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Hi Cathy, We vaccinate the student healthcare workers here in Hull as they commence their training. When the scheduling for Hep B changed in the Green Book we considered it and the reason for the changes. We interpreted the information to mean that the scheduling changed as a result of non compliance of the course of vaccinations in a sexual health setting with their patients. Given the environment that we are in we decided to continue with the 0, 1 & 5 month regime as we have a relatively reasonable compliance rate. The other considerations where whether there was any evidence to suggest that if a student didn't have their course exactly as scheduled, would this cause them some risk and of course cost is always considered as the extended schedule includes an extra vaccine and having the students released from lectures. I have attached the information we received from Glaxo and this assisted us to make the decision to stick with the shorter schedule as we (the team) feel that this is the best option for us and our clients. I know that I haven't answered your question exactly but it might offer you something useful. Sarah ................................................................................................................... Sarah Redfearn Dip HE Occupational Health Occupational Health Nurse Advisor University of Hull Hull, HU6 7RX www.hull.ac.uk 01482 466010 -----Original Message----- From: [log in to unmask] [mailto:[log in to unmask]] On Behalf Of Cathy Howells Sent: 17 April 2013 11:16 To: [log in to unmask] Subject: Re: [OCC-HEALTH] Hepatitis B Serology Dear List, Following on from Diane's excellent advice below, I would like to ask if anyone does postpone Hep B serology until after the 4th dose, especially in Health Care Workers (EPP and non EPP)? Some of our nurses are asking why we are still testing after the third dose when the guidance is to wait and test after the 4th dose. My response has been that this then delays our knowledge of the employee's hep B status. I would be interested to hear if anyone does do this and whether or not it causes any concerns? Thank you Cathy ******************************** 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 ******************************** 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