Occupational Health Service

Vaccination against hepatitis A and B

Current information on the hepatitis A vaccination

Hepatitis A

We offer the hepatitis A vaccination to all employees who work with human stool samples or come into contact with patient stools.

Information on our vaccination consultation hours can be found here.

 

How is hepatitis A transmitted?

Hepatitis A is only transmitted by the fecal-oral route, i.e. you must get stool from an infected patient into your mouth or eye mucosa in order to become infected yourself.

 

Who should be vaccinated against hepatitis A?

Hepatitis A vaccination is recommended for all MHH employees and trainees as well as students who have patient contact or contact with infectious or potentially infectious material.

There is also a vaccination recommendation from the Standing Vaccination Commission of the Robert Koch Institute for employees in daycare centers, as well as for all employees who are involved in the processing of food, in order to counteract the spread of a possible infection to others.

 

Procedure

The vaccination is given intramuscularly in the upper arm. If you have not yet been vaccinated, two vaccinations are required to complete the basic immunization. This is done according to the vaccination schedule: 0-12 months.

After basic immunization, you can expect to be protected for at least 25 years.

 

Titer determination

Titer tests for hepatitis A are only useful in the run-up to a possible vaccination in order to rule out a previous infection. A titer determination after a vaccination to check the success of the vaccination is not useful or necessary.

 

General intolerances

If you have an allergy, are currently undergoing desensitization, suffer from an autoimmune disease, are being treated with anticoagulant medication or have had intolerances with previous / other vaccinations, please inform us at the relevant vaccination appointment so that we can discuss an individual procedure together. We will explain any possible side effects that may occur as a result of the vaccination in a detailed discussion before the vaccination.

 

 

Hepatitis B

 

We offer the hepatitis B vaccination to all employees who work with or come into contact with blood, blood components, other human body fluids or tissues, as well as all MHH students.

Information on our vaccination consultation hours can be found here.

 

General information

Hepatitis B is a highly feared infectious disease among healthcare workers, as it is fatal in up to 1% of cases and is chronic in around 5% of cases. It is not uncommon for chronic liver inflammation to lead to liver cirrhosis and possibly even liver cancer.

 

How is hepatitis B transmitted?

Even the smallest amounts of infectious blood that get into your own bloodstream (e.g. through puncture wounds or cuts) can be sufficient for infection. In addition to blood contact, hepatitis B can also be transmitted sexually.

 

Who should be vaccinated against hepatitis B?

All MHH employees, trainees and students who have patient contact or contact with infectious or potentially infectious material are recommended to be vaccinated against hepatitis B.

 

Procedure

The vaccination is given intramuscularly in the upper arm. If you have not yet been vaccinated, three basic immunizations are required. This is done according to the vaccination schedule: 0-1-6 months.

 

Titer determination

Before basic immunization:

A blood test before the first vaccination will determine whether you have already had a hepatitis B infection. If not, basic immunization can be started.

After basic immunization:

4-6 weeks after the third vaccination, a blood test will check whether you have developed a sufficient antibody titer (anti-HBs).

  • If the titre is < 100 IU/l, a further vaccination is recommended
  • With a titer > 100 IU/l, protection for at least 10 years can be assumed

 

General intolerances

If you have an allergy, are currently undergoing desensitization, suffer from an autoimmune disease, are being treated with anticoagulant medication or have had intolerances with previous / other vaccinations, please inform us at the relevant vaccination appointment so that we can discuss an individual procedure together. We will explain any possible side effects that may occur as a result of the vaccination in a detailed discussion before the vaccination.