents...3 Indications for vaccination...3 Antenatal management...4 Consent...4 Immunisation Schedule...4 Known Hepatitis B exposure (eg Maternal Hep B)...5 Adverse reactions...6 Discharge...6 Indications for vaccination All babies / children whose mothers have a history of past or present hepatitis B. Some babies will also require Hepatitis B immunoglobulin (See appropriate protocol). All babies / children born to mothers with past or present history of IV drug misuse irrespective of their mother's HBV status. All babies / children who will be a close household contact of any other person with a history of Hepatitis B infection or who has a past or current history of IV drug use. Also consider: Children living in residential care with learning difficulties where risk of biting or being bitten. Children travelling to high risk countries Children with chronic liver disease Children with chronic renal failure Children receiving regular blood products eg Haemophilia Vaccination should be offered to all those who fit these criteria. For newborns, the sooner the vaccination can be given the better. Vaccination is highly effective at preventing transmission if first dose given within 48 hours. Version st April 2012 page 3 of 7

4 Babies acquiring the virus through vertical transmission have a high chance of becoming chronically infected and so this is particularly important in those who have been exposed to maternal Hepatitis B or whose status is unknown. Flowchart: - Management of babies whose Parents have a history (past or present) of IV drug use regarding risk of Blood-Bourne Infection Antenatal management Risk of Hepatitis B and benefits of vaccination for the baby should be discussed with the mother antenatally a Department of Health information leaflet is available. For those at risk of Hepatitis B through lifestyle, antenatal screening for other blood borne infections including HIV and Hepatitis C should be completed and results documented antenatally and in baby notes after birth. Consent Consent must be obtained from a parent with parental rights or the local authority if consent to medical treatment has been granted by a court as a condition of a supervision requirement. Immunisation Schedule Hepatitis B vaccines are inactivated and so cannot cause the disease. It can be given at the same time as other vaccines but must be given in a different area, or at least 2.5cm apart if given in the same limb 1 There is evidence that the response to hepatitis B vaccine is lower in pre-term, low-birth weight babies 2. It is, therefore, important that premature infants receive the full paediatric dose of hepatitis B vaccine on schedule. Babies with a birthweight of 1500g or less, born to mothers infected with hepatitis B, should receive HBIG in addition to the vaccine, regardless of the e-antigen status of the mother. Hepatitis B immunoglobulin (HBIG) provides passive immunity to give intermediate protection after exposure until the hepatitis B vaccine becomes effective. It should be given at the same time as the hepatitis B vaccine but in the other thigh. It should be administered as soon as possible, and at least within 24h of birth. Immunisations are usually given as part of a 3 dose schedule with or without a fourth booster dose. This would only be given if known exposure or if schedule had been incomplete/out of timescales and titres low. The accelerated schedule can be used for prophylaxis if compliance is a concern. For teenagers between 11 and 15 years, a two dose schedule (at zero and six months) of the adult vaccine provides similar protection to three doses of the childhood vaccine. Administer 10 microgrammes Engerix B (0.5ml), by IM injection. Version st April 2012 page 4 of 7

5 For High Risk prophylaxis At birth At 1 month At 6 months For Hep B exposure (accelerated schedule) At birth At 1 month At 2 months Booster at 1 year if Booster at 1 year with exposure continues serology check Markers of infection / Response to vaccine Testing for markers of past or previous infection would only be clinically indicated in children of affected parents or if status is unknown in high risk groups. This should be done prior to the first vaccination. Checking antibody response following appropriately completed schedule is not routinely necessary in those vaccinated because of risk factors only. Where immunisation has been delayed beyond the recommended intervals, the vaccine course should be completed, but it is more likely that the child may become infected / have incomplete protection. In this instance, testing for HBsAg above the age of one year is particularly important. The full duration of protection afforded by hepatitis B vaccine has yet to be established 3. Levels of vaccine-induced antibody to hepatitis B decline over time, but there is evidence that immune memory can persist in those successfully immunised 4. However, recent evidence suggests that not all individuals may respond in this way 5,6. It is, therefore, recommended that individuals at continuing risk of infection should be offered a single booster dose of vaccine, once only, around five years after primary immunisation. Measurement of anti-hep B levels is not required either before or after this dose. Boosters are also recommended after exposure to the virus. Known Hepatitis B exposure (eg Maternal Hep B) * (See Hep B protocol for Hep B positive mothers) For those who are given the vaccination because of known Hep B exposure, inform parent/guardian that testing for HBsAg at one year of age will be performed. Version st April 2012 page 5 of 7

6 This will identify any babies for whom this intervention has not been successful and who have become chronically infected with hepatitis B, and will allow them to be referred for assessment and any further management. This testing can be carried out at the same time as the fourth dose is given. Adverse reactions Hepatitis B vaccine is generally well tolerated and the most common adverse reactions are soreness and redness at the injection site. Other reactions that have been reported but may not be causally related include fever, rash, malaise and an influenza-like syndrome, arthritis, arthralgia, myalgia and abnormal liver function tests. Hepatitis B Immunoglobulin (HBIG) is well tolerated. Very rarely, anaphylactoid reactions occur in individuals with hypogammaglobulinaemia who have IgA antibodies, or those who have had an atypical reaction to blood transfusion. Discharge Ensure consent is documented and whether vaccine was given. Document relevant dates for when the vaccine was given and when the immunisations are due at 1 month and 6 months of age. Ensure antenatal screening results for HepB, Hep C and HIV documented. The information should be documented in the child s notes and communicated to primary care at discharge to ensure continuity of the schedule in the community. If child is looked after i.e in foster care placement ensure correspondence sent to child s own GP which may differ from Mums. Also send copy of discharge to: Administrator - Catherine Tannahill, Looked After Children s Health Team, St. Ninians Health Centre, Mayfield St, Stirling, FK70BS. Tel: References (Guidance largely extracted from The Department of Health - The Green Book 2006 updated Nov 2010) Also see FV Guidance for infants of Hep B positive mothers (draft 2010) 1. American Academy of Pediatrics, Losonsky et al., Whittle et al., Liao et al., 1999 Version st April 2012 page 6 of 7

