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It all makes sense - my question is why are we testing bloods to assess an antibody level when we know its highly likely to be low and not necessarily a "true" reflection of the individuals status ________________________________ From: [log in to unmask] [mailto:[log in to unmask]] On Behalf Of Amanda Savage Sent: 27 May 2010 15:57 To: [log in to unmask] Subject: [OCC-HEALTH] Hi Sharon, If you take bloods at 6 months you will get a response but it is unlikely to be an accurate reflection of the immunity. When someone has a booster or exposure to Hep B & they are immune the body recognises the Hep B Virus & makes antibodies in direct response that is what you are measuring in the blood test. We do not go around 24/7 with a body full of antibodies 'just in case' but the body keeps the blue print for future use if required so the longer the delay the lower the antibody level may be which is why the recommendation is to boost then check response at 8 weeks. I would recommend that you do the blood test & then assess the response. Hope this makes sense Regards Amanda Savage BSc(Hons);SpPrac OH; RGN; DON; NEBOSH Specialist Practitioner Occupational Health West Midlands Fire service [log in to unmask] <mailto:[log in to unmask]> Tel: 0121 380 7441 Mob: 07770863052 P Please protect the environment - think before you print. Unless expressly stated otherwise, the information contained in this e-mail is confidential and is intended only for the named recipients. Any unauthorised disclosure of the information contained in this e-mail is strictly prohibited. If you have received it in error please return it immediatley to me [log in to unmask] <mailto:[log in to unmask]> and then destroy it. The information contained in this e-mail may be subject to public disclosure under the Freedom of Information Act 2000 unless the information is legally exempt from disclosure -----Original Message----- From: [log in to unmask] [mailto:[log in to unmask]] On Behalf Of Naylor, Sharon [HMPS] Sent: 27 May 2010 13:18 To: [log in to unmask] Subject: [OCC-HEALTH] I think I need to clarify - I have been told that if blood test taken > 4 months post last jab the results may not be that accurate. I think what I REALLy want to know (and worded it very clumsily last time) is - is there a time when you WOULDNT take bloods. ________________________________ From: [log in to unmask] [mailto:[log in to unmask]] On Behalf Of Parbery, Clive Sent: 27 May 2010 13:10 To: [log in to unmask] Subject: [OCC-HEALTH] Have read this with interest. If someone is unable to confirm immunity we blood test to establish titre level. <10miu/ml non immune repeat course >10 but <99 miu/ml partial immunity, immediate booster then repeat single booster after 5 years no other action >100miu/ml immune single booster dose after 5 years. Proviso is if individual has needlestick injury booster always offered - down to them to decline. Never assume immunity, it may never have taken effect ie age, health etc etc. I was told by a wise Irishman when I was 18years old (going back a bit!!!!) if you ass-u-me it makes a mockery of both of us. You clever ones out there can identify the full saying! Regards Clive Parbery Senior Occupational Health Nurse Advisor Telephone Number 01384456111 Ext2949 To become a member of The Dudley Group of Hospitals NHS Foundation Trust and help make a difference to healthcare in Dudley Email [log in to unmask] <mailto:[log in to unmask]> ________________________________ From: [log in to unmask] [mailto:[log in to unmask]] On Behalf Of Clarke, Siobhan (Capita Health Solutions Ltd) Sent: 27 May 2010 12:45 To: [log in to unmask] Subject: [OCC-HEALTH] If you refer to the Green Book, chapter on Hep B, under COSHH regulations an individual worker has a right to know whether or not they have been protected. There is the potential they are a non-responded which needs to be known in the event of an NSI. And check their antigen at the same time if not already done so. Siobhan ________________________________ From: [log in to unmask] [mailto:[log in to unmask]] On Behalf Of Marnock, Heather [HMPS] Sent: 27 May 2010 12:09 To: [log in to unmask] Subject: [OCC-HEALTH] Sharon, I still take the blood test. Just as baseline and it helps I feel. This was the way I did in the NHS. Heather Heather J Marnock Occupational health Nurse Practitioner - CMIOSH, RGN, OHNP HMP Nottingham - 0115 872 4027 HMP Whatton - 01949 80 3534 This Email may contain Medical in Confidence information. Please delete and inform the sender if you receive this and you are not the correct addressee. Thank you bPlease consider the environment ________________________________ From: [log in to unmask] [mailto:[log in to unmask]] On Behalf Of Naylor, Sharon [HMPS] Sent: 27 May 2010 12:07 To: [log in to unmask] Subject: [OCC-HEALTH] I know this has been asked before ......... Hep B vaccination, individuals fail to attend for blood tests, now > 6/12 later, undertaking exposure prone work. Do you assume immunity? Sharon Naylor HMPS Occupational Health Advisor *Please note new number at Lartin* Long Lartin 01386 295310 (Monday, Tuesday and Friday) Birmingham 0121 345 2606 (Wednesday and Thursday) "Those that do not find some time every day for health must sacrifice a lot of time one day for illness" Sebastian Knieff The original of this email was scanned for viruses by the Government Secure Intranet virus scanning service supplied by Cable&Wireless Worldwide in partnership with MessageLabs. (CCTM Certificate Number 2009/09/0052.) On leaving the GSi this email was certified virus free. Communications via the GSi may be automatically logged, monitored and/or recorded for legal purposes. This email was received from the INTERNET and scanned by the Government Secure Intranet anti-virus service supplied by Cable&Wireless Worldwide in partnership with MessageLabs. (CCTM Certificate Number 2009/09/0052.) In case of problems, please call your organisation's IT Helpdesk. 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