Comprehensive Health Information
Vaccine Requirements for National Disaster Medical Assistance (NDMS) Teams
| Vaccine | Dose | Routine Schedule | Contraindications** | Notes |
|---|---|---|---|---|
| Hepatitis A | 1.0 mL IM | Two doses 6-12 months apart | Anaphylactic reactions to alum or the preservative 2- ~henoxyethanol | |
| Hepatitis B (HBV) | 0.5 mL IM | Three doses at . 0; 1 and 6 months. Boosterdoses are not necessary | Anaphylactic reaction to baker's yeast. Pregnancy should not be considered a contraindication to vaccination of women. | Confirmation of positive titer required 1-2 months after completion of the 3 dose series. |
| Influenza | 0.5 mL IM | Annually (fall) with current vaccine. | Allergy to egg. | |
| Measles, Mumps and Rubella (MMR) | 0.5 mL SQ | Completion of basic twodose series. See note | Pregnancy. Anaphylactic reactions to neomycin orgelatin. Known immunodeficiency | All Health Care Workers recommended to have two doses regardless of age unless they can produce laboratory evidence of immunity. |
| Poliovirus (IPV) | 0.5 mL SC or IM | Gompletion of basic senes. One single lifetime "booster" dose as an adult. | Anaphylactic reaction to neomycin;polymycin B or streptomycin | |
| Tetanus-diptheria (Td) | 0.5 mL IM | Completion of basic three dose series.Booster every 10 years. | Neurological reactions following a prior dose. Previous episode of GuiIlan-Barre syndrome (GBS) occurring within 6 weeks of vaccination. | |
| Varicella | 0.5 mL SC | Two doses 4-8 weeks apart. Completion of basic series OR reliable history of chickenpox. | Pregnancy. Anaphylactic reactionto neomycin and gelatin. Infection with HIV. Known immunodeficiency | Serologic screening should be done for HCW who have a negative or uncertain history of varicella. |
| Tuberculin Skin Test (TST) | O.lmL ID | Annually | Three month post-exposuretesting after deployment if known TB exposure. |
*Recommended but not required
**General Contraindications: Anaphylactic reaction to a vaccine I vaccine constituent contraindicates further doses of that vaccine. Moderate or severe illness with or without a fever requires deferral to a later date.
Although no conclusive evidence documents the adverse effects of killed or inactivated vaccines in pregnant women and their developing fetuses, vaccination of pregnant women should be avoided.
Routine immunization for typhoid is not recommended for sanitation workers or persons living in areas in which natural disasters (e.g., floods) have occurred. Vaccination is indicted only for persons living in typhoid-endemic areas
Other Recommendations
| Vaccine | Dose | Routine Schedule | Contraindications | Notes |
|---|---|---|---|---|
| Pneumococcal polysaccharide vaccine (PPV) | 0.5 mL IM or SC | One dose for high risk adults (recommended not required) | Pregnancy | High riskis defined as those I with functional anatomic asplenia; cerebrospinal fluid leaks; underlying diseases including chronic respiratory (excludingasthma) or cardiac disease; diabetes mellitus; renal failure; malignancies; alcoholism; chronic liver disease or cirrhosis; and diseases or medications that result in immunodeficiency including HIV/AIDS. Also recommended for Alaska Natives and certain American Indian populations. May be administered at the same time as influenza if given by separate injection in the opposite arm. |