Yellow Fever Vaccination in UK

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Yellow Fever Vaccination in UK
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Yellow Fever is a serious viral infection thats
usually spread by a type of daytime biting
mosquito known as the Aedes aegypti. It can be
prevented with a vaccination.
Yellow fever mainly occurs in sub-Saharan Africa
(countries to the south of the Sahara desert),
South America (especially the Amazon) and in
parts of the Caribbean.
Yellow fever can be fatal. About 8 of people who
get yellow fever die from it.
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Yellow fever vaccination
Luckily, there is a very effective vaccination
for yellow fever. Some countries require proof of
vaccination (a certificate) against yellow fever
before they let you enter the country.
Vaccination is the single most effective way of
preventing yellow fever.
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In the UK, Stamaril (produced by Sanofi Pasteur
MSD) is the only licensed yellow fever vaccine. A
single dose of the yellow fever vaccine will
protect against yellow fever for life. It is no
longer recommended to have a booster dose every
10 years (WHO, World Health Organisation, July
2016).
Ideally, you should have the yellow fever
vaccination at least 10 days before your travel.
This will allow enough time for your body to
develop protective antibodies against the yellow
fever infection.
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The yellow fever vaccination is recommended for

• Anyone traveling to, or living in, areas or
  countries where yellow fever is endemic
• Anyone traveling to a country where an
  International Certificate of Vaccination or
  Prophylaxis (ICVP) against yellow fever is
  required for entry.
• You must have a yellow fever vaccination at
  least 10 days before you travel. This will allow
  enough time for your body to develop protective
  antibodies against the yellow fever infection.

Certificate of proof of vaccination
Under regulations set out by the World Health
Organization (WHO), anyone traveling to a country
or area where the Aedes aegypti mosquito is found
must have the vaccine or have an International
Certificate of Vaccination or Prophylaxis
(ICVP). You can find a list of all the countries
that require you to have an ICVP in the WHO
International travel and health guide. You can
also search the country information on NaTHNaC to
find out whether the places you are visiting
require an ICVP.
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If you have been traveling in an at-risk area
during the past month, it is a good idea to carry
your certificate with you. This will help avoid
potential problems with immigration. It is
possible for travelers without a valid yellow
fever vaccination certificate to be vaccinated
and held in isolation for up to 10 days. An ICVP
is not required for entry into the UK.
If you lose your certificate, you may be able to
get another one reissued as long as you have
details of the vaccination batch number and the
date you had the vaccination.
Always consult staff at a designated vaccination
centre if you are planning to travel to an area
where there is a risk of getting yellow fever. If
you tell them where you are traveling to, they
will be able to advise you about whether you need
to be vaccinated against yellow fever and whether
you need an ICVP.
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Who should not be vaccinated?
People who should not have the yellow fever
vaccination include

• Babies under nine months of age babies who
  are six to nine months old should only be
  vaccinated if the risk of getting yellow fever
  during travel is unavoidable

• Pregnant women unless the risk of yellow
  fever is unavoidable

• Breastfeeding women unless the risk of yellow
  fever is unavoidable

• People whose immune systems are lowered
  (immunosuppressed) such as people with HIV and
  those receiving chemotherapy or radiotherapy

• People who are allergic to eggs the vaccine
  contains small amounts of egg white protein,
  albumin.

• People who have had a severe allergic reaction
  (anaphylaxis) to a previous dose of the yellow
  fever vaccine

• People who are allergic to any of the
  ingredients in the vaccine (including eggs)

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• People who have a condition that affects the
  thymus gland (part of your immune system that is
  located in your upper chest)

• People who are currently very unwell (such as
  with a high fever) this is to avoid confusing
  the diagnosis of your current illness with any
  side effects from the vaccine

• Yellow fever naïve travellers those who have
  not been previously exposed to the vaccine who
  are 60 years of age or over should be
  individually assessed by the travel doctor or
  nurse.

Exemption letters
In cases where having a yellow fever vaccination
is not advised, your GP may be able to issue you
with an exemption letter. The letter should be
written on headed notepaper and include the
practice details. It may be accepted by some
immigration authorities although this is not
guaranteed. If you are traveling from an area
where there is a risk of yellow fever without a
valid yellow fever certificate, immigration
officials are legally entitled to quarantine you
for a period of at least seven days at the point
of arrival into a country.
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Side effects of the vaccine
After having the yellow fever vaccine, 10-30 of
people will have mild side effects such as
headache, muscle pain, soreness at the injection
site and mild fever
Reactions at the injection site usually occur one
to five days after being vaccinated, although
other side effects may last for up to two weeks.
An allergic reaction to the vaccine occurs in one
case out of every 130,000 doses of the vaccine
that are given. Yellow fever vaccine-associated
neurological disease (YEL-AND)
Rarely, the yellow fever vaccine is associated
with a neurological condition known as yellow
fever vaccine-associated neurological disease
(YEL-AND). Neurological means that it affects the
nerves and the nervous system, including the
brain and spinal cord.
YEL-AND occurs in around four cases out of every
1 million doses given. However, for people who
are 60 years of age or over and yellow fever
vaccine naïve, the incidence of YEL-AND increases
to around one in every 50,000. This needs to be
balanced against the risk of acquiring the
disease.
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Preventing mosquito bites

• z

As well as getting the yellow fever vaccination
before traveling, you should also take steps to
avoid being bitten by mosquitoes.
The mosquitoes that carry yellow fever bite
during daylight hours. Although it may not always
be possible, you should try to

• Avoid places where mosquitoes live, such as
  swamps, forests and jungles

• Choose air-conditioned accommodation.
  Mosquitoes do not like air-conditioned spaces.

• Choose accommodation with mesh screening over
  the windows and doors.

• Wear loose fitting, long-sleeved tops and
  trousers, even in the heat of day.

• Use insect repellent containing DEET on exposed
  skin, such as Jungle Formula. 50 DEET is
  sufficient.

• Burn a mosquito coil or use a plug-in device
  that releases insecticide in your accommodation.

• Use a mosquito net where possible, especially
  in bedrooms that are not air-conditioned.

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Contact Us
Phone [phone] (Nottingham) 0114 3583930
(Sheffield) United Kingdom
Email info_at_travel-doc.com
Website https//www.travel-doc.com/service/yellow
fever/
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