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The Purpose of this policy is to ensure that the WRTU within the Trust offers a unified and inter-professional approach towards the management and prevention of Hepatitis B for all clients in accordance with Department of Health guidelines.  

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CONTENTS LIST: 1. INTRODUCTION 2. POLICY STATEMENT 3. DEFINITION 4. PROTOCOL 5. SHARED CARE PROTOCOL FOR HEPATITIS B VACCINATION 6. HEPATITIS B VACCINATION STRATEGY * Pre-Vaccination screening protocol * Post-Vaccination screening protocol 7. LETTER TO GP EXPLAINING SHARED-CARE PROTOCOL FOR IMMUNISATION 8. LETTER TO PATIENTS EXPLAINING VACCINATION RECOMMENDATION 9. CURENT POLICY FOR SCREENING FOR HEPATITIS B 10. MANAGEMENT OF PATIENTS WITH HEPATITIS B ON HAEMODIALYSIS 11. REFERENCES 1: INTRODUCTION Viral Hepatitis was recognised as a potential hazard for dialysis patients and staff in the 1960's following several outbreaks of the infection. Serum hepatitis now known as hepatitis B and is caused by the hepatitis B virus (HBV) was found to be responsible for several deaths. In 1970 the Health Department set up a group led by Lord Rosenheim to review problems of hepatitis and make recommendations. In 1972 the Rosenheim report was published and a set of guidelines issued for the prevention and control of HBV in renal dialysis/Transplantation...

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