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The following text is from an archived Red Book® edition and may not reflect current recommendations or information. To view the current edition, click here.

Section 1. Active and Passive Immunization

IMMUNIZATION IN SPECIAL CLINICAL CIRCUMSTANCES

Health Care Personnel 1

Adults whose occupations place them in contact with patients with contagious diseases are at increased risk of contracting vaccine-preventable diseases and, if infected, for transmitting them to their patients. Staff at residential institutions and health care personnel, including physicians, nurses, students, and ancillary personnel, should protect themselves and susceptible patients by receiving appropriate immunizations. Physicians, hospitals, and schools for health care professionals should have a major role in implementing these policies. Vaccine-preventable infections of special concern to those involved in the health care of children are as follows (see the disease-specific chapters in Section 3 for further recommendations).

  • Rubella. Outbreaks of rubella among health care personnel have been reported. Although the disease is mild in adults, the risk to a fetus necessitates documentation of rubella immunity in hospital personnel of both sexes. People who are at risk of transmitting rubella infection include hospital personnel in pediatrics, physicians and nurses working in pediatric and obstetric ambulatory care (including emergency departments), and all people working in health care areas in which pregnant women are encountered. People . . . [Go to Full Text]


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