For more details see chapters 4 and 11 in the green book. Primary childhood immunisation schedule this page provides a brief summary of the disease and the vaccine that is available to prevent it. Many individuals with a new infection with hepatitis b may have a subclinical or a flulike illness. This section is part 1 of the phe uk immunisation schedule. The shingles vaccination programme provides a free vaccine that is offered to those who are currently 70 or 78 years old as well as those previously eligible but who missed the immunisation, e.
Guidance is provided on the immunisations that may be appropriate for different groups of staff depending on their role and place of work. Phe uk immunisation schedule green book chapter 11 phedh. People who are nonresponders after receiving the booster should be tested for hepatitis b virus infection. Hepatitis a virus hav is a nonenveloped rna virus classified as a picornavirus.
Links to more detailed information are provided at the bottom of the page. Immunisation of individuals with underlying medical conditions chapter 7 immunisation of individuals with underlying medical conditionsanuary 22 prematurity it is important that premature infants have their immunisations at the appropriate chronological age, according to the schedule. If a vaccine has been frozen it should not be used. Szmuness w, stevens ce, harley ej, zang ea, oleszko wr, william dc, sadovsky r, morrison jm, kellner a. Chapter 7 and chapter 18 of immunisation against infectious. A limited number of travel vaccines are provided on the nhs for public health reasons. Babies can contract hepatitis b from their infected mother during pregnancy and at the time of birth. This file may not be suitable for users of assistive. Vaccinations for all staff in contact with patients. To see the most up to date version of this guideline, see the full guideline on the phe website.
Adolescents aged 1115 years can receive an alternative 2dose schedule at 0 and 6 months. Hav can survive in the environment for prolonged periods at low ph. However, the regulations do not say when the immunisation should be given on the nhs or as a private service. Hav is transmitted through direct person toperson contact fecaloral transmission or through ingestion of contaminated food or water. Blood transfusion now rare in the uk as blood products are screened. Hepatitis b hepatitis b june 2017 18 hepatitis b notifiable the disease hepatitis b is an infection of the liver caused by the hepatitis b virus hbv. The green book has the latest information on vaccines and vaccination procedures for all the vaccine preventable infectious diseases that may occur in the uk. Hepatitis a is rare in the uk with most cases occurring in travellers who have recently visited countries where the disease is common. The virus is usually transmitted through food or water contaminated by human faeces or by direct contact with an infectious person. Against infectious disease the green book, and national and local immunisation. Antibody titres for hepatitis b should be check ed one to four. These recommendations are based on the immunisation against infectious disease green book chapters on pneumococcal disease, tuberculosis, influenza, varicella, and hepatitis b.
Further details are available from the dh green book. Our doctors and nurses will provide you with education and risks for immunisations or nonimmunisation of your children. Guidance on hepatitis b vaccination is available in the green book. Immunisation schedule treatment summary bnfc content. Antibody titres for hepatitis b should be checked one to four months after the completion of a. Immunisation of individuals with underlying medical conditions. Even if you have had the hepatitis b vaccine and are at risk of infection for example, by having unprotected sex or sharing contaminated needles, you should ask your doctor for advice. Health professionals and immunisation practitioners can keep up to date with developments in the field and updates to the green book through regular vaccine update newsletters see the complete. Hepatitis a hepatitis a december 20 green book chapter 17 v20 17 hepatitis a notifiable the disease hepatitis a is an infection of the liver caused by hepatitis a virus. Recommended and minimum ages and intervals between doses of. Immunisation is about 95 per cent effective and is recommended for all infants and young children, adolescents and those in highrisk groups. At infinity health green square, we provide our parents with information and options that are more than the blue book. But with modern treatments, its usually possible to cure the infection, and most people with it will have a normal life expectancy.
Aged 264 years and in high risk group as defined in green book. This file may not be suitable for users of assistive technology. Jaundice may occur in 7080% of those infected as adults. Immunisation of healthcare and laboratory staff immunisation of healthcar e and laboratory staff any staff who are at risk of injury from bloodcontaminated shar p instruments, or of being deliberately injured or bitten by patients. The australian immunisation handbook provides clinical advice for health professionals on the safest and most effective use of vaccines in their practice. Immunisation against infectious disease chapter 17 hepatitis a. Hepatitis b vaccination is recommended for all other risk groups, usually in a 3dose schedule 0, 1 and 6 months. As a result we would follow the green book advice for a hepatitis schedule a vaccine. Hepatitis b immunisation information for public health professionals. Nonresponders to hepatitis b vaccine are recommended to. Hepatitis b vaccine is highly effective at preventing infection if given shortly after exposure see below. Phe uk immunisation schedule green book chapter 11 guidelines. Patients remain eligible for the vaccination until their 80 th birthday.