7 5. Williams et al., Boxall et al., 2004 Publications in Alternative Formats NHS Forth Valley is happy to consider requests for publications in other language or formats such as large print. To request another language for a patient, please contact For other formats contact , text , fax or - fv-uhb.nhsfv-alternativeformats@nhs.net Version st April 2012 page 7 of 7

William Atkinson, MD, MPH Hepatitis B Vaccine Issues June 16, 2016

William Atkinson, MD, MPH Hepatitis B Vaccine Issues June 16, 2016 William Atkinson, MD, MPH Hepatitis B Vaccine Issues June 16, 2016 Advisory Committee on Immunization Practices (ACIP) The recommendations to be discussed are primarily those of the ACIP composed of 15

More information

Hepatitis B Pathway stages to protection Actions, roles, responsibilities and standards

Hepatitis B Pathway stages to protection Actions, roles, responsibilities and standards Hepatitis B Pathway stages to protection Actions, roles, responsibilities and standards Start Pathway stages colour code: Action Midwifery role Risk areas Specialist services role Primary care role Paediatric

More information

Modifying the childhood immunisation schedule

Modifying the childhood immunisation schedule Modifying the childhood immunisation schedule With thanks to Dr. Marilyn Lansley for allowing adaptation and use of her presentations Vaccine Advice for CliniCians Service Objectives Understand the flexibility

More information

ROYAL HOSPITAL FOR WOMEN

ROYAL HOSPITAL FOR WOMEN HEPATITIS B POSITIVE MOTHERS AND THEIR BABIES This LOP is developed to guide clinical practice at the Royal Hospital for Women. Individual patient circumstances may mean that practice diverges from this

More information

INFANT IMMUNISATION GUIDELINES

INFANT IMMUNISATION GUIDELINES INFANT IMMUNISATION GUIDELINES For all immunisations it is imperative that parental consent is obtained prior to proceeding. Use the Immunisation Consent and Administration Form. Once administered, fax

More information

GUIDE TO FOLLOW UP TESTING FOR BLOOD OR BODY FLUID EXPOSURES AND NEEDLESTICK INJURIES

GUIDE TO FOLLOW UP TESTING FOR BLOOD OR BODY FLUID EXPOSURES AND NEEDLESTICK INJURIES GUIDE TO FOLLOW UP TESTING FOR BLOOD OR BODY FLUID EXPOSURES AND NEEDLESTICK INJURIES Hepatitis B, Hepatitis C and HIV may be contracted through exposure to any body fluid, particularly blood. Follow up

More information

Are Booster Doses of Hepatitis B Vaccine Necessary?

Are Booster Doses of Hepatitis B Vaccine Necessary? Are Booster Doses of Hepatitis B Vaccine Necessary? Current CDC Recommendations And Gaps in Knowledge Division of Viral Hepatitis Centers for Disease Control and Prevention, USA Current United States Recommendations

More information

EPIDEMIOLOGY OF HEPATITIS B IN IRELAND

EPIDEMIOLOGY OF HEPATITIS B IN IRELAND EPIDEMIOLOGY OF HEPATITIS B IN IRELAND Table of Contents Acknowledgements 3 Summary 4 Introduction 5 Case Definitions 6 Materials and Methods 7 Results 8 Discussion 11 References 12 Epidemiology of Hepatitis

More information

ALBERTA IMMUNIZATION POLICY GUIDELINES

ALBERTA IMMUNIZATION POLICY GUIDELINES ALBERTA IMMUNIZATION POLICY GUIDELINES Hepatitis Vaccines. Hepatitis A Vaccines Refer to the vaccine product monograph and the Canadian Immunization Guide for further Product monographs are available on

More information

Mother s blood test to check her unborn baby s blood group

Mother s blood test to check her unborn baby s blood group Mother s blood test to check her unborn baby s blood group This leaflet explains why it is important to have a blood test to check the baby s blood group, so that only those who need it, receive anti-d

More information

Vaccination against pertussis (whooping cough) - the replacement of Repevax with Boostrix -IPV an update for registered healthcare practitioners

Vaccination against pertussis (whooping cough) - the replacement of Repevax with Boostrix -IPV an update for registered healthcare practitioners Vaccination against pertussis (whooping cough) - the replacement of Repevax with Boostrix -IPV an update for registered healthcare practitioners Questions and Answers May 2014 Health Protection Scotland

More information

Tdap booster vaccine for Health Care Workers Frequently Asked Questions for Health Professionals

Tdap booster vaccine for Health Care Workers Frequently Asked Questions for Health Professionals Tdap booster vaccine for Health Care Workers Frequently Asked Questions for Health Professionals NEW items in 2013 Immunisation Guidelines for Ireland are in RED What is Tdap booster vaccine? Tdap is a

More information

Immunisation schedule of the Spanish Association of Paediatrics: 2014 recommendations

