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OSHA's Bloodborne Pathogens Standard requires that employers offer the hepatitis B vaccination series to any employee who is reasonably anticipated to have exposure to blood or other potentially infectious materials. The offer must be made within 10 days of employment and at no cost to the employee.
29 CFR § 1910.1030 requires employers to make available the hepatitis B vaccine and vaccine series to all employees who have occupational exposure. The employer must ensure that the hepatitis B vaccine and vaccination series and follow-up is made available at no cost to the employee.
A4. If an employee declines the hepatitis B vaccination, the employer must ensure that the employee signs a hepatitis B vaccine declination.
The hepatitis B vaccine should be given to all teenagers and adults up to 60 years of age who have not yet received the hepatitis B vaccine. Adults 60 years and older should get the vaccine if they are at high risk or if they would like to have protection against this virus.
Documentation of immunizations is considered acceptable, and the series can be completed from previous documented dates. Testing: The hepatitis B surface antibody (anti-HBs) test determines immunity. If anti-HBs result is less than 10 mIU/mL (negative), the individual is not protected from HBV infection.
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Both delay vaccines, and one of them also allows parents to skip shots for measles, mumps and rubella (MMR), chickenpox, hepatitis A and polio.
For all ages, when the hepatitis B vaccine schedule is interrupted, the vaccine series does not need to be restarted. If a 3-dose series is interrupted after the first dose, the second dose should be administered as soon as possible, and the second and third doses should be separated by an interval of at least 8 weeks.
Because OSHA considers HBV infection one of the most important protections that a health care worker can have, the OSHA regulations require the employee to sign a waiver if vaccination is refused.
The Centers for Disease Control and Prevention (CDC) recommends everyone from birth up to age 60 years get hepatitis B vaccination. Children routinely get hepatitis B vaccine, but many adults have not been vacci- nated.
For instance, sometimes the hepatitis B vaccination is delayed if a baby is premature, has a low birth weight, or is medically challenged. Still, parents always have the option to refuse a vaccination if they want to. But the risks associated with a hepatitis B infection far outweigh the risks of the vaccine.

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