Vaccination for students

Students at Karolinska Institutet are offered vaccination against infectious agents they can conceivably be exposed to during their clinical practice. The vaccines offered to students are determined by the Board of Higher Education and vary according to educational programme, based on a risk assessment according to a directive from the National Board of Health and Welfare.

Here you can read more about the risk assessment and which vaccinations you are offered based on your study programme.

Where do I get vaccinated?

All vaccinations occur at CityAkuten Wasa Vaccination, Holländargatan 4, 111 36 Stockholm. You can book a time for your vaccination through the online booking system (Swedish only), or call them on +46 20-150 150.

What to bring along to the vaccination clinic

  • Certificate of earlier vaccinations
  • Identification (e.g. passport or driver's license)
  • Certificate of registration from LADOK to show that you are a KI student. Please note! This function is temporarily out of order. Contact the Student Health Center for information.

Hepatitis B

Hepatitis B virus causes an inflammation of the liver (hepatitis). The infection usually heals without long term consequences, but amongst adults approximately 5 % of infected individuals develop chronic liver inflammation, usually combined with continued contagiousness. The risk of chronic disease increases the younger the individual is on contraction of the infection. In the chronic phase hepatitis B may cause liver cancer.

In patients infected with hepatitis B the virus is present in the blood and other body fluids. In the Western world the hepatitis B virus is spread mainly by unclean needles or through sexual intercourse with a person who is a carrier of the virus. Infection can also be transferred through contact with infected blood (sometimes in very small quantities), on broken skin or mucous membranes (e.g. the eyes), or by being stuck with a contaminated needle.  A person with an acute hepatitis B infection is highly contagious as are certain chronic carriers.

In a number of countries vaccination is included in the basic vaccination programme. In Sweden Hepatitis B vaccine is given primarily to persons who are at higher risk than others of being exposed to the hepatitis B infection. Immunity after three doses of vaccination is greater than 90 %.

Occupational groups with increased risk of hepatitis B infection include health care professionals, laboratory staff, dental staff, paramedics and medical staff with a high incidence of infected patients.

The number of employees in Swedish health care that has become infected with hepatitis B in their work has been reduced dramatically over the last two decades. A total of 11 hepatitis B cases were reported to the Swedish Institute for Infectious Disease Control during the period 1990 to 2000. No case has been reported in the years 2000 to 2005. The reduced risk of occupational infection cannot only be attributed to increased vaccination rates among health care professionals. Other factors such as improved diagnosis, extensive screening activities and, in particular, the introduction of improved hygiene practices in the 1980s have played a decisive role in reducing the risk of occupational hepatitis B infection among health care workers.

Tuberculosis

Tuberculosis is one of the most widespread infectious diseases in the world and it is estimated that one third of the world's population are carriers of the tuberculosis bacteria. Every year at least nine million people in the world develop active tuberculosis and approximately two million die. Most cases and deaths occur in Africa and Asia. In Sweden we have, for decades, seen a decreasing number of cases of tuberculosis. This reduction has now tapered off and during the last few years, there have been about 500 cases per year, the greatest number being among our foreign-born population. Since the mid-1970s, the BCG vaccination of newborn children is no longer routine in Sweden. Vaccination is now in only offered to specific so-called risk groups. One of these groups comprises immigrant families from countries with a high prevalence of tuberculosis, another is children with planned longer stays in such countries. In addition, certain professional groups with increased risk of tuberculosis contraction, such as health-care personnel, are recommended vaccination.

It is difficult to estimate the risk off health-care workers becoming infected with tuberculosis in their profession. The risk is determined by a variety of factors, such as professions, workplace, vaccination status, use of personal protective equipment, etc. Autopsy personnel, some laboratory staff, physical therapists and staff at infectious disease clinics, geriatric clinics and lung clinics are probably more at risk for exposure to tuberculosis. The vaccine against tuberculosis is called Bacille Calmette-Guérin (BCG) and consists of a live attenuated strain of Mycobacterium Bovis. It is the world’s most widely used vaccine. BCG induces a cell-mediated immune response that provides a varying degree of protection against the development of tuberculosis. The best protective effect of the BCG has been seen in young children against serious forms of generalised tuberculosis, but the BCG has also demonstrated protective effects against lung TB in Sweden and in other temperate countries

Risk assessment

The decision of which vaccines are offered to students in respective study programmes is based on a risk assessment in accordance with a directive from the National Board of Health and Welfare.

In general, the following applies:

  • In professions that do not involve physical contact (or very little physical contact), the main means of transmission is air-bound, thus protection against TBC (tuberculosis) is offered.
  • In professions with close physical contact, there is an additional risk of transmission via blood, thus a hepatitis vaccine is also offered.
  • Professions involving exposure to faeces (excrement) pose a risk for the transmission of polio, therefore warranting an additional vaccine. Currently, this applies only to the Study Programme in Biomedical Laboratory Science.

