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Hep A for travellers
decaff

11 Posts

Posted:  03-Sep-2018 08:57
I have a traveller going to India . She had Hep A junior in 1994 and then a dose of  Hep A as an adult in 2006 . Do I need to give her a further Hep A ?

Thank you in advance
Lilywhite

1439 Posts

Posted:  03-Sep-2018 09:00
As long as she has had two age appropriate monovalent doses at least 6 months apart, the second dose lasts 25 years. No need to restart the course as per green book hep A chapter.

Please be aware this is my opinion only based on the evidence I have seen, and not meant to be taken as direction
decaff

11 Posts

Posted:  03-Sep-2018 10:26
Thank you , I thought it was ok , as the notes say Havrix Junior (but no batch number) . Just needed to check . I appreciate the speedy reply . 
Spud68

53 Posts

Posted:  10-Sep-2018 20:48
I'm new to Travel Health and I wondered if I may ask would it have been different if it was not a mono-valent vaccine either as a child or adult and does the 25 years start from the first dose in 1994, so no boosters required until 2019?
Thanks
Spud
tiredandemotional

4479 Posts



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Posted:  10-Sep-2018 21:22
Old Havrix contained half a dose of current Havrix Monodose, and was given on a 0,1,6m schedule, so if this were the case, I would advise an extra dose.

The 25 years is from the completing dose, not the first dose.

It seems really confusing to start with, but it does get easier, I promise. Try to familiarise yourself with the Green Book, and post any questions on here. Good luck x

This is just my opinion and not an instruction. T&E x
Spud68

53 Posts

Posted:  11-Sep-2018 15:22
Thank you very much for your reply. Would you believe I have just had 2 travellers in a similar situation …. having had first Hep. A mid-1990's and second dose around 2005. So I'm really pleased I followed this trail!
Do you happen to know when the old Havrix stopped being used?
Thanks
Spud
karen.rudd

12169 Posts

Posted:  11-Sep-2018 16:09
Most hep As post 1995 in uk will be modern full dose hep As.
If you have BN before that gsk could tell you if it was old havrix or intervals when given may suggest immunoglobulin. There was a cross over period when all types in circulation in 94.
This is quite a good vaccine introduction timeline regarding vaccines in national schedule but hep A not routine but might be of interest when considering other vaccines

https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/650485/Vaccination_timeline.pdfPlease be informed that the above is the opinion of the author and is in no way meant to be taken as instruction.karen
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Spud68

53 Posts

Posted:  11-Sep-2018 20:25 Log in to like this post
Thanks again for your reply. Unfortunately I couldn't open the link but I have a timeline from an old vaccine update which I do find useful. It's just great to hear from someone with experience and knowledge.
I'll note to "air on the side of caution" pre-1995.
Spud
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