Hepatitis B is an important health hazard to both health care workers
and the patients they treat. Concerns over the safety of the original
vaccine were reported in early studies as reasons for poor vaccine upt
ake amongst health workers. In this study, the overall uptake of a saf
e effective vaccine is still shown to be inadequate. However, a low pe
rception of risk is the main reason stated for this behaviour. Needles
tick injuries remain common, and a poor knowledge of action necessary
is shown. A vaccine programme for junior housemen is shown to increase
uptake substantially and is advocated for other grades.