Vaccinations for Sex Workers: What You Need to Know About Health Protection

When it comes to vaccinations for sex workers, preventive medical protections that reduce the risk of infectious diseases through immunization. Also known as sexual health vaccinations, they’re not just a suggestion—they’re a practical shield. Many people assume that if you’re not in a hospital or clinic regularly, you don’t need shots. But for sex workers, regular access to vaccines like hepatitis B and HPV isn’t luxury—it’s survival.

Hepatitis B, a viral infection that attacks the liver and can cause chronic disease. Also known as HBV, it spreads through blood and bodily fluids—and it’s one of the most common infections among sex workers who aren’t vaccinated. The good news? The hepatitis B vaccine is cheap, safe, and gives you lifelong protection after three doses. HPV, a group of viruses linked to cervical, anal, and throat cancers. Also known as human papillomavirus, it’s responsible for nearly all cases of cervical cancer and many throat cancers. The HPV vaccine works best when given before exposure, but it still helps even if you’ve already been sexually active. Both shots are offered for free in many UK clinics, even if you don’t have a GP or ID.

It’s not just about the shots themselves—it’s about access. Many sex workers avoid clinics because of stigma, judgment, or fear of being reported. But you don’t need to disclose your work to get vaccinated. Clinics that serve sexual health needs are legally required to keep your info private. You can walk in, say you want the hepatitis B or HPV vaccine, and leave with protection—no questions asked. Some outreach programs even bring vaccines to community centers, sex worker drop-ins, and mobile units so you don’t have to go to a hospital at all.

And while we’re talking health, don’t forget about tetanus, a bacterial infection that affects the nervous system and can be fatal. Also known as lockjaw, it enters through cuts or burns. If you ever use needles, dildos, or other tools that break skin—even if it’s just a tiny scratch—you’re at risk. A tetanus booster every 10 years is simple, and it’s often given with diphtheria and polio in one shot. It’s not glamorous, but it’s the kind of thing that keeps you working safely for years.

There’s no magic bullet for safety, but vaccines are one of the few tools that work whether you’re working alone, with a partner, or in a group. They don’t replace condoms, screening, or buddy systems—but they stack on top of them. Think of them like a seatbelt: you don’t need to wear one every time you drive, but you’re way better off if you do.

Below, you’ll find real stories and guides from sex workers who’ve navigated healthcare systems, fought stigma, and protected their bodies with the right shots at the right time. These aren’t theoretical tips—they’re lived experiences. Whether you’re new to this work or you’ve been doing it for years, there’s something here that can help you stay healthy, stay safe, and stay in control.