Immunization Recommendations Based on Occupation
Vaccine Health Care Workers Day-Care Workers Animal & Lab Workers Police, Fire, etc Military College Students Other
Routine
Diphtheria & Tetanus Td Td Td Td Td Td Td
Hepatitis A   Sel L   + T T, Food
Hepatitis B BX, MR, PI   L (BX) BX BX, T + T
Influenza + + L + + + T
Lyme Dx     L     T T
Measles + + L   + + T
Mumps + + L   + + T
Poliovirus + + L   + T T
Rubella + + L   + + T
Varicella + + L   + + T
Individual
Anthrax     A, L
+, T    
Japanese Encephalitis     L   T T T
Meningococcal     L   BT, T +, T T
Pneumococcal     L   Sel    
Rabies     A, L   T T T
Typhoid     L   T T T
Smallpox     L        
Yellow Fever     L   T T T

+: Immunity neeeded. Vaccine indicated if patient is susceptible. Prescriber must still consider possible contraindications, as well as vaccination Hx.
A: Animal workers
BT: Military recruits at basic training
BX: If exposed to blood or other contaminated body fluids
Food: May be recommended for food handlers; consult local health dept.
L: Laboratory workers potentially exposed to the corresponding pathogen. Need for vaccination is based on frequency and route of potential exposure and other factors
MR: Clients & staff of institutions for the mentally or developmentally retarded
PI: Prison inmates
Sel: Selected people in this category
T: Selected travelers, depending on destinations and itinerary. For further info, call CDC's international health requirements & recommendations - 888-CDC-FAXX
Td: Adult-strength tetanus-diphtheria toxoids (Td) indicated @ 10 year intervals

Grabenstein, JD, Vaccines for Workers: Immune Aspects of Occupational Health. Hospital Pharmacy, Vol 36, May 2001, 534-46.

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Updated 11-17-2006