The purpose ofyellow fevervaccination is to prevent illness and to allow you to enter certain countries.
The reason the World Health Organization has advised restrictions on travel is because the disease yellow fever could easily spread out of Africa and South America into Asia and other parts of the world (yellow fever caused devastating infections in the United States in the 17th and 18th centuries). This would be a serious problem.
The yellow fever guidelines are not straightforward. This is why reception staff at travel medicine centers are not generally able to give you detailed information about whether you need to have the vaccine or not. Therefore it is absolutely essential to have a travel consultation before your travel date. You need to make an appointment to see one of the physicians at TripsEtc Travel Clinic, a specially approved yellow fever center to sort this out. They can give you a lot of information about how to stay healthy on your journey. You will be given invaluable special travel health advice from our clinic.
You must be aware that yellow fever vaccine is a safe and highly effective vaccine against this deadly disease. The following are the facts:
Over 400 million doses of vaccine have been given over 60 years.
200,000 cases of yellow fever are estimated to occur yearly on this planet.
There is no known treatment to cure the disease.
The fatality rate of the disease is reported as 10-50%.
Deaths from yellow fever disease have occurred in unvaccinated tourists.
Reports of serious side effects are extremely rare and generally include fever, headache, and muscle ache. The risks of vaccination are not zero and the current best estimates of the risk from yellow fever vaccination are:
Mild Side Effects
Most people will get a slight sore arm.
2-10% may feel tired, headache, muscle aches, fever for 24 hours starting 3-9 days after the vaccine.
1% need to curtail regular activities.
More Serious Side Effects
1 in 130,000 will get immediate allergic reaction such as rash, itching fainting or asthma – this is why you need to wait 30 minutes in the clinic after receiving your vaccine.
0.09-2.5 per million will get inflammation of multiple organs.
1 in 8 million will get encephalitis (inflammation of the brain).
There have been a few deaths reported from the more serious side effects of the vaccine, but this seems more common in those over 70 years of age.
After vaccination, you need to remain at the clinic for half an hour in case you have a serious allergic reaction. This reaction is rare (about one in a million), but may be very serious. It can be easily treated at the clinic, but is not so easy to treat if it happens while you are driving home.
Symptoms of severe allergic reaction (anaphylaxis) include:
feeling itchy (or developing a rash) away from the injection site
feeling faint (especially on standing up) or dizzy
a shortness of breath, or a wheeze or cough developing
swelling in the throat, face, hands or limbs
Symptoms usually develop within 30 minutes of vaccination, hence the need to wait in the clinic after receiving the yellow fever vaccine.
Occasionally allergic symptoms may occur up to ten days later. If you develop one or more of the above symptoms within ten days, immediately call your doctor or go to the nearest casualty department or well-equipped medical center.
Who Should Not Use The Vaccine?
Children younger than nine months of age, people who have had a previous severe reaction to the vaccine and those who are extremely allergic to eggs should not receive this vaccine. Persons who have a moderate illness (with or without a fever) should postpone receiving this vaccine until they are well.
The following circumstances may increase your risk of reacting badly to the yellow fever vaccine. It is extremely important you notify TripsEtc Travel Clinic if any of the following apply to you:
You are allergic to eggs
You have had an adverse reaction to yellow fever vaccine before
You are, or could be, HIV positive or have AIDS or suffer from a serious weakness of the immune system
You have cancer, are taking drugs to control cancer, or are undergoing chemotherapy
You have any major liver or kidney disease
You are currently taking steroid drugs or cortisone. Recent injections into joint and steroid asthma puffers are NOT a problem.
You are pregnant, or could be pregnant now or in the next two weeks.
If any of the above applies, or if you cannot receive a yellow fever shot for some other legitimate reason, our clinic will issue a Waiver Letter for you that would entitle you not to receive the yellow fever vaccine.
TripsEtc Travel & Vaccines Clinic is a full service Vaccination and Immunization Center providing Yellow Fever Vaccine and all vaccines required for travel for residents located in Maryland and Washington, DC. Our service area includes: Prince George's (PG) County, Maryland, Washington, DC, Baltimore Bethesda, Bowie, Capitol Heights, Cheverly, Clinton, College Park, Columbia, Greenbelt, Hyattsville, Lanham, Largo, Laurel, New Carrollton, Riverdale, Rockville, and Silver Spring, MD. Zip Codes: 20742, 20717, 20718, 20719, 20722, 20743, 20799, 20697, 20704, 20705, 20782, 20712, 20708, 20018, 20019.