﻿<?xml version='1.0' encoding='UTF-8'?><rss version="2.0" xmlns:dc="http://purl.org/dc/elements/1.1/"><channel><title>Water Environment Federation (WEF) Discussion Forums / Safety &amp; Health / Archives / Archived Forum Topics  / Vaccinations / Latest Posts</title><generator>Water Environment Federation (WEF) Discussion Forums</generator><description>Water Environment Federation (WEF) Discussion Forums</description><link>http://www.wef.org/TechnicalDiscussions/</link><webMaster>jfuller@wef.org</webMaster><lastBuildDate>Sat, 22 Nov 2008 01:17:40 GMT</lastBuildDate><ttl>20</ttl><item><title>RE: Vaccinations</title><link>http://www.wef.org/TechnicalDiscussions/Topic7395-17-1.aspx</link><description>Obviously not written by a lawyer either -- too many words under three syllables.</description><pubDate>Wed, 21 Nov 2007 14:11:33 GMT</pubDate><dc:creator>Old lag</dc:creator></item><item><title>RE: Vaccinations</title><link>http://www.wef.org/TechnicalDiscussions/Topic7395-17-1.aspx</link><description>Obviously not written by a politician -- too many words over three syllables.</description><pubDate>Wed, 21 Nov 2007 13:40:05 GMT</pubDate><dc:creator>D Shulmister</dc:creator></item><item><title>RE: Vaccinations</title><link>http://www.wef.org/TechnicalDiscussions/Topic7395-17-1.aspx</link><description>I wonder how many use this as a guideline? The wording is pretty vague or generalized, in my opinion... some lawyer or politician must have written it.&lt;img align="absmiddle" src="http://www.wef.org/TechnicalDiscussions/Skins/WEFTest2/Images/EmotIcons/Smile.gif" border="0" title="Smile"&gt; Vaccinations are cheap (or free), why take the risk even if "very slight or extremely remote"? I'm thinkin' C.Y.A., eh?&lt;P&gt;&lt;div class="Quote"&gt;&lt;b&gt;D Shulmister (11/7/2007)&lt;/b&gt;&lt;hr noshade size="1" class="hr"&gt;&lt;FONT face="Times New Roman" size=3&gt;&lt;/P&gt;&lt;P align=left&gt;From California:&lt;/P&gt;&lt;P align=left&gt; &lt;/P&gt;&lt;P align=left&gt;a. &lt;FONT color=#bb11bb&gt;Recommended&lt;/FONT&gt;&lt;/P&gt;&lt;/FONT&gt;&lt;FONT face=Arial size=1&gt;&lt;P align=left&gt;&lt;/FONT&gt;&lt;B&gt;&lt;FONT face="Times New Roman" size=3&gt;Tetanus-diphtheria (Td)&lt;/B&gt;&lt;/FONT&gt;&lt;FONT face="Times New Roman" size=3&gt;....All adults, and especially sewage workers, should be up-to-date on Td immunization. For those who have completed the basic series of three immunizations, a booster should be given every ten years.&lt;/P&gt;&lt;/FONT&gt;&lt;FONT face=Arial size=1&gt;&lt;P align=left&gt; &lt;/FONT&gt;&lt;B&gt;&lt;FONT face="Times New Roman" size=3&gt;No other immunizations &lt;/B&gt;&lt;/FONT&gt;&lt;FONT face="Times New Roman" size=3&gt;are &lt;FONT color=#bb11bb&gt;routinely recommended&lt;/FONT&gt; at the present.&lt;/P&gt;&lt;P align=left&gt;b. &lt;FONT color=#bb11bb&gt;Not Routinely Recommended&lt;/FONT&gt;&lt;/P&gt;&lt;/FONT&gt;&lt;FONT face=Arial size=1&gt;&lt;P align=left&gt; &lt;/FONT&gt;&lt;B&gt;&lt;FONT face="Times New Roman" size=3&gt;Poliomyelitis &lt;/B&gt;&lt;/FONT&gt;&lt;FONT face="Times New Roman" size=3&gt;- Sewage workers are at &lt;FONT color=#bb11bb&gt;&lt;STRONG&gt;very slight risk&lt;/STRONG&gt;&lt;/FONT&gt; of vaccine polio virus exposure but at &lt;FONT color=#bb11bb&gt;&lt;STRONG&gt;virtually no risk&lt;/STRONG&gt;&lt;/FONT&gt; of wild polio virus exposure. No cases of occupationally acquired paralytic poliomyelitis in U.S. sewage workers have been documented since polio vaccine came into widespread usage.