In conjunction with this, students at Karolinska Institutet are split into the following groups:

1. No increased risk for blood or TBC transmission

  • Study Programme in Optometry
  • Study Programme in Psychology
  • Study Programme in Psychotherapy

Recommendation: no vaccinations

2. Somewhat increased risk for TBC transmission, but no increased risk for blood transmission

  • Study Programme in Audiology
  • Study Programme in Occupational Therapy
  • Study Programme in Physiotherapy
  • Study Programme in Speech and Language Pathology

3. Increased risk for both TBC and blood transmission

  • Bachelor's Programme in Biomedicine and Master's Programme in Biomedicine
  • Study Programme in Biomedical Laboratory Science*
  • Study Programme in Dental Hygiene
  • Study Programme in Dental Technology
  • Study Programme in Dentistry
  • Study Programme in Medicine
  • Study Programme in Midwifery
  • Study Programme in Nursing
  • Study Programme in Odontological Prophylaxis
  • Study Programme in Radiography
  • Study Programme in Specialist Nursing

Recommendation: Complete Hepatit B vaccination (3 doses) with antibody control after final injection. Health questionnaire regarding risk of earlier exposure to Tuberculosis.

* Biomedical Laboratory Science students are also offered a fifth polio injection.

Supplementary Vaccinations

All students in KI's first-cycle study programmes are offered supplemental vaccinations against diphtheria, tetanus, polio, measles, rubella and mumps to the extent they do not already a have satisfactory pre-existing protection.

Which vaccines can I receive?

Vaccinations arranged according to study programme, in alphabetical order:

Study Programme in Audiology

PPD test, BCG vaccine if test result is negative.

Study Programme in Biomedical Laboratory Science

PPD test, BCG vaccine if test result is negative. Hepatitis B vaccination (3 doses) with antibody control after final injection. A vaccine booster against polio.

Bachelor's Programme in Biomedicine and Master's Programme in Biomedicine

PPD test, BCG vaccine if test result is negative. Hepatitis B vaccination (3 doses) with antibody control after final injection.

Study Programme in Dental Hygiene

PPD test, BCG vaccine if test result is negative. Hepatitis B vaccination (3 doses) with antibody control after final injection.

Study Programme in Dental Technology

PPD test, BCG vaccine if test result is negative. Hepatitis B vaccination (3 doses) with antibody control after final injection.

Study Programme in Dentistry

PPD test, BCG vaccine if test result is negative. Hepatitis B vaccination (3 doses) with antibody control after final injection.

Study Programme in Medicine

PPD test, BCG vaccine if test result is negative. Hepatitis B vaccination (3 doses) with antibody control after final injection.

Study Programme in Midwifery

PPD test, BCG vaccine if test result is negative. Hepatitis B vaccination (3 doses) with antibody control after final injection.

Study Programme in Nursing

PPD test, BCG vaccine if test result is negative. Hepatitis B vaccination (3 doses) with antibody control after final injection.

Study Programme in Occupational Therapy

PPD test, BCG vaccine if test result is negative.

Study Programme in Odontological Prophylaxis

PPD test, BCG vaccine if test result is negative. Hepatitis B vaccination (3 doses) with antibody control after final injection.

Study Programme in Optometry

No vaccinations, other than supplemental vaccination against diphtheria, tetanus, polio, measles, rubella and mumps to the extent that a satisfactory pre-existing protection is lacking.

Study Programme in Physiotherapy

PPD test, BCG vaccine if test result is negative.

Study Programme in Psychology

No vaccinations, other than supplemental vaccination against diphtheria, tetanus, polio, measles, rubella and mumps to the extent that a satisfactory pre-existing protection is lacking.

Study Programme in Psychotherapy

No vaccinations, other than supplemental vaccination against diphtheria, tetanus, polio, measles, rubella and mumps to the extent that a satisfactory pre-existing protection is lacking.

Study Programme in Public Health Sciences

No vaccinations, other than supplemental vaccination against diphtheria, tetanus, polio, measles, rubella and mumps to the extent that a satisfactory pre-existing protection is lacking.

Study Programme in Radiography

PPD test, BCG vaccine if test result is negative. Hepatitis B vaccination (3 doses) with antibody control after final injection.

Study Programme in Specialist Nursing

PPD test, BCG vaccine if test result is negative. Hepatitis B vaccination (3 doses) with antibody control after final injection.

Study Programme in Speech and Language Pathology

PPD test, BCG vaccine if test result is negative.

Student health