Thanks Amanda it is always useful to have the “green book”
reiterated but my point was that although not in keeping with the green book at
the time this is what we did, and interestingly levels did drop for no apparent
reason so what has happened in the case we are debating may have been in
keeping with the general population.
Regards
Sara
From: [log in to unmask]
[mailto:[log in to unmask]] On Behalf Of Amanda Savage
Sent: 18 September 2008 10:42
To: [log in to unmask]
Subject: Re: [OCC-HEALTH] Blood loss affecting immunity
Green book says check 8 weeks after number 3 so you know they have
actually responded then boost at 5 years. If there is no response at HbAbs
stage they need checking for natural immunity or infectivity.
Regards
Amanda Savage BSc(Hons); Sp Prac OH; RGN; DON; NEBOSH
Senior Occupational Health Adviser
West Midlands Fire Service
Tel: 0121 380 7441
Mob: 07770863052
P
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-----Original Message-----
From: [log in to unmask] [mailto:[log in to unmask]] On
Behalf Of Sara Werry
Sent: 18 September 2008 10:40
To: [log in to unmask]
Subject: Re: [OCC-HEALTH] Blood loss affecting immunity
Hi all
In a previous employment a
good few years ago! Our policy was to check serology at 3 years whatever the
level after initial course and it wasn’t uncommon for levels to of
dropped from >100 to <10 we didn’t really look for cause might have
been interesting if we had at time. Of course now with not checking levels
again but just boosting at 5 years you would never know how far levels have
dropped as the theory seems to be that if you have ever responded to the
vaccine when in contact with it the levels would raise.
All best
Sara
From: [log in to unmask]
[mailto:[log in to unmask]] On Behalf Of Milne Campbell
Sent: 18 September 2008 09:26
To: [log in to unmask]
Subject: Re: [OCC-HEALTH] Blood loss affecting immunity
I have
hear of this too,
This
includes some Chemo treatments too
-----Original Message-----
From: [log in to unmask] [mailto:[log in to unmask]] On
Behalf Of MICHAEL COCKAYNE
Sent: 17 September 2008 20:55
To: [log in to unmask]
Subject: Re: [OCC-HEALTH] Blood loss affecting immunity
My point is that if you haven't got any proof of a
responsive Anti-HBs from 2000 then there is no proof that her immunity has
indeed been affected.
However, I have seen someone who underwent immunotheropy and a
tranfusion and was advised by her Consultant to have all her childhood
imms courses repeated - tetnus, polio, dip ect. We also repeated her hep B
course from scratch.
Date: Wed, 17 Sep 2008 15:43:55 -0400
From: [log in to unmask]
Subject: Re: [OCC-HEALTH] Blood loss affecting immunity
To: [log in to unmask]
In a message dated
17/09/2008 20:41:03 GMT Standard Time, [log in to unmask] writes:
If you haven't seen any evidence of an Anti-HBs >10 from the course in 2000 then I would perform a full hep B serology, and if everything is okay offer her a second course of an alternative brand of the vaccine.
Hope this helps
Thanks for this Michael
we've sorted out her
vaccination but the question was would immunity have been affected by having
had a significant blood transfusion?
Thanks
Glenn
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