Health Science Students - Immunizations

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Immunization Requirements for Health Science Students:

To help promote the health of our Health Science Students and to minimize the potential for transmission of communicable diseases for the students, their patients, and their contacts, we are requiring the following immunizations.

  1. Hepatitis B - 3 dose series and a positive Hepatitis B surface Antibody (HBsAb) quantitative titer (greater than 10 mIU/ml).  Ideally the titer is done 1-2 months after the third vaccine.  However, CHS will accept an adequate HBsAb titer beyond this time.  If the quantitative titer is less than 10 mIU/ml, another hepatitis B series should be completed and a quantitative HBsAb be rechecked 1-2 months afterwards.  An alternative to completing this second Hepatitis B series is to get 1 Hepatitis B shot, then recheck the HBsAb titer and if this titer is inadequate, the student needs to complete the second series.  Note – if the student does not have an adequate HBsAb after the second series of the hepatitis B vaccine, the student is considered a non-responder and further medical assessment and evaluation is indicated by a CHS medical provider.
  2. Varicella - 2 dose series or a positive titer.  An affidavit of having the disease is not accepted.
  3. Tetanus/Diphtheria/Pertussis : Three DTP (diphtheria, tetanus, pertussis), Td (tetanus, diphtheria), or Tdap (tetanus, diptheria, pertussis) doses (this fulfills the primary series requirement). 1 booster dose of tetanus/diphtheria/pertussis (Tdap) vaccine after completion of the primary series.   A Td booster is required every 10 years.
  4. Measles/Mumps/Rubella – Two Measles (rubeola), two Mumps, one Rubella (2 MMR doses meet this requirement) or positive titers.
  5. 3 Polio vaccines (unless greater than 18 years old).

Influenza Vaccine Information: 

UNC Health Care requires that all healthcare personnel receive the influenza vaccine yearly.  Thus, health science students rotating through UNC clinical sites are required to get the influenza vaccine yearly.  Health Science students should contact their program for more information regarding the Influenza vaccine requirement.

TB Screening Information:

A 2-step TST (Tuberculin Skin Test) is required. The TST must have been placed in the United States.  If the first TST is negative, a second TST is placed 1-3 weeks later.  If the first or second TST is positive, the student is required to meet with a CHS medical provider.  Note:  if a TST was placed within 12 months, it is acceptable to only do a 1 step TST.  For each subsequent year, either an annual TST or a TST review (if student has had a positive TST) by a nurse will be required.  Note:  for individuals who have had the BCG vaccine or who may have difficulty returning to get the TST read, a TB blood test (e.g. QFT-G or the T-spot) is preferred and accepted as a TB screening test.