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Services / Medical Services

International Travel and Immunizations

Some companies require routine vaccinations such as Tetanus, Influenza, and Hepatitis to be up to date prior to allowing work to commence on certain projects. This is to control the risk of preventable diseases in the workplace and minimize the effects of injury and sickness. SureHire works closely with Atlas Immunizations, a Travel Health Service, who can review previous records and ensure staff is up to date on routine vaccinations. SureHire can navigate these services across Canada.

Tuberculosis (TB) Testing and Pre- Employment

A TB or Mantoux Test is a tool used to screen previous exposure to Tuberculosis. This is done by injecting a small amount of Tuberculosis protein into the arm and monitoring the reaction 48-72 hours after the initial test. Please note: a positive reaction does not necessarily mean a person has contracted tuberculosis, only that they may have been exposed to it at some point in their life. TB bacteria can spread through coughs, sneezes, or speech. These bacteria can stay in the air for several hours.


What is Tdap Vaccine?

The Tdap vaccine can protect adolescents and adults from tetanus, diphtheria, and pertussis, it is especially important for healthcare professionals and anyone having close contact with a baby younger than 12 months. Pregnant women should get a dose of Tdap during every pregnancy to protect the newborns from pertussis, infants are most at risk for severe, life-threatening complications from pertussis. 

What is Tuberculosis (TB)

What is latent TB infection?

TB is caused by a species of bacteria called Mycobacterium tuberculosis. While this bacteria normally affects the lungs, it can also be found in other parts of the body. A latent TB infection occurs when the TB germs are present in the body but are not growing (inactive). This type of infection does not cause any symptoms and is not contagious. Only about 10% of people who have a latent TB infection will develop active TB disease.


What is active TB disease?

Active TB disease occurs when the TB bacteria in a person’s system grow and mutate. At this point, the infected person becomes contagious. Active TB is usually accompanied by a range of symptoms (for example, cough, fever, weight loss, and night sweats).


What are Measles, Mumps and Rubella?

Measles, mumps, and rubella are serious diseases. Before vaccines they were very common, especially among children.

• It can lead to ear infection, pneumonia, seizures, brain damage, and death.
• Mumps virus causes fever, headache, muscle pain, loss of appetite, and swollen glands.
• It can lead to deafness, meningitis (infection of the brain and spinal cord covering), painful swelling of the testicles or ovaries, and rarely sterility.
Rubella (German Measles)
• Rubella virus causes rash, arthritis (mostly in women), and mild fever.
• If a woman gets rubella while she is pregnant, she could have a miscarriage or her baby could be born with serious birth defects.
These diseases spread from person to person through the air. You can easily catch them by being around someone who is already infected.
Measles, mumps, and rubella (MMR) vaccine can protect children (and adults) from all three of these diseases.

Measles virus causes rash, cough, runny nose, eye irritation, and fever.

Including employee immunizations against preventable diseases such as Tetanus & Diphtheria, Measles, Hepatitis A and B, Tuberculosis (TB) testing, as well as travel specific vaccines, such as Yellow Fever, Typhoid, and Malaria reduces the frequency and cost of injury and illness.

It is important to offer your employees a safe and secure work environment. That includes work abroad and especially to an area where they may not have readily available health care. Simply provide SureHire with as specific an itinerary as possible. We work closely with Atlas Immunizations to offer you a listing of all vaccines and protective measures recommended for that area of travel for you to review, alter, and approve as required. To schedule vaccinations and/or TB testing, simply contact SureHire and we will book the appointment in the requested location. If your employee is expected to travel multiple times then future appointments and vaccine dosages can be arranged. Inadequate preventive health measures can result in unnecessary illness, medical expense and potential spread of contagious diseases within the workplace or community.

Tuberculosis (TB) Testing

Persons with TB disease are most likely to spread the bacteria to other people they spend time with every day, such as family members or coworkers. Which is why TB testing should be considered for employees who will be staying in close proximity over any extended period of time. Tuberculosis is most common in developing regions, correctional facilities, health care facilities, and remote work sites. Certain regions of Northern Canada have high incidence of Tuberculosis.

A TB test can be ordered for employees across the country, however we ask that requests be made for the nearest major city and with as much notice before departure as possible.

Please note: a positive reaction does not necessarily mean a person has contracted tuberculosis, only that they may have been exposed to it at some point in their life. TB bacteria can spread through coughs, sneezes, or speech. These bacteria can stay in the air for several hours.

What to Expect

Tuberculosis (TB) Testing

Tuberculosis or Mantoux Skin testing is a 2-part appointment. On your initial appointment, a small amount of fluid will be injected under your skin on your inner forearm. You will need to return at least 48 but no more than 72 hours after the solution was injected into your arm for accurate results. If you do not arrive within that window, the test will need to be repeated.

A TB skin test is positive or negative based on the size of the reaction at the injection site, redness is not considered as part of the reaction and is normal. If a test returns positive for Tuberculosis, the standard practice is then to requisition a chest x-ray to determine the condition of your lungs. Some employers staff their own medical professionals and will determine your next steps internally.


Travel For Work

If you will be working outside of your regular healthcare network, it is important to consider possible health risks you may encounter while abroad. SureHire works closely with Atlas Immunization Services who will review immunization records, update any routine immunizations you may require, as well as evaluate any destination-specific risks and what can be done to protect yourself. This may include travel specific immunizations, food and water safety tips, prescriptions for antibiotics and anti-malarial medication.

On the day of your appointment, Atlas Immunization Services provides a pre-travel assessment, vaccination/immunizations, prescriptions for malaria, antibiotics, high altitude, recommendations in disease prevention and information on how to stay healthy while traveling and working. Travelling to a foreign environment for work can quickly become a high-stress situation, but Atlas will help answer any health-related questions or concerns so that you can focus on your work while abroad.


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