&lt;/P&gt;&lt;/FONT&gt;&lt;FONT face=Arial size=1&gt;&lt;P align=left&gt;&lt;/FONT&gt;&lt;B&gt;&lt;FONT face="Times New Roman" size=3&gt;Typhoid Fever &lt;/B&gt;&lt;/FONT&gt;&lt;FONT face="Times New Roman" size=3&gt;- &lt;FONT color=#bb11bb&gt;The risk of this disease for sewage workers in California is &lt;STRONG&gt;exceedingly small&lt;/STRONG&gt;&lt;/FONT&gt;. Only one case has ever been reported in a California sewage worker and this was in an individual who had received at least one dose of typhoid vaccine nine months previously.&lt;/P&gt;&lt;/FONT&gt;&lt;FONT face=Arial size=1&gt;&lt;P align=left&gt;&lt;/FONT&gt;&lt;B&gt;&lt;FONT face="Times New Roman" size=3&gt;Immune globulin (IG) and Hepatitis A Vaccine &lt;/B&gt;&lt;/FONT&gt;&lt;FONT face="Times New Roman" size=3&gt;- Routine hepatitis A immunoprophylaxis is not recommended due to lack of evidence of significant occupational risk for sewage workers in this country (MMWR 1996; 45 No. RR-15).&lt;/P&gt;&lt;/FONT&gt;&lt;FONT face=Arial size=1&gt;&lt;P align=left&gt;&lt;/FONT&gt;&lt;B&gt;&lt;FONT face="Times New Roman" size=3&gt;Hepatitis B Vaccine &lt;/B&gt;&lt;/FONT&gt;&lt;FONT face="Times New Roman" size=3&gt;- While blood and other body fluids (e.g., menstrual discharges, etc.) enter the sewage stream, hepatitis B virus is present only in very dilute concentrations. No cases of hepatitis B have been linked to sewage exposure in the U.S. Moreover, since hepatitis B is not transmitted by the fecal-oral route, there is &lt;FONT color=#bb11bb&gt;&lt;STRONG&gt;little risk&lt;/STRONG&gt;&lt;/FONT&gt; from municipal sewage.&lt;/P&gt;&lt;/FONT&gt;&lt;FONT face=Arial size=1&gt;&lt;P align=left&gt;&lt;/FONT&gt;&lt;B&gt;&lt;FONT face="Times New Roman" size=3&gt;Cholera - &lt;/B&gt;&lt;/FONT&gt;&lt;FONT face="Times New Roman" size=3&gt;&lt;FONT color=#bb11bb&gt;The risk of cholera for sewage workers is &lt;STRONG&gt;extremely remote&lt;/STRONG&gt;&lt;/FONT&gt;. Only a few cases of imported cholera are reported each year in California and there has been no secondary transmission. &lt;/FONT&gt;&lt;I&gt;&lt;FONT face="Times New Roman" size=3&gt;Vibrio cholerae &lt;/I&gt;&lt;/FONT&gt;&lt;FONT face="Times New Roman" size=3&gt;concentrations in California sewage are so dilute as to probably be non-infectious. (Whereas 10&lt;/FONT&gt;&lt;FONT face="Times New Roman" size=1&gt;2 &lt;/FONT&gt;&lt;FONT face="Times New Roman" size=3&gt;Shigella are needed to cause disease, as many as 10&lt;/FONT&gt;&lt;FONT face="Times New Roman" size=1&gt;6 &lt;/FONT&gt;&lt;FONT face="Times New Roman" size=3&gt;to 10&lt;/FONT&gt;&lt;FONT face="Times New Roman" size=1&gt;8 &lt;/FONT&gt;&lt;I&gt;&lt;FONT face="Times New Roman" size=3&gt;V. cholerae &lt;/I&gt;&lt;/FONT&gt;&lt;FONT face="Times New Roman" size=3&gt;are needed.) Even if cholera did result, specific treatment is readily available.&lt;/P&gt;&lt;P align=left&gt;Finally, a word about &lt;/FONT&gt;&lt;B&gt;&lt;FONT face="Times New Roman" size=3&gt;HIV &lt;/B&gt;&lt;/FONT&gt;&lt;FONT face="Times New Roman" size=3&gt;and the risk of &lt;/FONT&gt;&lt;B&gt;&lt;FONT face="Times New Roman" size=3&gt;AIDS &lt;/B&gt;&lt;/FONT&gt;&lt;FONT face="Times New Roman" size=3&gt;from sewage. The remarks made above about hepatitis B, and its extreme dilution in sewage, apply to HIV as well - except that the level of HIV in sewage would be even several orders of magnitude less than that of hepatitis B. Moreover, like hepatitis B, HIV is not transmitted by the fecal-oral route. Thus, the risk of hepatitis B from sewage is &lt;FONT color=#bb11bb&gt;&lt;STRONG&gt;virtually non-existent&lt;/STRONG&gt;&lt;/FONT&gt; and the risk of HIV transmission from sewage is &lt;FONT color=#bb11bb&gt;&lt;STRONG&gt;even less&lt;/STRONG&gt;&lt;/FONT&gt;.