Varicella Zoster Virus IgG Blood Test kit for healthcare workers

Occupational Health: Why Healthcare Workers Need to Know Their VZV Status

Healthcare professionals dedicate their lives to caring for others, often working in environments where they are exposed to a variety of infectious diseases. Protecting both the staff and the vulnerable patients they care for is a cornerstone of occupational health. One of the key requirements for many healthcare roles is demonstrating immunity to the varicella zoster virus (VZV), the virus that causes chickenpox and shingles. Understanding why this is necessary highlights the importance of proactive health screening in the workplace.

The Dual Responsibility of Healthcare Workers

Healthcare workers have a dual responsibility when it comes to infectious diseases. Firstly, they need to protect themselves from acquiring infections in the workplace. Secondly, and equally importantly, they must ensure they do not transmit infections to their patients.

Many patients in hospitals and clinics are highly vulnerable. This includes neonates, pregnant women, and individuals who are immunosuppressed due to illness or medical treatments. For these patients, a primary VZV infection can be devastating, leading to severe complications and even death. [1] Therefore, ensuring that healthcare staff are immune to VZV is a critical infection control measure.

Establishing Immunity in the Workplace

In the UK, occupational health departments require evidence of immunity to several infectious diseases, including VZV, before a healthcare worker can commence clinical duties. While a clear history of chickenpox or shingles is often accepted as evidence of immunity for the general public, occupational health standards are more stringent.

If a healthcare worker cannot provide a definitive history of infection or vaccination, a VZV IgG blood test is required. [2] This test detects the presence of antibodies, confirming whether the individual has immunity. If the test is negative, the healthcare worker will typically be offered the varicella vaccine to ensure they are protected before they begin working with patients.

Managing Exposures in Healthcare Settings

Even with robust screening programmes, exposures to VZV can occur in healthcare settings. If a patient develops chickenpox or shingles on a ward, occupational health teams must quickly identify any staff members who may have been exposed and who are not known to be immune.

In these situations, rapid VZV IgG testing is essential. If a staff member is found to be susceptible, they may need to be excluded from work during the incubation period to prevent them from potentially transmitting the virus to patients if they develop the disease. [1] Knowing one’s immune status in advance streamlines this process and minimises disruption to both the individual and the healthcare service.

Supporting Occupational Health with Clinilabs

Whether you are a new healthcare student preparing for your first clinical placement or an experienced professional updating your occupational health records, having clear documentation of your immune status is essential.

The Varicella Zoster Virus IgG Blood Test from Clinilabs can form part of a proactive approach to managing your occupational health requirements. This test provides clear, laboratory-confirmed evidence of your VZV immunity, which may support informed conversations with your occupational health department. By taking control of your health documentation, you can ensure you are ready to safely and confidently provide care to those who need it most.

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References

[1] UK Health Security Agency. (2025). Guidelines on post-exposure prophylaxis (PEP) for varicella or shingles. https://www.gov.uk/government/publications/post-exposure-prophylaxis-for-chickenpox-and-shingles/guidelines-on-post-exposure-prophylaxis-pep-for-varicella-or-shingles-january-2023
[2] Gloucestershire Hospitals NHS Foundation Trust. (n.d.). Varicella zoster (VZV) IgG antibodies (chicken, pox, shingles). https://www.gloshospitals.nhs.uk/our-services/services-we-offer/pathology/tests-and-investigations/varicella-zoster-vzv-igg-antibodies/

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