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Hi Sue It may be worth just testing her blood to see 'where she's at' immunity wise, you can then offer her further vaccination if indicated. The question I would have to ask though is why does she keep failing to adhere to the course? Does she not understand the risks associated with BBV's? regards Glenn ~~~~~~~~~~~~~~~ Please remove this footer before replying. OCC-HEALTH ARCHIVES: http://www.jiscmail.ac.uk/lists/occ-health.html CONFERENCES AND STUDY DAYS: http://www.jiscmail.ac.uk/cgi-bin/filearea.cgi?LMGT1=OCC-HEALTH OCCUPATIONAL HEALTH JOBS http://OHJobs.drmaze.net OCCUPATIONAL HEALTH NURSING EDUCATION http://www.aohne.org.uk