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I can't get the hepatitis B vaccine
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By:
joziel
Postings:
2
From:
n/a
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Posted:
Tue Jun 26, 2012 - 06:11 PM
I'm a 34 yr old woman and about to start a training in mental health. I won't be dealing with sharps or bodily fluids regularly, but I guess there is a risk that someone might bite me or I may be exposed to bodily fluids some other way (!) over the course of my career.
I attended an appointment with an NHS Occupational Health dept in Denmark Hill, where I was advised to have the vaccine. Since Denmark Hill is some way from my home and involved 2 trains and around 4 hrs travelling (total) and since the whole process would involve around 4 trips there, I decided to get it from my local GP instead - not thinking there might be a problem.
The nurse at my GP practice has refused to give me the vaccine because it is for occupational reasons. She said she could only give it to me if it were for travel, but then it would be just the 3 jabs and no blood test to check it had worked. I said that was fine (since my understanding is almost everyone is covered from the 3 jabs anyway), but she said she couldn't now ethically do that because she knew that I wanted it for occupational health reasons. She would be documenting this conversation in my notes and recording the reason why I wanted it.
I offered to pay for it, privately, but she said even then, she couldn't give it to me.
I asked where medical students go, to get this jab. She said they have it done at their university when they get there. (I don't believe this is true, since I've read guidelines for some unis online saying that students have to have had the jabs before they get there, or they won't be able to participate in the clinical stuff the first semester and will fail the course.)
She advised me to find an occupational health nurse or go to a private clinic for this jab.
This is all very silly and it feels like it has been made very difficult for me to get this vaccination. WHY is it being made so hard to get this jab?? I am tempted not to get it, since I'm not going to be dealing with blood/bodily fluids (hopefully!). However, I know I really should, for my peace of mind. If anyone can point me in the direction of somewhere I can get it, and if it seems possible, then I will!
I live in Brighton. Where should I go? Thanks!
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By:
administrator
Postings:
350
From:
n/a
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Posted:
Thu Jun 28, 2012 - 08:05 PM
Dear mental health Trainee,
It is good to remember mental patients are highly infected with hbv, many of the wards I visit are over full of people from 1 in 10 infected regions also. Tropical africans and Pacific Rim nations are all 1 in 10 to 20 infected. then you have to factor in the 25,000 assaults reported each year on uk wards. trust me you need to get the jabs done.
In the US they know a nurse dies every day from hbv and as you have noticed here we barely know how to use the vaccine, leaving millions at risk and hundreds getting infected. Having caught hepatitis c myself from a needlestick after asking a mentally ill herion addict to not leave her used syringes in tricky places, she then left them everywhere, it is just a risk not worth taking.
Go to Lloyds and get an accelerated 28 day course done do the titre test after.
Cut n paste the link and call the nearest lloyds.
http://www.hepb.org.uk/news/current/need_a_hbv_vaccination_quick_
The accelerated course is on cut paste again
http://www.hepb.org.uk/information/resources/hbv_vaccination_packs_for_industries
scroll down to custodial carers hbv booklet.
Half our police force and nearly all our security care and cleaning staff are under vaccinated. By failing to titer test one hospital had staff 30% unaware if they have a hbv infection or immunity. Basically the test is everything the jabs are kinda dangerous without their titre tests, so do not fall into that category. We often get calls from staff amazed to find they have hbv not immunity after 10 20 even 30 years doing exposure prone roles. I've also met 3 nurses with cancer, I mean 30 years in the front line of risk, especially in the 60's 70's and 80's, or up until now for some overseas nurses, and these ladies were never tested at all, until they were dying.
As with private cleaning, private vaccination seems to bring out a total lack of care from the NHS. Both have suffered huge and fatal consequences from the NHS inability to include private agencies and co operate with them for patient benefit. They are quite capable of watching thousands die in filthy wards or you wander off and get a decimating incurable carcinogen, BECAUSE someone has said it is not their business. The simple use of the Pharmacy chains that are everywhere, even jotting down a local number, even with over a million blood workers at fast growing risk has been quite beyond nearly every GP, for instance.
