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Vaccinations for Adults with Hepatitis C Virus Infection
by Joseph S. Galati, M.D.
Visit Liver Q&A on our website for answers
to other frequently asked questions.
Adults who are infected with hepatitis C virus (HCV)
need to make sure they're fully vaccinated. Seventy percent of people
who are infected with HCV have chronic liver disease. People with
chronic liver disease have special vaccination needs including pneumococcal
vaccine and hepatitis A vaccine. Getting immunized is a lifelong,
life-protecting job. Make sure you and your health care professional
keep your shots up-to-date! Don't leave your clinic without making
sure that you've had all the shots you need.
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| Hepatitis A |
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Hepatitis A vaccine is recommended for people with chronic liver disease. It
is also recommended before travel to certain countries. Some of the ways you
can get hepatitis A are from contaminated food or water, or illegal drug use.
The best way to protect yourself from hepatitis A is by vaccination. Talk to
your doctor. |
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| first dose now |
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second dose 6-12 months
later |
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| Hepatitis B |
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A person who has
hepatitis C can still get hepatitis B. Forty percent of people
who contract hepatitis B do not know how they contracted the
disease. Some of the risk factors include sex, sharing needles,
sharing toothbrushes and being a health care worker. The best
way to protect yourself from hepatitis B is through vaccination.
Talk to your doctor. |
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| first dose
now |
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second dose one month later |
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third dose is usually given five
months after the second dose |
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| Pneumococcal |
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The pneumococcal vaccine
is recommended for all people ages 2 and older who have chronic
liver disease or certain other chronic illnesses. It is also
recommended for all persons who are age 65 or older. Some individuals
with particular health risks will need a one-time revaccination
dose 5 years later or at age 65. Consult your doctor. |
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Influenza
“flu shot” |
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Influenza can result
in serious illness or complications. The "flu shot" is
recommended every fall for people age 65 or older. While the
vaccine is not specifically recommended for persons with chronic
liver disease, it can be given to any person (regardless of age)
who wishes to reduce the likelihood of becoming ill with influenza.
Influenza vaccine is also recommended for women who will be in
their 2nd or 3rd trimester of pregnancy during "flu" season;
residents of long-term care facilities; and anyone who has a
medical problem such as heart or lung disease (including asthma),
diabetes, kidney disease, or an immune system weakened by disease
or medication; and for those who work with or live with any of
these individuals. |
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Tetanus,
diphtheria (Td)
often referred to as "tetanus shot" |
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If you haven't had at
least 3 basic tetanus-diphtheria shots in your lifetime, you
need to complete the series listed below: |
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All adults need a booster dose every
10 years |
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| first dose now |
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second dose 4 weeks later |
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third dose 6-12 months after the
second dose |
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| Measles, mumps, rubella |
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One dose of MMR is recommended
for people born in 1957 or later if they have not been previously
vaccinated. (A second dose of MMR may be required in some work
or school settings, or recommended for international travel.)
People born before 1957 are usually considered immune. |
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| Varicella for those who have
never had chickenpox |
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first dose now |
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second dose 4-8 weeks later |
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