Immunisation schedule of the Spanish Association of Paediatrics: 2014 recommendations VACCINE Table 1. Spanish Association of Paediatrics Immunisation Schedule. Recommendations of the Advisory Committee on Vaccines Age in months Age in years 0 2 4 6 12-15 15-18 2-3 4-6 11-12 Hepatitis B

More information

POST EXPOSURE PROPHYLAXI S

POST EXPOSURE PROPHYLAXI S Departments of Infectious Diseases & Emergency Medicine POST EXPOSURE PROPHYLAXI S QUI CK GUI DE FOR EMERGENCY DEPT Adapted from Irish National PEP Guidelines and St James s Hospital GUIDE Clinic/Emergency

More information

UCSF Communicable Disease Surveillance and Vaccination Policy

UCSF Communicable Disease Surveillance and Vaccination Policy Office of Origin: Occupational Health Program I. PURPOSE To provide a sustainable, healthy and safe working environment for UCSF research laboratory staff, and animal research care staff and to prevent

More information

I B2.4. Design of the patient information leaflet for VariQuin

I B2.4. Design of the patient information leaflet for VariQuin (English translation of official Dutch version) I B2.4. Design of the patient information leaflet for VariQuin Information for the Patient: Read this package leaflet carefully when you have some time to

More information

TESTING AND MANAGEMENT. Dr Nicole Allard GP Cohealth, Joslin Clinic, West Footscray PhD student, Epidemiology Unit VIDRL

TESTING AND MANAGEMENT. Dr Nicole Allard GP Cohealth, Joslin Clinic, West Footscray PhD student, Epidemiology Unit VIDRL TESTING AND MANAGEMENT Dr Nicole Allard GP Cohealth, Joslin Clinic, West Footscray PhD student, Epidemiology Unit VIDRL Disclosure and acknowledgments No conflicts of interest Board Member of Hepatitis

More information

Whooping Cough Vaccine for Pregnant Women

Whooping Cough Vaccine for Pregnant Women Whooping Cough Vaccine for Pregnant Women What is whooping cough (pertussis)? Whooping cough (also known as pertussis) is a highly contagious illness that can be life threatening. The disease is most serious

More information

160S01105, Page 1 of 7. Human Hepatitis B Immunoglobulin, solution for intramuscular injection.

160S01105, Page 1 of 7. Human Hepatitis B Immunoglobulin, solution for intramuscular injection. 160S01105, Page 1 of 7 New Zealand Data Sheet Hepatitis B Immunoglobulin-VF NAME OF THE MEDICINE Human Hepatitis B Immunoglobulin, solution for intramuscular injection. DESCRIPTION Hepatitis B Immunoglobulin-VF

More information

MANAGEMENT OF INFANTS BORN TO HIV POSITIVE MOTHERS

MANAGEMENT OF INFANTS BORN TO HIV POSITIVE MOTHERS MANAGEMENT OF INFANTS BORN TO HIV POSITIVE MOTHERS Introduction Perinatal management of infants born to HIV-infected mothers requires a coordinated multidisciplinary team approach. The consultant leads

More information

Immunity and how vaccines work

Immunity and how vaccines work 1 Introduction Immunity is the ability of the human body to protect itself from infectious disease. The defence mechanisms of the body are complex and include innate (non-specific, non-adaptive) mechanisms

More information

Nurse Aide Training Program Application Checklist

Nurse Aide Training Program Application Checklist Nurse Aide Training Program Application Checklist The following checklist must be completed before enrolling in the Nurse Aide Training course: Complete, sign, and date the Application Form Have the physical

More information

MINISTRY OF HEALTH PANDEMIC INFLUENZA A / H1N1 2009 VACCINE FREQUENTLY ASKED QUESTIONS

MINISTRY OF HEALTH PANDEMIC INFLUENZA A / H1N1 2009 VACCINE FREQUENTLY ASKED QUESTIONS Government of the Republic of Trinidad and Tobago MINISTRY OF HEALTH PANDEMIC INFLUENZA A / H1N1 2009 VACCINE FREQUENTLY ASKED QUESTIONS Influenza vaccines are one of the most effective ways to protect

More information

VARICELLA ZOSTER (VZ) VIRUS, CHICKENPOX & SHINGLES GUIDANCE

VARICELLA ZOSTER (VZ) VIRUS, CHICKENPOX & SHINGLES GUIDANCE VARICELLA ZOSTER (VZ) VIRUS, CHICKENPOX & SHINGLES GUIDANCE Summary This guidance provides background information on varicella zoster (VZ), chickenpox and shingles and sets out the infection control measures

More information

New York State Department of Health Immunization Program Combined Hepatitis A and B Vaccine Dosing Schedule Policy

New York State Department of Health Immunization Program Combined Hepatitis A and B Vaccine Dosing Schedule Policy New York State Department of Health Immunization Program Combined Hepatitis A and B Vaccine Dosing Schedule Policy Policy Statement The accelerated four-dose schedule for combined hepatitis A and B vaccine

More information

Beginner's guide to Hepatitis C testing and immunisation against hepatitis A+B in general practice

Beginner's guide to Hepatitis C testing and immunisation against hepatitis A+B in general practice Beginner's guide to Hepatitis C testing and immunisation against hepatitis A+B in general practice Dr Chris Ford GP & SMMGP Clinical Lead Kate Halliday Telford & Wrekin Shared Care Coordinator Aims Discuss:

More information

Addition of vaccination against hepatitis B infection and change of the HPV vaccination programme

