Title
Environment, Health and Safety Manual - Chapter 06 Appendix A: Required Immunization Guidelines for Certain Positions Within UNC-Chapel Hill
General
School of Medicine, School of Dentistry, or Employees with Job Duties in Health Care Facilities (including Environment, Health and Safety)
| Infectious Disease |
Demonstration of Compliance |
Notes |
| Hepatitis B |
Laboratory evidence of immunity - positive quantitative titer (anti-HBs greater or equal to 10 mIU/mL)
or
Prior receipt of vaccine series with appropriate schedule (2- or 3-dose series per formulation of vaccines received)
or
Signed OSHA declination |
Hepatitis B vaccine is not a condition of employment but completing a vaccine series is strongly recommended.
**Employees may decline the vaccine but must sign the Occupational Safety and Health Administration (OSHA) required declination form. They may elect to receive the vaccine for free in the future.
|
| Measles, Mumps, Rubella |
Laboratory evidence of immunity - positive titers to all three components
or
Prior receipt of vaccine series with appropriate schedule (2 doses of live-attenuated vaccine at least 28 days apart with the first dose on or after first birthday) |
History of illness or birth cohort is not valid proof of immunity for healthcare personnel.
Proof of rubella immunity only requires one documented vaccine dose.
Between 1963-1967 there was a "killed" version of measles vaccine which was not very effective. This vaccine is not accepted as proof of immunity. People who receive this vaccine should be re vaccinated appropriately to complete a 2-dose series of live-attenuated MMR.
The combined MMRV vaccine is not approved for people over age 12. It can be considered an approved vaccine if it was administered before 13th birthday. |
| Tetanus, Diphtheria, Pertussis (Tdap) |
One Tdap adult dose vaccine on or after age 18
and
A booster Tdap dose if it has been longer than 10 years since previous dose |
If employee is a minor, any dose of Tdap regardless of age is acceptable. The DTaP vaccine is not a sufficient substitution. |
| Varicella |
Laboratory evidence of immunity - positive titer
or
Prior receipt of vaccine series with appropriate schedule (2 doses of live-attenuated vaccine at least 28 days apart with the first dose on or after first birthday) |
Documentation of varicella or zoster illness, zoster (shingles) vaccination, or birth before 1980 is not considered proof of immunity. |
| Tuberculosis |
Negative two-steps TB Skin Tests (i.e., two separate TB skin test placements and readings at least 1 to 4 weeks apart)
or
Negative Quantiferon Gold Blood Test (IGRA or T-SPOT)
and
Annual Options: Symptom Review or Screening |
Record of TB testing completed within 12 months prior to employment may be accepted for compliance.
If an employee has a history of latent or active TB, regardless of treatment, TB testing will not be repeated. The employee instead needs a negative symptom review (at time of hire and annually after) and a negative chest x-ray (within 24 months prior ro employment or first 10 days of employment).
Employees with untreated latent TB are encouraged to complete treatment. |
| Influenza |
Vaccine required annually |
All employees must receive influenza vaccine annually unless there is an approved medical contraindication or religious objection. Influenza vaccine exemptions will be evaluated on an individual basis each year by the University Compliance Office and must be resubmitted annually to flu.unc.edu. |
| COVID-19 |
Strongly recommended to receive COVID vaccine and "stay up-to-date" with COVID vaccines and boosters in accordance with CDC guidance. Report whether a vaccine or booster was received. |
See CDC "Stay Up-to-Date" Guidance |
Laboratory Personnel (requirements are dependent upon type of research being conducted)
| Infectious Disease |
Demonstration of Compliance |
Notes |
| Hepatitis B |
Laboratory evidence of immunity - positive quantitative titer (anti-HBs greater or equal to 10 mIU/mL)
or
Prior receipt of vaccine series with appropriate schedule (2- or 3-dose series per formulation of vaccines received)
or
Signed OSHA declination |
Hepatitis B vaccine is not a condition of employment but completing a vaccine series is strongly recommended.
