These guidelines are consistent with the one published by the CDC, the Association for Professionals in Infection and Epidemiology, Inc (APIC), the ACIP, and infectious diseases experts.

The general approach is as follows:

  • All healthcare workers should be immune to measles, mumps, rubella, and varicella.
  • All healthcare workers with potential exposure to blood or body fluids should be immune to hepatitis B.
  • All healthcare workers should be offered annual immunization with influenza vaccine.
  • All healthcare workers should either be offered immunizations that are routinely recommended for adults, such as tetanus, diphtheria, and pneumococcal vaccine, or be referred to their primary care provider.
  • At risk healthcare workers and laboratory personnel should be offered the following vaccines: polio, meningococcal, BCG, rabies, plague, typhoid, and hepatitis A.