As a final whisper, patients with hbv on mental wards need more support, i have seen many put on meds that harm their livers and many develop obese fatty liver, a 4 stone weight gain during a 6 month section was recently recorded, a triple whammy of liver harms. I mean get some scales in the ward and the pizza leaflets out. At least make sure a baseline liver function test happens re the anti phychotics etc, especially dementia patients can be harmed and not express it. Also, patients seem bombarded with religion and this has interferred with their understanding of hbv, as has the on ward availability of substances to abuse. Finally the last ward I was on I asked the patient, she had been in and out of wards for 12 years, I asked her one tip of advice from a healthcare worker she remembered, she said none. I asked her if she had ever befriended or trusted a healthcare worker enough to listen to them and she said no.
i should add the woman was recently functional enough to finish a masters and care for priceless antiques, easy to engage with.
paul
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By:
joziel
Postings:
2
From:
n/a
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Posted:
Thu Jun 28, 2012 - 08:16 PM
Thank you for the help.
The nurse at my GP practice did say she would phone me back today and tell me where to go… Did she? No! When I tried to tell her I was concerned that my own health would be put at risk, because of how hard it is to find somewhere to get jabbed, she said that it was my responsibility to get vaccinated and she would now document on my notes that I had asked her who would be at fault if I did contract hep B, and that she had advised me that it would be my responsibility!! It was all about covering her own ass and not about helping someone and the task at hand….
Anyway, I just earlier today stumbled across the Lloyds pharmacy scheme online and it is much cheaper than getting it done on the local NHS hospital and paying privately: The hospital would cost £269 for 3 jabs and a blood test. The Lloyds scheme will cost £118, although I'm not sure if the blood test is included.
I will be sure to get the test then - although I think I read that 85-90% of people are covered after the 3 jabs, but it will be good to know that I'm one of them.
Thanks.
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By:
administrator
Postings:
350
From:
n/a
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Posted:
Fri Jun 29, 2012 - 11:37 AM
hi
£269 is just a major crime against the general public, it costs £3 in Mumbai General and most of the planet. Hospitals in Africa got 4.3 billion from the UK and other governments to supply free jabs, incredible eh, yet the same africans are not even advised they are 1 in 10 infected here, or offered safety screening for themselves or vaccinations, even when offered many exposure prone roles.
If you study the GP guidance on this, it fails to cover anyone and garantees no GP can ever understand who is at occupational risk, ours would be the only GP's on earth unable to understand how hbv transmits for the last 30 years. This we call Health n Safety. do print the occupational pack for all asylum workers and ward visiting staff also.
In my heart I know staff are catching and dying from hepatitis far more often than needs be, yet even my nhs file states cirrhosis due to alcohol, I'm teetotal, 25 years hep infected. Basically the thousands dying each year are filed away uncounted and the inner cities and many communities are now endemic and we also simply refuse to count the reality up. Migration is adding 20,000 hbv and hcv infections annually so we will see the next generation facing an endemic landscape, with our GP's and Health Protection Agency quite possibly not noticing, or knowing how to vaccinate.
With all funding from government and pharmaceuticals withdrawn from the Foundation and a national liver strategy planned to lower testing and vaccinating 25%, I do fear a million undiagnosed hbv and hcv mainly from childhood and healthcare is a UK inevitability. Every Worker with Blood needs to understand this.
Best Regards
paul
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By:
administrator
Postings:
350
From:
n/a
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Posted:
Fri Jun 29, 2012 - 12:03 PM
Hi again
the gp bma guidance is as follows
http://www.gloslmc.com/guidance/previous/HepBNov05.pdf
Our GP empowerment tools game change all this
http://www.hepb.org.uk/news/current/GPDiagnosticTools.pdf
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