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Tb testing during pregnancy

post #1 of 4
Thread Starter 
EDIT: It looks like they're not going to push me on it. I'm so relieved. My boss said she understood and it shouldn't be a problem. Phew!
****

I'm 17 weeks pregnant today and I've been UPing. So, obviously I'm sure most of you can imagine how I feel about unnecessary chemicals in my body and being a pin cushion. Those are things I'd hoped to avoid. Thing is, I work for WIC as a Peer Breastfeeding Counselor and I love my job. I was hired in Dec of 2006 (well before I was pregnant) and I was told I'd have to take a Tb test once a year. I took and passed the test, as requested. Now they want me to take another. The reason give for this was that the schedule their testing dates per department and they wanted everyone in WIC on the same schedule and it wouldn't "hurt" me to do it again. Honestly, this would piss me off normally, as I am generally annoyed about additional medical tests and BS for convenience and I'm pretty scared of needles. If I believed I needed to be Tb tested, it might be worth the risk and I'm sure I could breathe through it, I did fine in December, but why should I risk even the small chance of a reaction for me or the baby when we clearly don't need it? Yes, I'm an employee, but when I was hired I was told once per year and I fulfilled that and will be happy to retest in December, after my baby is born. Additionally, part of my difficult pregnancy is my teeth. I have two teeth in need of root canals and I'm fighting off infection because of it. I feel fine now, but I'm aware that until I get that taken care of, I really don't want to aggravate the delicate balance going on in my system. I feel downright whiny about this. I'm pregnant, I'm tired, and I distinctly do not want to have a medical pregnancy and do not want to be poked and prodded.

I've spoken with my husband about it and we're on the same page. I'm not getting it. We both agree that a) I've already fulfilled my obligation with them b) No one needs me to get it, not me, not the baby, not my coworkers c) It's ridiculous for them to ask me to do this for their convenience. So, yes, I'm refusing. My boss loves me, but I don't know what she can do about this. She already tried to get it waived for those of us that tested in December, because she thinks it's dumb. I already told her I didn't like the idea of it while pregnant. She called and told them that and they said it's "not contraindicated". Right. I'd hate to lose access to my job and my mothers. No one's threatened this, I just imagine it could be my worst case scenario. I assume it would be a non-issue if I had an OB and he/she agreed I didn't need it and wrote a letter, but I don't. My boss and everyone in my department knows I'm UPing, I talk about it freely, so it'd be hard to fake it. I'm prepared to stand up for myself and my baby and face the consequences. Any links to articles and other sources would be helpful.
post #2 of 4
OMG, do NOT take the standard TB tests (the Mantoux or PDD.) They inject biologicals into your pregnant body!

Get the QuantiFERON-TB Test (QFT-G) instead. It's the same biological but they do a blood draw and mix the two components in the lab. You don't have the risk of viral illness from being injected with a human blood product AND, unlike with traditional TB tests, you can take it as many times as you want with no risk of false positives from repeated exposure.

OSHA has an exemption on their website you can sign and put in your employee file. They can't force you to take it and you can't lose your job over it. Unfortunately, I can't find it right now. Perhaps a better googler can find it and post the link.

~BV
post #3 of 4
Thread Starter 
What an interesting suggestion! Thanks. I've already told them I won't do it. If they push it, I'll present this as an option. I'll definitely be looking on OSHA for the Tb exemption. Hmm. I didn't know such a thing existed.
post #4 of 4
Quote:
Originally Posted by Isarma View Post
What an interesting suggestion! Thanks. I've already told them I won't do it. If they push it, I'll present this as an option. I'll definitely be looking on OSHA for the Tb exemption. Hmm. I didn't know such a thing existed.
I'm sorry I don't have the link for you. Microsoft sent me an update which screwed up my computer royally so Gateway re-imaged my hard drive last week.

Now that I've searched the OSHA site and thought about it more, during the hearings on revising their regulations, they discussed making a declination form for the TB test but didn't make an official form. Instead they made an allowance for declination. They made a webpage listing what has to be in a declination letter (IIRC it was stuff like name, d/o/b, co. name, signature date, etc) along with a sample letter. If your employer calls OSHA, they might be able to direct her to their relevant webpage.

BV, self-confessed vaccine & biological geek
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