&lt;/P&gt;&lt;/FONT&gt;&lt;I&gt;&lt;FONT face="Times New Roman" size=2&gt;&lt;P&gt;Reported by: Immunization Branch, Division of Communicable Disease Control, California Department of Health Services&lt;/I&gt;&lt;/FONT&gt;&lt;FONT face="Times New Roman"&gt;&lt;FONT size=3&gt;.&lt;/FONT&gt;&lt;/P&gt;&lt;/FONT&gt;&lt;/div&gt;</description><pubDate>Wed, 21 Nov 2007 03:36:29 GMT</pubDate><dc:creator>Dennis</dc:creator></item><item><title>RE: Vaccinations</title><link>http://www.wef.org/TechnicalDiscussions/Topic7395-17-1.aspx</link><description>Visit the link below, it is intrested to note that the requiremnet for WWT plants are relatively simple. &lt;/P&gt;&lt;P&gt;&lt;A href="http://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=INTERPRETATIONS&amp;amp;p_id=25898"&gt;http://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=INTERPRETATIONS&amp;amp;p_id=25898&lt;/A&gt;&lt;FONT size=1&gt;&lt;BR&gt;&lt;BR&gt;&lt;/FONT&gt;</description><pubDate>Sat, 10 Nov 2007 02:09:42 GMT</pubDate><dc:creator>Sabir</dc:creator></item><item><title>RE: Vaccinations</title><link>http://www.wef.org/TechnicalDiscussions/Topic7395-17-1.aspx</link><description>We offer Hep A&amp;amp;B vaccinations. The employee must sign a waiver if they refuse.</description><pubDate>Thu, 08 Nov 2007 21:32:40 GMT</pubDate><dc:creator>Dennis</dc:creator></item><item><title>RE: Vaccinations</title><link>http://www.wef.org/TechnicalDiscussions/Topic7395-17-1.aspx</link><description>&lt;FONT face="Times New Roman" size=3&gt;&lt;P align=left&gt;From California:&lt;/P&gt;&lt;P align=left&gt; &lt;/P&gt;&lt;P align=left&gt;a. Recommended&lt;/P&gt;&lt;/FONT&gt;&lt;FONT face=Arial size=1&gt;&lt;P align=left&gt;&lt;/FONT&gt;&lt;B&gt;&lt;FONT face="Times New Roman" size=3&gt;Tetanus-diphtheria (Td)&lt;/B&gt;&lt;/FONT&gt;&lt;FONT face="Times New Roman" size=3&gt;....All adults, and especially sewage workers, should be up-to-date on Td immunization. For those who have completed the basic series of three immunizations, a booster should be given every ten years.&lt;/P&gt;&lt;/FONT&gt;&lt;FONT face=Arial size=1&gt;&lt;P align=left&gt; &lt;/FONT&gt;&lt;B&gt;&lt;FONT face="Times New Roman" size=3&gt;No other immunizations &lt;/B&gt;&lt;/FONT&gt;&lt;FONT face="Times New Roman" size=3&gt;are routinely recommended at the present.&lt;/P&gt;&lt;P align=left&gt;b. Not Routinely Recommended&lt;/P&gt;&lt;/FONT&gt;&lt;FONT face=Arial size=1&gt;&lt;P align=left&gt; &lt;/FONT&gt;&lt;B&gt;&lt;FONT face="Times New Roman" size=3&gt;Poliomyelitis &lt;/B&gt;&lt;/FONT&gt;&lt;FONT face="Times New Roman" size=3&gt;- Sewage workers are at very slight risk of vaccine polio virus exposure but at virtually no risk of wild polio virus exposure. No cases of occupationally acquired paralytic poliomyelitis in U.S. sewage workers have been documented since polio vaccine came into widespread usage.&lt;/P&gt;&lt;/FONT&gt;&lt;FONT face=Arial size=1&gt;&lt;P align=left&gt;&lt;/FONT&gt;&lt;B&gt;&lt;FONT face="Times New Roman" size=3&gt;Typhoid Fever &lt;/B&gt;&lt;/FONT&gt;&lt;FONT face="Times New Roman" size=3&gt;- The risk of this disease for sewage workers in California is exceedingly small. Only one case has ever been reported in a California sewage worker and this was in an individual who had received at least one dose of typhoid vaccine nine months previously.