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J R Soc Med 1993;86:154-155
© 1993 Royal Society of Medicine

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Journal of the Royal Society of Medicine, Vol 86, Issue 3 154-155, Copyright © 1993 by Royal Society of Medicine

ORIGINAL ARTICLES

Personal immunization against hepatitis B

NJ Shanks and DF Rowlands
King Khalid National Guard Hospital, Jeddah, Kingdom of Saudi Arabia.

Doctors represent a high risk category for contracting hepatitis B virus. We report obstacles to our vaccination programme. Thirty per cent of the doctors (mainly Middle Eastern origin) were naturally immune to hepatitis, 29% received vaccination on completion of their pre-employment medical. However, 32% did not present for vaccination despite a total of 224 letters being dispatched, an average of 5.5 letters per doctor. Three medical staff were found to be HbsAg positive. More encouragement is required for those doctors who fail to attend for immunization. Measures such as: being a pre-requisite for employment, or withholding pay could be considered in high risk areas.
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