VACCINATION AND PROTECTION AGAINST INFECTIONHepatitis B virus which can be spread by blood transfusion is now a very rare cause ofinfection. However, all thalassaemic patients should be vaccinated and have a blood test(anti-HBs) every year to confirm that they are protected. They should have boostervaccinations when necessary. Blood is routinely screened to prevent infection with HIV andhepatitis B and C, and the risk of getting these infections from blood in the UK is remote, but itis still recommended that your blood is tested for hepatitis B, C and HIV every yearRemember, if you have had your spleen removed, your body has some weakness in itsdefence against infection. You should always carry a card with you indicating that you do nothave a functioning spleen. You should have been vaccinated against Pneumococcus,Haemophilus Influenza type B, and Meningitis type C.The pneumococcal vaccine needs to be repeated every 5-10 years. It is recommended thatyou take Penicillin V twice a day (adult dose 500mg twice a day, children 125mg-250mg twicea day depending on age). You may also need extra protection (including extra Meningitisvaccination and anti-malaria tablets) if you travel to certain parts of the world. You shouldconsult your doctor or a travel clinic.