Are you looking forward to exotic travels, having finally
found that chance to make your way to South America or Africa? Well, while
you’re deciding what to pack for your next adventure, be sure to consider
taking the vaccine for yellow fever before you leave.
What’s Yellow Fever?
It’s important for travelers to central and western Africa
as well as parts of Latin America to be knowledgeable of the risks posed by
yellow fever. This illness is transmitted by mosquitoes, which acquire a virus
from infected primates or humans and then pass it on to others who are bitten.
Yellow fever is marked by three types of transmission cycles, and may be
acquired in jungle (sylvan), savannah (intermediate), and city (urban) settings.
How can it affect me?
The majority of individuals infected by the yellow fever
virus show no symptoms; but each year, many do suffer signs of the illness
following an incubation period of three to six days after infection. Affected
individuals often experience a sudden fever, chills, intense headache, back
pain, body aches, nausea, vomiting, fatigue, and weakness. Once the virus does
develop into the illness, the only course of action is to treat symptoms in
order to provide comfort, meanwhile allowing the immune system to fight the
fever.
Many patients improve after this “acute” phase, which lasts
three to four days; but, 15% of patients go on to develop a more severe
hemorrhagic fever after an initial remission period of about 24 hours. The high
fever characteristic of the illness returns, and now affects multiple body
systems. Yellow fever’s victims quickly develop the jaundice for which the virus
is named, and may experience abdominal pain as well as vomiting. Bleeding can
occur from the mouth, nose, eyes, or stomach, and appears in the vomit and
feces. Kidney function deteriorates, and up to half of all patients who enter
this toxic phase expire within two weeks.
How can I protect myself?
Due to the difficulty of diagnosing yellow fever from its
initial symptoms, and the potentially dire effects of disease progression, it
is absolutely necessary for at risk travelers to protect themselves against the
illness. Mosquito repellent is always recommended, but the best course of action
is to get the yellow fever vaccination before embarking! The yellow fever vaccine is safe,
affordable, and highly effective. A single dose of the vaccine can provide
immunity within 30 days, and remains effective for a lifetime without an
additional booster shot!
If you are affected by HIV, have primary immune deficiency,
or are engaging in an immunosuppressive therapy, it is not appropriate to
receive the yellow fever vaccination. Additionally, the vaccine should not be
given to children under six months of age or individuals with allergies to
albumin. If you are over 60 years of age, may be pregnant, or are
breastfeeding, please consult a doctor before vaccination. In all other
circumstances, be sure to visit your closest immunization clinic a month before traveling!
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