** Confidential **
We have been asking about MMRs for approx 2yrs but only considering mumps immunity for 1 year. Staff are asked if they have had 2 MMRs. If they have only had 1 or none then they are given the vaccine if they were born after 1970. Those born before this are more likely to have natural immunity and therefore we test them, if they come back negative on any one of the component then they are vaccinated.
Until recently this has only been collected on new staff and those who attend the department. Since the recent directive we are now sending out forms to all staff asking the questions.
We have had staff decline vaccines, but this has usually because they do not understand the need, after a little education they usually comply. They are also advised that it is a condition of there employment.
Joy Anderson
Specialist Practitioner
Occupational Health
Block 4
Southampton General Hospital
ext 4156
023 80 794156
>>> [log in to unmask] 06/19/08 10:20am >>>
see your point - somewhat amazed that an Obs Reg would refuse?
________________________________
From: [log in to unmask] [mailto:[log in to unmask]] On
Behalf Of Milne Campbell
Sent: 19 June 2008 10:09
To: [log in to unmask]
Subject: Re: [OCC-HEALTH] Measles immunity assessment
In this specific case the person was a Reg in Obstetrics.
The MBA advised vaccination for their and their patients protection.
If they were unable to be vaccinated then it would have been a very
difficult problem,
Yes re-deploy, but to where - ? change speciality
-----Original Message-----
From: [log in to unmask] [mailto:[log in to unmask]] On
Behalf Of Naylor, Sharon [HMPS]
Sent: 19 June 2008 10:03
To: [log in to unmask]
Subject: Re: [OCC-HEALTH] Measles immunity assessment
I don't work in the NHS but I read this with interest - especially the
bit about suspension of staff who refuse vaccination. In my world the
unions would go absolutely ape. I wonder - would redeployment have been
a more pragmatic solution as at least the employer would have been
getting something out of them. Cant see how you can suspend without pay
unless you do that for all suspensions for whatever reason,surely this
issue of declining vaccination would have to be written in disciplinary
procedures? Does recurrent non-attendance for appointments also
constitute refusal? And do staff have it written in their job
spec/contract that they will comply with vaccination recommendations?
________________________________
From: [log in to unmask] [mailto:[log in to unmask]] On
Behalf Of Milne Campbell
Sent: 19 June 2008 09:54
To: [log in to unmask]
Subject: Re: [OCC-HEALTH] Measles immunity assessment
Without documented evidence of 2 x MMR vaccination,
Staff are offered vaccination and if declined / inappropriate
(pregnancy) then serology,
On the proviso that those staff that test equivocal / susceptible will
have vaccination asap.
We have had a situation where a member of staff was suspended for
refusing to accept vaccination (who worked in a high risk area).
Additionally if there is an outbreak (and we have had a few Mumps)
should a person known to be at risk but declined (as apposed to could
not have) vaccination be paid while suspended and if do how many times ?
Further there is a group of staff we are seeing that have only had 1 x
MMR (born late 80's).
Campbell
-----Original Message-----
From: [log in to unmask] [mailto:[log in to unmask]] On
Behalf Of sandy
Sent: 18 June 2008 21:15
To: [log in to unmask]
Subject: [OCC-HEALTH] Measles immunity assessment
I work in the NHS for a Mental Health Trust. I have now been in post for
12 months developing a new in house service.
Following a recent DoH communication re doctor spreading measles-it has
been questioned whether checking of staff for measles should be
undertaken. I am aware that the "Green Book " has recommendations.
I wondered if colleagues would share how they have managed the measles,
mumps, rubella, varicella situation in such an environment?
-Do you routinely check all new starters? If so for all 4 diseases or
just some?
-Do you take short cuts e.g. assume mothers have been assessed during
pregnancy for rubella?
-The thought seems to be going towards giving MMRx2 to all permanent
staff on certain in-patient areas as the vaccine is free and serology
costs. Proof of previous immunisation will naturally preclude this.
How do you manage the fact that staff do bank shifts? in the selected
areas? Also locum medical staff, OTs, psychologists etc?
-Do you check community staff?
-Do you have much success in obtaining written proof of MMR X2
vaccination history? I seem to struggle.
Looking forward to your replies
Sandy
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