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Sometimes hepatitis B virus stays in your body for years and causes long-lasting illness (chronic hepatitis B virus infection) that can lead to liver damage, liver cancer, and death. The Centers for Disease Control and Prevention (CDC) recommends everyone from birth up to age 60 years get hepatitis B vaccination.
You can sign to either accept or decline the vaccination. If you decline now, you can accept it at a later date should you change your mind.
The most common reasons for declining the dose were: baby too young (55.8%); preference for two, four and six-month HBV immunisations only (56.6%); perceived low risk of contracting HBV (45.1%); and a fear of overloading their babys immune system (42.5%).
If an employee denies the vaccine initially, they must sign the approved declination form required by the standard.
The California OSHA Bloodborne Pathogen (BBP) standard requires that employers make available hepatitis B vaccine to unvaccinated employees at risk of exposure. Employees may decline to be vaccinated with hepatitis B vaccine, but must sign a declination form.
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Employers must ensure that workers who decline vaccination sign a declination form. The purpose of this is to encourage greater participation in the vaccination program by stating that a worker declin- ing the vaccination remains at risk of acquiring hepatitis B.
A hepatitis B declination form is a form your employer may give you to offer you the hepatitis B vaccine option due to the occupational risk of exposure to the virus. You can sign to either accept or decline the vaccination. If you decline now, you can accept it at a later date should you change your mind.
An employee has a right to refuse the vaccination. If you do, however, you should realize that without the hepatitis B immunization three-injection series or evidence of immunity from previous viral infection, you remain at risk for acquiring hepatitis B virus (HBV) infection.

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