Addition of vaccination against hepatitis B infection and change of the HPV vaccination programme Change to DENMARK S CHILDHOOD VACCINATION PROGRAMME 2014 Addition of vaccination against hepatitis B infection and change of the HPV vaccination programme 2014 Addition to the Danish Health and Medicines

More information

NHS FORTH VALLEY Management of Neonatal Abstinence Syndrome

NHS FORTH VALLEY Management of Neonatal Abstinence Syndrome NHS FORTH VALLEY Management of Neonatal Abstinence Syndrome Date of First Issue 25/10/2011 Approved 25/11/2011 Current Issue Date 30/11/2011 Review Date 30/11/2013 Version 1.00 EQIA Yes 06/12/2011 Author

More information

Hepatitis B Virus (Pregnancy) Investigation Guideline

Hepatitis B Virus (Pregnancy) Investigation Guideline Hepatitis B Virus (Pregnancy) Investigation Guideline Contents CASE DEFINITION... 3 LABORATORY ANALYSIS... 3 BACKGROUND... 4 NOTIFICATION TO PUBLIC HEALTH... 5 INVESTIGATOR RESPONSIBILITIES... 6 STANDARD

More information

Resource Document 6: Tetanus Immunization. I. Introduction

Resource Document 6: Tetanus Immunization. I. Introduction Resource Document 6: Tetanus Immunization I. Introduction Attention must be directed to adequate tetanus prophylaxis in the multiply injured patient, particularly if open-extremity trauma is present. The

More information

The timing of vaccination with respect to anaesthesia and surgery. 1. Surgery following immunisation with inactivated vaccines

The timing of vaccination with respect to anaesthesia and surgery. 1. Surgery following immunisation with inactivated vaccines The timing of vaccination with respect to anaesthesia and surgery Main recommendations: 1. Surgery following immunisation with inactivated vaccines Delay surgery 48 hours post vaccination to avoid postvaccination

More information

When an occupational exposure occurs, the source patient should be evaluated for both hepatitis B and hepatitis C. (AII)

When an occupational exposure occurs, the source patient should be evaluated for both hepatitis B and hepatitis C. (AII) XI. OCCUPATIONAL EXPOSURES TO HEPATITIS B AND C RECOMMENDATION: When an occupational exposure occurs, the source patient should be evaluated for both hepatitis B and hepatitis C. (AII) The risk of transmission

More information

Current Trends in Immunization

Current Trends in Immunization Current Trends in Immunization Christian Lease Director, Immunization Policy, Novartis Vaccines 2011 NCSL Meeting Objectives Review the benefits of immunization Discuss where the immunization enterprise

More information

Core Topic 2. The immune system and how vaccines work

Core Topic 2. The immune system and how vaccines work Core Topic 2 The immune system and how vaccines work Learning outcome To be able to describe in outline the immune system and how vaccines work in individuals and populations Learning objectives Explain

More information

Viral hepatitis. Report by the Secretariat

Viral hepatitis. Report by the Secretariat SIXTY-THIRD WORLD HEALTH ASSEMBLY A63/15 Provisional agenda item 11.12 25 March 2010 Viral hepatitis Report by the Secretariat THE DISEASES AND BURDEN 1. The group of viruses (hepatitis A, B, C, D and

More information

Epidemiology It is estimated that there are at least 350 million chronically infected cases of HBV worldwide. (see Figure 9.1).

Epidemiology It is estimated that there are at least 350 million chronically infected cases of HBV worldwide. (see Figure 9.1). Chapter 9 09 Vaccine introduced to primary schedule 2008 NOTIFIABLE In some circumstances, advice in these guidelines may differ from that in the Summary of Product Characteristics of the vaccines. When

More information

Polio and the Introduction of IPV

Polio and the Introduction of IPV Polio and the Introduction of IPV Poliomyelitis (polio) is a highly infectious disease that is caused when a person is infected by the polio virus that invades the nervous system. Poliomyelitis can cause

More information

Laboratory confirmation requires isolation of Bordetella pertussis or detection of B. pertussis nucleic acid, preferably from a nasopharyngeal swab.

Laboratory confirmation requires isolation of Bordetella pertussis or detection of B. pertussis nucleic acid, preferably from a nasopharyngeal swab. Pertussis Epidemiology in New Zealand New Zealand has continued to experience outbreaks of pertussis in recent decades. This is in part due to historically low immunisation rates and in part because immunity

More information

Chickenpox in pregnancy: what you need to know

Chickenpox in pregnancy: what you need to know Chickenpox in pregnancy: what you need to know First published December 2003 Revised edition published November 2008 What is chickenpox? Chickenpox is a very infectious illness caused by a virus called

More information

VACCINE SCHEDULES. Vaccination Vaccine Type Contraindications Schedule Other information. Those who have already had a BCG vaccine.

VACCINE SCHEDULES. Vaccination Vaccine Type Contraindications Schedule Other information. Those who have already had a BCG vaccine. VACCINE SCHEDULES The vaccine schedules detailed below are those recommended by the vaccine manufacturers. Many vaccines can be given at short notice or schedules shortened to accommodate your travel plans.

