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Yellow Fever and travel

It is important that individuals travelling to yellow fever risk areas are vaccinated, as there is no specific anti -viral treatment for yellow fever. Treatment would involve symptom relief and management of liver failure or kidney failure. Although, only a small proportion of infected people get severe disease, of those that do, up to 50% of cases are likely to be fatal.

Vaccination for prevention, which provides 95- 100% immunity, is therefore the best way to ensure risk of severe disease is reduced.

There are two instances where travellers are recommended vaccination:

  1. When entering risk areas

  2. To prevent the spread of yellow fever

So, there will be some countries that travellers may be entering that do not have yellow fever infection risk but the individual can cause spread within that country and therefore vaccination is required to prevent this. In such countries, travellers require an international certificate of vaccination or prophylaxis (ICVP).

Not all travel health clinics can start administering Yellow fever vaccinations, as there is stringent control. If you do want to offer YFV as part of your travel health clinic, you will need to register as a YFVC.

malaria

Symptoms of mild Yellow Fever

Symptoms of mild yellow fever disease, are similar to that of Malaria and include the following:

  • Fever

  • Muscle pain

  • Headache

  • Loss of appetite

  • Nausea/Vomiting

Symptoms of severe Yellow Fever

Most people would either be asymptomatic or have the symptoms listed above. However, a small proportion of people who contract the infection, will develop severe disease. Symptoms of severe disease include:

  • Jaundice (yellowing of skin and eyes)

  • Dark urine

  • Stomach pain

  • Vomiting

  • Bleeding from the mouth, nose, eyes and ears

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Setting up as a Yellow Fever vaccination centre

Registration process details may be found here . You will need to pay an annual or biennial registration fee.

Further references

Further information about setting up a Yellow Fever Centre can be found here.

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