Retest the person for antihbs levels at least 4 weeks after the last dose. Hepatitis b can be safely and effectively prevented by vaccination. Overview of immunisations immunisation health topics. Hepatitis b vaccination is recommended for infants and children in a 4dose schedule at birth, and 2, 4 and 6 months of age. The green book immunisation against infectious diseases gives information on immunisation for employees in general practice. Immunisation policy in scotland is set by the scottish government health directorates on the advice of the joint committee of vaccinations and immunisations jcvi external site and other appropriate bodies. Compared to a previous survey, this follow on survey 7 years later indicates the risk of exposure to hepatitis b has increased, but not handinhand with the protection of travellers against hepatitis b through vaccination. Immunisation against infectious disease the green book has the latest information on vaccines and vaccination procedures, for vaccine preventable infectious diseases in. Tetanus immunisation information for public health professionals, including updates. This programme aims to protect new born babies who are at high risk having hepatitis b positive mothers from the sequelae of hepatitis b. The green book includes the latest information on vaccines and vaccination procedures, for vaccine preventable infectious diseases in the uk.
They should then receive all other recommended doses, a blood test to check for infection and, where appropriate, hepatitis b immunoglobulin, in line with the green book. Immunisation against infectious disease chapter 18 hepatitis b. Hb vaccine is relatively heat stable and undergoes only a small loss in potency when stored for two to six months at 37c. Hepatitis a is an infection of the liver caused by hepatitis a virus. A safe and effective vaccine for the prevention of hepatitis b infection.
For advice on dosing schedules for missed vaccinations, and the immunisation of individuals coming to the uk, consult chapter 11, the uk immunisation schedule, in. Routine immunisation schedule wales from october 2017. Public health england updated the uk immunisation schedule the green book chapter 11 in january 2020. Hepatitis b immunisation is not paid for by the nhs as part of additional services. Sep 11, 20 immunisation against infectious disease the green book has the latest information on vaccines and vaccination procedures, for vaccine preventable infectious diseases in the uk. Immunisations are an excellent form of preventative healthcare with vast amounts of research performed into the safety and effectiveness of each vaccine. Overview of immunisations immunisation programmes are designed to help protect the population from serious vaccinepreventable diseases. Information has also been included from routine childhood immunisations phe, 2016b and the routine immunisation schedule phe, 2016a, published by. If left untreated, it can sometimes cause serious and potentially lifethreatening damage to the liver over many years. The green book immunisation against infectious disease, hepatitis b for travel is indicated for. Hepatitis b vaccination for newborn babies at risk. Australian q fever register the australian q fever register stores information on the q fever immune status of individuals. The hepatitis b vaccine is not a live vaccine and there is no evidence of any risk to you or your baby. Hps website green book chapter on hepatitis b updated.
A list of courses, conferences and study days of relevance to uk health professionals working, or wishing to. The routine schedule of vaccinations provides good protection for people living and working in australia, but some conditions that are less common are not covered. Sharing of injection equipment by intravenous drug users. All pregnant women are offered screening for hepatitis b in pregnancy.
The neonatal and infant hepatitis b immunisation protocol sets out the roles and responsibilities of organisations and individuals involved in the delivery of the neonatal and infant hepatitis b immunisation programme for infants born to hepatitis b positive mothers across nhs england south south west. Immunisation of healthcare and laboratory staff hepatitis b hepatitis b vaccination is recommended for workers who are at risk of injury from bloodcontaminated shar p instr uments, or of being deliberatel y injured or bitten by patients. Hepatitis b can cause serious illness or death and lead to liver disease and cancer. Jaundice only occurs in about 10% of younger children and in 30 to 50% of adults.
Nhs england and nhs improvement london immunisations. The disease is generally mild, but severity tends to increase with age. In 1992, the world health organization who recommended universal childhood immunisation against hepatitis b hb. Count the 4th booster dose as the 1st of the 3 repeat doses. Published 20 march 20 last updated 22 january 2020 see all updates. Preexposure immunisation against hbv is strongly advised for all workers who may be exposed to blood. Get the latest updates and information for gps about vaccinations and immunisations. If negative, they are recommended to receive 2 more doses of hepatitis b vaccine 1 month apart. If you are at a high risk of getting hepatitis b and are pregnant or thinking of having a baby, you will be advised to have the hepatitis b vaccine. Jun 05, 2015 hepatitis b virus hbv is spread by exposure to infected blood or body fluids. Hepatitis a is a highly infectious virus that can cause inflammation of the liver. Should universal hepatitis b immunisation be introduced in. Nov 23, 2017 the hepatitis b vaccine is very effective at preventing infection if given shortly after contact with hepatitis b.