More information

Vaccination against pertussis (Whooping cough) for pregnant women- 2014. Information for healthcare professionals

Vaccination against pertussis (Whooping cough) for pregnant women- 2014. Information for healthcare professionals Vaccination against pertussis (Whooping cough) for pregnant women- 2014 Information for healthcare professionals About Public Health England Public Health England s mission is to protect and improve the

More information

Whooping cough and pregnancy

Whooping cough and pregnancy Whooping cough and pregnancy Your questions answered on how to help protect your baby the safest way to protect yourself and your baby There is a lot of whooping cough around at the moment and babies who

More information

swine flu vaccination:

swine flu vaccination: swine flu vaccination: what you need to know Flu. Protect yourself and others. Contents What is swine flu?............... 3 About the swine flu vaccine....... 4 What else do I need to know?...... 8 What

More information

Chapter 3. Immunity and how vaccines work

Chapter 3. Immunity and how vaccines work Chapter 3 Immunity and how vaccines work 3.1 Objectives: To understand and describe the immune system and how vaccines produce immunity To understand the differences between Passive and Active immunity

More information

Whooping cough and pregnancy

Whooping cough and pregnancy Whooping cough and pregnancy Your questions answered on how to help protect your baby 2014 edition the safest way to protect yourself and your baby 1 There is a lot of whooping cough around at the moment

More information

Zika Virus. Fred A. Lopez, MD, MACP Richard Vial Professor Department of Medicine Section of Infectious Diseases

Zika Virus. Fred A. Lopez, MD, MACP Richard Vial Professor Department of Medicine Section of Infectious Diseases Zika Virus Fred A. Lopez, MD, MACP Richard Vial Professor Department of Medicine Section of Infectious Diseases What is the incubation period for Zika virus infection? Unknown but likely to be several

More information

Case Finding for Hepatitis B and Hepatitis C

Case Finding for Hepatitis B and Hepatitis C Case Finding for Hepatitis B and Hepatitis C John W. Ward, M.D. Division of Viral Hepatitis Centers for Disease Control and Prevention Atlanta, Georgia, USA Division of Viral Hepatitis National Center

More information

Pregnancy and Tuberculosis. Information for clinicians

Pregnancy and Tuberculosis. Information for clinicians Pregnancy and Tuberculosis Information for clinicians When to suspect Tuberculosis (TB)? Who is at risk of TB during pregnancy? Recent research suggests that new mothers are at an increased risk of TB

More information

Mantoux testing is not performed in the clinic on a Thursday, as it would need to be read on a Sunday, when we are closed.

Mantoux testing is not performed in the clinic on a Thursday, as it would need to be read on a Sunday, when we are closed. VACCINE SCHEDULES The vaccine schedules detailed below are those recommended by the vaccine manufacturers. Many vaccines can be given at short notice or schedules shortened to accommodate your travel plans.

More information

Travel Vaccine Schedule

Travel Vaccine Schedule Travel Vaccine Schedule This table acts as a quick guide to vaccine schedules. The Summary of Product Characteristics should always be referred to for more detailed information. Vaccine Cholera Dukoral

More information

Thinking of getting pregnant?

Thinking of getting pregnant? Thinking of getting pregnant? Make sure you re protected against German measles the safest way to protect the health of you and your baby Catching German measles (rubella) can be very serious for your

More information

2. PROVISION OF COMBINED HEPATITIS A AND B VACCINE OR MONOVALENT HEPATITIS A OR HEPATITIS B VACCINE FOR HIGH RISK GROUPS

2. PROVISION OF COMBINED HEPATITIS A AND B VACCINE OR MONOVALENT HEPATITIS A OR HEPATITIS B VACCINE FOR HIGH RISK GROUPS Guidelines for the Provision of Hepatitis A and B Vaccine to Adults in Western Australia at Risk of Acquiring these Infections by Sexual Transmission and Injecting Drug Use 1. BACKGROUND These guidelines

More information

Hepatitis B. The disease. Hepatitis B

Hepatitis B. The disease. Hepatitis B 18 The disease NOTIFIABLE is an infection of the liver caused by the hepatitis B virus (HBV). Many new infections with hepatitis B are sub-clinical or may have a flu-like illness. Jaundice only occurs

More information

Rh D Immunoglobulin (Anti-D)

Rh D Immunoglobulin (Anti-D) Document Number PD2006_074 Rh D Immunoglobulin (Anti-D) Publication date 29-Aug-2006 Functional Sub group Clinical/ Patient Services - Maternity Clinical/ Patient Services - Medical Treatment Population

More information

english facts about hepatitis A, B and C

english facts about hepatitis A, B and C english facts about hepatitis A, B and C What is hepatitis? Hepatitis means inflammation of the liver. Many viruses can cause liver inflammation, including the hepatitis A, B and C viruses. Some people

More information

MUSC Occupational Blood Borne Pathogen Protocol Off-Campus Procedure Packet

MUSC Occupational Blood Borne Pathogen Protocol Off-Campus Procedure Packet MUSC Occupational Blood Borne Pathogen Protocol Off-Campus Procedure Packet MUSC Medical Center has established these protocols in accordance with the OSHA Blood Borne Pathogen Standard and Center for

More information

Hepatitis B vaccination policy in France. Viral Hepatitis Prevention Board 18-19 november 2004 Veyrier du lac France Nicole Guérin

Hepatitis B vaccination policy in France. Viral Hepatitis Prevention Board 18-19 november 2004 Veyrier du lac France Nicole Guérin Hepatitis B vaccination policy in France Viral Hepatitis Prevention Board 18-19 november 2004 Veyrier du lac France Nicole Guérin Immunisation policy: Elaboration Advice of CTV, CSHPF Decision DGS ( Commissions

More information

Guidelines for Vaccinating Pregnant Women

Guidelines for Vaccinating Pregnant Women Guidelines for Vaccinating Pregnant Women U.S. DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Disease Control & Prevention Guidelines for Vaccinating Pregnant Women from Recommendations of the Advisory

More information

The format of this leaflet was determined by the Ministry of Health and its content was checked and approved in May 2013.