&lt;/P&gt;&lt;/FONT&gt;&lt;FONT face=Arial size=1&gt;&lt;P align=left&gt;&lt;/FONT&gt;&lt;B&gt;&lt;FONT face="Times New Roman" size=3&gt;Immune globulin (IG) and Hepatitis A Vaccine &lt;/B&gt;&lt;/FONT&gt;&lt;FONT face="Times New Roman" size=3&gt;- Routine hepatitis A immunoprophylaxis is not recommended due to lack of evidence of significant occupational risk for sewage workers in this country (MMWR 1996; 45 No. RR-15).&lt;/P&gt;&lt;/FONT&gt;&lt;FONT face=Arial size=1&gt;&lt;P align=left&gt;&lt;/FONT&gt;&lt;B&gt;&lt;FONT face="Times New Roman" size=3&gt;Hepatitis B Vaccine &lt;/B&gt;&lt;/FONT&gt;&lt;FONT face="Times New Roman" size=3&gt;- While blood and other body fluids (e.g., menstrual discharges, etc.) enter the sewage stream, hepatitis B virus is present only in very dilute concentrations. No cases of hepatitis B have been linked to sewage exposure in the U.S. Moreover, since hepatitis B is not transmitted by the fecal-oral route, there is little risk from municipal sewage.&lt;/P&gt;&lt;/FONT&gt;&lt;FONT face=Arial size=1&gt;&lt;P align=left&gt;&lt;/FONT&gt;&lt;B&gt;&lt;FONT face="Times New Roman" size=3&gt;Cholera - &lt;/B&gt;&lt;/FONT&gt;&lt;FONT face="Times New Roman" size=3&gt;The risk of cholera for sewage workers is extremely remote. Only a few cases of imported cholera are reported each year in California and there has been no secondary transmission. &lt;/FONT&gt;&lt;I&gt;&lt;FONT face="Times New Roman" size=3&gt;Vibrio cholerae &lt;/I&gt;&lt;/FONT&gt;&lt;FONT face="Times New Roman" size=3&gt;concentrations in California sewage are so dilute as to probably be non-infectious. (Whereas 10&lt;/FONT&gt;&lt;FONT face="Times New Roman" size=1&gt;2 &lt;/FONT&gt;&lt;FONT face="Times New Roman" size=3&gt;Shigella are needed to cause disease, as many as 10&lt;/FONT&gt;&lt;FONT face="Times New Roman" size=1&gt;6 &lt;/FONT&gt;&lt;FONT face="Times New Roman" size=3&gt;to 10&lt;/FONT&gt;&lt;FONT face="Times New Roman" size=1&gt;8 &lt;/FONT&gt;&lt;I&gt;&lt;FONT face="Times New Roman" size=3&gt;V. cholerae &lt;/I&gt;&lt;/FONT&gt;&lt;FONT face="Times New Roman" size=3&gt;are needed.) Even if cholera did result, specific treatment is readily available.&lt;/P&gt;&lt;P align=left&gt;Finally, a word about &lt;/FONT&gt;&lt;B&gt;&lt;FONT face="Times New Roman" size=3&gt;HIV &lt;/B&gt;&lt;/FONT&gt;&lt;FONT face="Times New Roman" size=3&gt;and the risk of &lt;/FONT&gt;&lt;B&gt;&lt;FONT face="Times New Roman" size=3&gt;AIDS &lt;/B&gt;&lt;/FONT&gt;&lt;FONT face="Times New Roman" size=3&gt;from sewage. The remarks made above about hepatitis B, and its extreme dilution in sewage, apply to HIV as well - except that the level of HIV in sewage would be even several orders of magnitude less than that of hepatitis B. Moreover, like hepatitis B, HIV is not transmitted by the fecal-oral route. Thus, the risk of hepatitis B from sewage is virtually non-existent and the risk of HIV transmission from sewage is even less.&lt;/P&gt;&lt;/FONT&gt;&lt;I&gt;&lt;FONT face="Times New Roman" size=2&gt;&lt;P&gt;Reported by: Immunization Branch, Division of Communicable Disease Control, California Department of Health Services&lt;/I&gt;&lt;/FONT&gt;&lt;FONT face="Times New Roman"&gt;&lt;FONT size=3&gt;.&lt;/FONT&gt;&lt;/P&gt;&lt;/FONT&gt;</description><pubDate>Wed, 07 Nov 2007 13:34:45 GMT</pubDate><dc:creator>D Shulmister</dc:creator></item><item><title>Vaccinations</title><link>http://www.wef.org/TechnicalDiscussions/Topic7395-17-1.aspx</link><description>I'm looking for feedback from other treatment plants / collection systems regarding what vaccinations, if any, are provided by the employer. Of these, are they mandatory or optional?</description><pubDate>Wed, 07 Nov 2007 12:48:46 GMT</pubDate><dc:creator>SueKrueger</dc:creator></item></channel></rss>