Abstract

In 1993 the health departments in the United Kingdom issued guidance on hepatitis B,1 requiring all healthcare workers (including medical students) who perform exposure prone procedures to be vaccinated against hepatitis B and to have their serological response to the vaccine checked. Healthcare workers who perform invasive procedures and who do not respond to vaccination must be tested for hepatitis B carrier status. Those who are found to be positive for surface antigen without “e” markers (HBsAg positive) need not be excluded from any work. Workers who have “e” markers (HBeAg positive) should be excluded from invasive procedures. In 1994 the Committee of Vice Chancellors and Principals agreed guidelines for universities on the fitness of students to practise medicine.2 They recommended that “all …

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