The format of this leaflet was determined by the Ministry of Health and its content was checked and approved in May 2013. The format of this leaflet was determined by the Ministry of Health and its content was checked and approved in May 2013 Havrix 720 Junior 1 NAME OF THE MEDICINAL PRODUCT Havrix 720 Junior 2 QUALITATIVE

More information

Preface. TTY: (888) 232-6348 or cdcinfo@cdc.gov. Hepatitis C Counseling and Testing, contact: 800-CDC-INFO (800-232-4636)

Preface. TTY: (888) 232-6348 or cdcinfo@cdc.gov. Hepatitis C Counseling and Testing, contact: 800-CDC-INFO (800-232-4636) Preface The purpose of this CDC Hepatitis C Counseling and Testing manual is to provide guidance for hepatitis C counseling and testing of individuals born during 1945 1965. The guide was used in draft

More information

Impact of natural boostering on long-term protection against hepatitis B after newborn (HBsAg + mothers) vaccination.

Impact of natural boostering on long-term protection against hepatitis B after newborn (HBsAg + mothers) vaccination. Impact of natural boostering on long-term protection against hepatitis B after newborn (HBsAg + mothers) vaccination Roznovsky Ludek Department of Infectious Diseases University Hospital Ostrava, Czech

More information

Body Fluid Exposure:

Body Fluid Exposure: Focus on CME at the University of Manitoba Focus on CME at the University of Manitoba Body Fluid Exposure: What To Do? John Sokal, MD, CFPC Presented at Bug Day 2003, Health Sciences Centre, Winnipeg (October

More information

These are illnesses which might not only spoil your holiday but might also pose a risk to your life.

These are illnesses which might not only spoil your holiday but might also pose a risk to your life. Travel Vaccinations Travel vaccinations are an essential part of holiday and travel planning, particularly if your journey takes you to an exotic destination or 'off the beaten track'. The risks are not

More information

Substance Use Guideline 4B PERINATAL OPIOID EXPOSURE, CARE OF THE NEWBORN

Substance Use Guideline 4B PERINATAL OPIOID EXPOSURE, CARE OF THE NEWBORN British Columbia Reproductive Care Program Substance Use Guideline 4B PERINATAL OPIOID EXPOSURE, CARE OF THE NEWBORN INTRODUCTION During the antenatal period, the opportunity exists for the primary care

More information

NSW Pertussis Control Program 2015

NSW Pertussis Control Program 2015 NSW Pertussis Control Program 2015 Pertussis Disease Pertussis ( whooping cough ) is a bacterial infection affecting the respiratory system, caused by the organism Bordetella pertussis It affects individuals

More information

Pertussis Information for GPs and other Health Care Providers on Clinical and Public Health Management. March 2010

Pertussis Information for GPs and other Health Care Providers on Clinical and Public Health Management. March 2010 Pertussis Information for GPs and other Health Care Providers on Clinical and Public Health Management March 2010 Infectious Agent Bordetella pertussis (a bacterium) Clinical Features Infants and Young

More information

Women, Children and Sexual Health Division Maternity Services. Guideline: Anti D- Prophylaxis

Women, Children and Sexual Health Division Maternity Services. Guideline: Anti D- Prophylaxis Women, Children and Sexual Health Division Maternity Services Guideline: Anti D- Prophylaxis 1. Introduction The National Institute for Clinical Excellence recommend routine antenatal anti-d prophylaxis

More information

Exceptional People. Exceptional Care. Antenatal Appointment Schedule for Normal Healthy Women with Singleton Pregnancies

Exceptional People. Exceptional Care. Antenatal Appointment Schedule for Normal Healthy Women with Singleton Pregnancies Exceptional People. Exceptional Care. Antenatal Appointment Schedule for Normal Healthy Women with Singleton Pregnancies First Antenatal Contact with the GP Obtain medical and obstetric history. Measure

More information

MENINGOCOCCAL GROUP B VACCINE (BEXSERO) Information for Health Professionals

MENINGOCOCCAL GROUP B VACCINE (BEXSERO) Information for Health Professionals MENINGOCOCCAL GROUP B VACCINE (BEXSERO) Information for Health Professionals What is Bexsero vaccine? Bexsero is a meningococcal Group B (MenB) vaccine which is indicated for the active immunisation of

More information

Protecting your child against flu

Protecting your child against flu Protecting your child against flu Information for parents Flu mmunisation 2015/16 Helping to protect everyone, every winter This year, the flu vaccine is being offered to: children aged two, three and

More information

A P P E N D I X SAMPLE FORMS

A P P E N D I X SAMPLE FORMS A P P E N D I X A SAMPLE FORMS Authorization for Disclosure Consent for HBV/HCV Antigens, HIV Antibody Documentation of Staff Education Employees Eligible for Hepatitis-B Vaccination Hepatitis-A Consent

More information

Hepatitis B vaccines WHO position paper

Hepatitis B vaccines WHO position paper Hepatitis B vaccines WHO position paper In accordance with its mandate to provide guidance to Member States on health policy matters, WHO is issuing a series of regularly updated position papers on vaccines

More information

The flu vaccination WINTER 2016/17. Who should have it and why. Flu mmunisation 2016/17

