HEALTH & SAFETY INFORMATION
IMMUNISATIONS
Version: 1
Issued by: Health & Safety Team
Ref No: CYC/HS/I24
Issue: November 2013
Page: 1 of 3
IMMUNISATIONS
There is no compulsory legislation for employees to undergo a vaccination programme but
is it is recommended and good practice to offer staff the following appropriate vaccinations
to protect themselves and/or their clients.
HEPATITIS A

Care workers working in large residential institutions, or where the personal standards
of hygiene are poor.

Any staff working with raw sewage, sewer workers, staff in day care facilities, nursery
assistants (if the children have not been toilet trained), building tradesmen, plumbers,
electricians, road workers if repairing drains. Frequent occupational exposure to raw
sewage was an independent risk factor.
Immunisation schedule:
2 doses: 1st dose followed by 2nd dose 6 months to a year later, possible 20 year booster
HEPATITIS B
Recommendation that all health care workers who may have direct contact with
patients’ blood, blood-stained body fluids or tissues require vaccination. This includes any
staff who are at risk of injury from blood contaminated sharp instruments, or of being
deliberately injured or bitten by patients.
 Health care workers working with clients with learning difficulties in residential care
 Staff working in special schools or day centres.
 Staff working with lone clients that are prone to biting or scratching
 Staff working in areas where there is the possibility of a sharps injury – ie waste
disposal workers, void cleaners, electricians, gas fitters, parks staff.

Immunisation schedule.
4 doses at 0, 1, 2 and 12 months; blood test 3 months after 3rd dose - booster in 5 years.
INFLUENZA (FLU)
 Health and social care staff directly involved in the care of their patients or clients
 Others involved directly in delivering health care such that they and vulnerable
patients are at increased risk of exposure to influenza
 Business critical staff – road workers (snow clearance ) / waste disposal workers
identified by senior team and risk assessments
If you have any questions relating to this document please contact the
Health & Safety Help Line on 01904 554131
HEALTH & SAFETY INFORMATION
IMMUNISATIONS
Version: 1
Issued by: Health & Safety Team
Ref No: CYC/HS/I24
Issue: November 2013
Page: 2 of 3
Immunisation schedule
Annual injection between October – March
MEASLES, MUMPS & RUBELLA (MMR)
Healthcare workers
Protection of healthcare workers is especially important in the context of their ability to
transmit measles or rubella infections to vulnerable groups ie pregnant women. While they
may need MMR vaccination for their own benefit they also should be immune to measles
and rubella for the protection of their patients. Satisfactory evidence of protection would
include documentation of:
● Having received two doses of MMR, or
● Positive antibody tests for measles and rubella.
Immunisation schedule
Immunisation required if employee is not able to provide evidence then two doses given
one month from each other. No blood test required.
RABIES
Pre-exposure (prophylactic) immunisation
Local authority dog wardens who are also inspectors would require the vaccine. Other
dog wardens have a low risk of exposure, and post-exposure prophylaxis in the event of
an incident is appropriate. Employees who regularly handle bats in the UK would also
require the vaccine.
Immunisation schedule
For those at regular and continuous risk, a single reinforcing dose of vaccine should be
given one year after the primary course has been completed. Further doses should be
given at three- to five-year intervals thereafter.
TETANUS
Park staff, building tradesmen, care workers, sewer workers, toilet cleaners, voids
cleaners and plumbers.
For minimum protection five doses of tetanus-containing vaccine at appropriate intervals
for all individuals. Most adults have this during their childhood years.
Primary immunisation
If you have any questions relating to this document please contact the
Health & Safety Help Line on 01904 554131
HEALTH & SAFETY INFORMATION
IMMUNISATIONS
Version: 1
Issued by: Health & Safety Team
Ref No: CYC/HS/I24
Issue: November 2013
Page: 3 of 3
Infants and children under ten years
TB BCG
For employees working in a health care setting.
Immunisation schedule
If no evidence of a BCG scar, Manitoux test and reading 75 hours later, dependant on
reading BCG given
VARICELLA
Varicella (chickenpox) is an acute, highly infectious disease caused by the varicella zoster
(VZ) virus.
Employees working in a health care setting who have contact with clients ie social workers
care staff, cleaners, admin staff in care homes and schools.
Immunisation schedule
Normally given in childhood – one off injection, if no verbal written evidence immunisation
may be required.
For further details please contact the
CYC Occupational Health provider.
If you have any questions relating to this document please contact the
Health & Safety Help Line on 01904 554131