POST 00423E: Yellow fever vaccination in adults with HIV or AIDS

POST 00423E : YELLOW FEVER VACCINATION IN ADULTS WITH HIV OR AIDS 15 February 2002 ------------------------------------------------------------------ Dianne Phillips [mailto:[email protected]] is looking for advice on the administration of yellow fever vaccine to adults with HIV or AIDS: "South Africa is not an endemic yellow fever country, and as such does not immunise children with yellow fever unless traveling to a country where vaccination is needed. We do, however, insist on yellow fever vaccination proof from travelers entering South Africa from an endemic country. This is normally not a problem because the options open to the traveler are to pay for a shot, return to their home country or be taken into custody. Later this year, we are hosting the World Health Summit, and plans are in place to be able to vaccinate all participants from yellow fever endemic countries at the ports of entry to South Africa. If someone refuses on the grounds of HIV or AIDS, or any other medical grounds without proof (HIV/AIDS is not notifiable and many people hide their status because of the stigma attached to these conditions) what are we to do. Can we immunise everyone regardless of their health status? What effect does yellow fever vaccine have on an adult with HIV or AIDS? If it is contraindicated, how will we manage the visitors? We experienced problems previously during the big AIDS conference a while ago when political figures refused immunisation and were allowed into the country without the necessary proof. We would not like this to happen again, so need guidance on how to proceed." ----------------------------------------------------------------------------- CONTRIBUTIONS: Contributions to: or use your reply button! The TechNet21 e-Forum welcomes new subscribers who are involved in immunization services. SUBCRIBE: To subscribe, send an e-mail to: Leave the SUBJECT area BLANK, do not type anything. In the body text, just write: Subscribe TECHNET21E Surname Name Do not use any accents in your name and surname. UNSUBSCRIBE: To unsubscribe, send an e-mail to: Leave the SUBJECT area BLANK, do not type anything. In the body text, just write: Unsubscribe TECHNET21E ------------------------------------------------------------------------------ ARCHIVES New archives of posted messages starting with 1 November 2001 is accessible to all TechNet21 subscribers. To view the archives: http://listes.ulaval.ca/listserv/archives/technet21e.html Archives for postings between 17 August 1998 and 31 October 2001 can be found at the following web site for download starting 1 December 2001. http://www.who.int/vaccines-access/Vaccines/Vaccine_Cold_Chain/Technet Archives for files (documents) are under revision to clean old documents and drafts that are already replaced with new ones, and will be made available soon at the same site. http://www.who.int/vaccines-access/Vaccines/Vaccine_Cold_Chain/Technet ----------------------------------------------------------------------------- The World Health Organization and UNICEF support TechNet21. The TechNet21 e-Forum is a communication/information tool for generation of ideas on how to improve immunization services. It is moderated by Claude Letarte and is hosted in cooperation with the Centre de coopération internationale en santé et développement, Québec, Canada (http://www.ccisd.org) -----------------------------------------------------------------------------