The flu vaccination WINTER 2016/17. Who should have it and why. Flu mmunisation 2016/17 The flu vaccination WINTER 2016/17 Who should have it and why Flu mmunisation 2016/17 The flu vaccination 1 Winter 2016/17 Helping to protect everyone, every winter This leaflet explains how you can help

More information

Exposure. What Healthcare Personnel Need to Know

Exposure. What Healthcare Personnel Need to Know Information from the Centers for Disease Control and Prevention National Center for Infectious Diseases Divison of Healthcare Quality Promotion and Division of Viral Hepatitis For additional brochures

More information

POST-EXPOSURE PROPHYLAXIS (HIV, HEP B, HEP C)

POST-EXPOSURE PROPHYLAXIS (HIV, HEP B, HEP C) POST-EXPOSURE PROPHYLAXIS (HIV, HEP B, HEP C) www.hiv-druginteractions.org No major changes to this protocol since last reviewed in 2014 Reference should also be made to the NHSGGC document on management

More information

Immunization Information for Blinn College Students

Immunization Information for Blinn College Students 1 Immunization Information for Blinn College Students *Important Information Regarding the Bacterial Meningitis Vaccine* The State passed Senate Bill 1107 in 2011 and recently Senate Bill 62 in 2013, which

More information

GENERAL INFORMATION. Hepatitis B Foundation - Korean Chapter Pg. 3 www.hepb.org

GENERAL INFORMATION. Hepatitis B Foundation - Korean Chapter Pg. 3 www.hepb.org GENERAL INFORMATION What is hepatitis B? Hepatitis B is the world's most common liver infection that can lead to cirrhosis and liver cancer. It is caused by the hepatitis B virus (HBV), which attacks and

More information

CHF INCLEN ADVAC 2011. Vaccination in Special Situations: Break-out sessions. Group B

CHF INCLEN ADVAC 2011. Vaccination in Special Situations: Break-out sessions. Group B CHF INCLEN ADVAC 2011 Vaccination in Special Situations: Break-out sessions Group B 1 Group B. Moderator: Dr. Rohit Agrawal Expert: Dr. Walter Orenstien 2 Learning objectives: What are the special situation

More information

This document was published by: The National Department of Health. Editorial team: Provincial EPI Team National EPI Team Dr NJ Ngcobo

This document was published by: The National Department of Health. Editorial team: Provincial EPI Team National EPI Team Dr NJ Ngcobo REVISED : OCTOBER 2010 This document was published by: The National Department of Health Editorial team: Provincial EPI Team National EPI Team Dr NJ Ngcobo Copies may be obtained from: The National Department

More information

12/2/2015 HEPATITIS B AND HEPATITIS C BLOOD EXPOSURE OBJECTIVES VIRAL HEPATITIS

12/2/2015 HEPATITIS B AND HEPATITIS C BLOOD EXPOSURE OBJECTIVES VIRAL HEPATITIS HEPATITIS B AND HEPATITIS C BLOOD EXPOSURE DISEASE 101 ONLINE CONFERENCE SARAH WENINGER, MPH VIRAL HEPATITIS.STD.HIV PREVENTION COORDINATOR DECEMBER 3, 2015 OBJECTIVES Describe the populations that should

More information

FAQs on Influenza A (H1N1-2009) Vaccine

FAQs on Influenza A (H1N1-2009) Vaccine FAQs on Influenza A (H1N1-2009) Vaccine 1) What is Influenza A (H1N1-2009) (swine flu) 1? Influenza A (H1N1-2009), previously known as "swine flu", is a new strain of influenza virus that spreads from

More information

Viral Hepatitis Case Report

Viral Hepatitis Case Report Page 1 of 9 Viral Hepatitis Case Report Perinatal Hepatitis B Virus Infection Michigan Department of Community Health Communicable Disease Division Investigation Information Investigation ID Onset Date

More information

Tdap and MenC booster vaccines. Information for parents of children in First Year of second level school

Tdap and MenC booster vaccines. Information for parents of children in First Year of second level school Tdap and MenC booster vaccines Information for parents of children in First Year of second level school Tdap and MenC booster vaccines Information for parents of children in First Year of second level

More information

Lancet Device Incident Investigation Report - 2012

Lancet Device Incident Investigation Report - 2012 Lancet Device Incident Investigation Report - 2012 Summary On May 16, 2012 the Winnipeg Regional Health Authority (WRHA) received notification from the University of Manitoba (U of M) of an incident at

More information

Protecting your baby against meningitis and septicaemia

Protecting your baby against meningitis and septicaemia Protecting your baby against meningitis and septicaemia caused by meningococcal B bacteria MenB vaccine now available! Information about the MenB vaccine and recommended paracetamol use mmunisation The

More information

Assertive outreach enhances hepatitis B vaccination for people who inject drugs in Melbourne, Australia

Assertive outreach enhances hepatitis B vaccination for people who inject drugs in Melbourne, Australia Assertive outreach enhances hepatitis B vaccination for people who inject drugs in Melbourne, Australia Peter Higgs, Nyree Chung, Shelley Cogger, Rebecca Winter, Margaret Hellard & Paul Dietze Acknowledgements

More information

Facts About Chickenpox and Shingles for Adults

Facts About Chickenpox and Shingles for Adults Facts About Chickenpox and Shingles for Adults What is chickenpox? Chickenpox, also known as varicella, is a very contagious disease caused by the varicella-zoster virus. It is spread easily through the

