HEPATITIS B EXPOSURE INFORMATION
You have been evaluated for exposure to Hepatitis B.
Your treatment has been in accord with the SIUC Occupational Exposure
Control Plan for exposure to hepatitis B. Your risk of acquiring hepatitis
B has been minimized by this intervention.
However, if you should develop any of the following signs or symptoms
within 6 months of exposure, please call the SIUC Dial-A-Nurse (536-5585)
or SIU Health Service (453-3311) for further evaluation.
1. Jaundice (yellowing of the skin and/or eyes)
2. Fever (greater than 101oF or 38.2oC)
3. Anorexia (loss of appetite)
4. Fatigue, malaise or lassitude (feeling tired for an extended period)
5. Nausea or vomiting
6. Diarrhea
7. Joint pain
8. Right upper abdomen or epigastric pain
9. Myalgia (sore muscles)
Date of Exposure:
Signature:
Social Security #:
Printed name:
Witness:
Attachment 5, OECP, SIUC Jan. 1994.

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