**Employees may decline the vaccine but must sign the Occupational Safety and Health Administration (OSHA) required declination form. They may elect to receive the vaccine for free in the future.
|
| Tuberculosis |
Negative two-steps TB Skin Tests (i.e., two separate TB skin test placements and readings at least 1 to 4 weeks apart)
or
Negative Quantiferon Gold Blood Test (IGRA or T-SPOT)
and
Annual Options: Symptom Review or Screening |
Annual TB testing may be required depending upon type of research being conducted.
If an employee has a history of latent or active TB, regardless of treatment, TB testing will not be repeated. The employee instead needs a negative symptom review (at time of hire and annually after) and a negative chest x-ray (within 24 months prior ro employment or first 10 days of employment).
Employees with untreated latent TB are encouraged to complete treatment. |
| Other |
Vaccinations and/or Serum Storage |
Research dependent. |
UNC Police
| Infectious Disease |
Demonstration of Compliance |
Notes |
| Hepatitis B |
Laboratory evidence of immunity - positive quantitative titer (anti-HBs greater or equal to 10 mIU/mL)
or
Prior receipt of vaccine series with appropriate schedule (2- or 3-dose series per formulation of vaccines received)
or
Signed OSHA declination |
Hepatitis B vaccine is not a condition of employment but completing a vaccine series is strongly recommended.
**Employees may decline the vaccine but must sign the Occupational Safety and Health Administration (OSHA) required declination form. They may elect to receive the vaccine for free in the future.
|
| Tuberculosis |
Two steps pre-employment screening |
|
Facilities Services
| Infectious Disease |
Demonstration of Compliance |
Notes |
| Hepatitis B |
Laboratory evidence of immunity - positive quantitative titer (anti-HBs greater or equal to 10 mIU/mL)
or
Prior receipt of vaccine series with appropriate schedule (2- or 3-dose series per formulation of vaccines received)
or
Signed OSHA declination |
Hepatitis B vaccine is not a condition of employment but completing a vaccine series is strongly recommended.
**Employees may decline the vaccine but must sign the Occupational Safety and Health Administration (OSHA) required declination form. They may elect to receive the vaccine for free in the future.
|
Department of Comparative Medicine (DCM)
| Infectious Disease |
Demonstration of Compliance |
Notes |
| Hepatitis B |
Laboratory evidence of immunity - positive quantitative titer (anti-HBs greater or equal to 10 mIU/mL)
or
Prior receipt of vaccine series with appropriate schedule (2- or 3-dose series per formulation of vaccines received)
or
Signed OSHA declination |
Hepatitis B vaccine is not a condition of employment but completing a vaccine series is strongly recommended.
**Employees may decline the vaccine but must sign the Occupational Safety and Health Administration (OSHA) required declination form. They may elect to receive the vaccine for free in the future.
|
| Tuberculosis |
Negative two-steps TB Skin Tests (i.e., two separate TB skin test placements and readings at least 1 to 4 weeks apart)
or
Negative Quantiferon Gold Blood Test (IGRA or T-SPOT)
and
Annual Options: Symptom Review or Screening |
Annual TB testing may be required depending upon job duties.
If an employee has a history of latent or active TB, regardless of treatment, TB testing will not be repeated. The employee instead needs a negative symptom review (at time of hire and annually after) and a negative chest x-ray (within 24 months prior ro employment or first 10 days of employment).
Employees with untreated latent TB are encouraged to complete treatment. |
| Measles (Rubeola) |
Laboratory evidence of immunity - positive titer
or
Prior receipt of vaccine series with appropriate schedule (2 doses of live-attenuated vaccine at least 28 days apart with the first dose on or after first birthday) |
History of illness or birth cohort is not valid proof of immunity for DCM personnel.
Between 1963-1967 there was a "killed" version of measles vaccine which was not very effective. This vaccine is not accepted as proof of immunity. People who receive this vaccine should be re vaccinated appropriately to complete a 2-dose series of live-attenuated MMR.
The combined MMRV vaccine is not approved for people over age 12. It can be considered an approved vaccine if it was administered before 13th birthday. |
Contact Information
Policy Contact
The University Employee Occupational Health Clinic
North Carolina Area Health Education Center
145 Medical Drive
Campus Box 1649
Chapel Hill, NC 27599-1649
Phone: 919-966-9119