More information

Information on Measles and Whooping Cough: Vaccination and Disease

Information on Measles and Whooping Cough: Vaccination and Disease Information on Measles and Whooping Cough: Vaccination and Disease Vaccine s Mechanism of Action Vaccines expose the recipient to a small amount of an weakened organism. Through this exposure, the body

More information

Appendix 3 Exposure Incident Report Form

Appendix 3 Exposure Incident Report Form Appendix 3 Exposure Incident Report Form January, 2015 Page 1 of 6 Please see the following pages for the Exposure Incident Report Form. Guidelines for the Management of Exposure to Blood and Body Fluids

More information

MIAMI DADE COLLEGE MEDICAL CAMPUS SCHOOL OF HEALTH SCIENCES EMERGENCY MEDICAL SERVICES Emergency Medical Technician (EMT) Application Packet

MIAMI DADE COLLEGE MEDICAL CAMPUS SCHOOL OF HEALTH SCIENCES EMERGENCY MEDICAL SERVICES Emergency Medical Technician (EMT) Application Packet MEDICAL CAMPUS SCHOOL OF HEALTH SCIENCES EMERGENCY MEDICAL SERVICES Emergency Medical Technician (EMT) Application Packet Student Name (Print) Student Number The information in this 8 - page packet must

More information

Summary of the risk management plan (RMP) for Tritanrix HB [Diphtheria, tetanus, pertussis (whole cell) and hepatitis B (rdna) vaccine (adsorbed)]

Summary of the risk management plan (RMP) for Tritanrix HB [Diphtheria, tetanus, pertussis (whole cell) and hepatitis B (rdna) vaccine (adsorbed)] EMA/14365/2014 Summary of the risk management plan (RMP) for Tritanrix HB [Diphtheria, tetanus, pertussis (whole cell) and hepatitis B (rdna) vaccine (adsorbed)] Overview of disease epidemiology Diphtheria

More information

Guidelines for Managing Exposures to Blood Borne Pathogens

Guidelines for Managing Exposures to Blood Borne Pathogens Guidelines for Managing Exposures to Blood Borne Pathogens Revised May 2010 Table of Contents Introduction 1 Exposure to Blood/Body Fluids 2 A. Initial Management Guidelines I. General Measures 2 II. Evaluate

More information

Rubella. Questions and answers

Rubella. Questions and answers Rubella Questions and answers What is rubella? Rubella, or German measles, is a mild disease caused by a virus. Before the MMR (measles, mumps and rubella) vaccine was used, rubella used to be common in

More information

Pregnancy and hypothyroidism

Pregnancy and hypothyroidism Pregnancy and hypothyroidism Departments of Endocrinology & Obstetrics Patient Information What What is hypothyroidism? is hypothyroidism? Hypothyroidism means an underactive thyroid gland, which does

More information

IMPORTANT: PLEASE READ

IMPORTANT: PLEASE READ PART III: CONSUMER INFORMATION combined hepatitis A (inactivated) and hepatitis B (recombinant) vaccine This leaflet is part III of a three-part "Product Monograph" published when was approved for sale

More information

ALLIED HEALTH AND NURSING PROGRAM HEALTH REQUIREMENTS

ALLIED HEALTH AND NURSING PROGRAM HEALTH REQUIREMENTS IMMUNIZATIONS: Page 1 ALLIED HEALTH AND NURSING PROGRAM HEALTH REQUIREMENTS Measles 2 MMR Vaccinations 2 Measles Vaccinations Positive antibody titer for Measles (lab report required or employer health

More information

MANAGEMENT OF DIRECT ANTIGLOBULIN TEST (DAT) POSITIVE INFANTS NEONATAL CLINICAL GUIDELINE

MANAGEMENT OF DIRECT ANTIGLOBULIN TEST (DAT) POSITIVE INFANTS NEONATAL CLINICAL GUIDELINE MANAGEMENT OF DIRECT ANTIGLOBULIN TEST (DAT) POSITIVE INFANTS NEONATAL CLINICAL GUIDELINE 1. Aim/Purpose of this Guideline 1.1. To provide monitoring and treatment guidance for medical and nursing staff

More information

FURTHER EXPERIENCE WITH SUBCUTANEOUS IMMUNOGLOBULIN THERAPY IN CHILDREN WITH PRIMARY IMMUNE DEFICIENCIES

FURTHER EXPERIENCE WITH SUBCUTANEOUS IMMUNOGLOBULIN THERAPY IN CHILDREN WITH PRIMARY IMMUNE DEFICIENCIES FURTHER EXPERIENCE WITH SUBCUTANEOUS IMMUNOGLOBULIN THERAPY IN CHILDREN WITH PRIMARY IMMUNE DEFICIENCIES Dr Alison Jones Great Ormond Street Hospital for Children NHS Trust London WC1N 3JH United Kingdom

More information

Protocol for Needle Stick Injuries Occurring to NY Medical College Students In Physicians Offices

Protocol for Needle Stick Injuries Occurring to NY Medical College Students In Physicians Offices Protocol for Needle Stick Injuries Occurring to NY Medical College Students In Physicians Offices Procedures to be followed by physicians for needle stick incidents to medical students rotating through

More information

Red Blood Cell Transfusions for Sickle Cell Disease

Red Blood Cell Transfusions for Sickle Cell Disease Red Blood Cell Transfusions for Sickle Cell Disease Red Blood Cell Transfusions for Sickle Cell Disease 1 Produced by St. Jude Children s Research Hospital, Departments of Hematology, Patient Education,

More information