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Author Topic: Yellow fever shot.  (Read 1259 times)

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Offline brenner

  • Member
  • Posts: 91
Yellow fever shot.
« on: December 12, 2012, 07:37:05 AM »
My job requires me to get a yellow fever shot every 5 years beacuse i get to travel to tropical countries from time to time.  I have read that this shot is not recommended for us pozzies.  Im a bit confused on whether i should take this shot or not. 
I know that this particular innoculation uses live strains of the yellow fever virus, and thats why its not recommended.
Thanks for your input.
Feb 23. 2011  poz diagnosed
Feb 28.  cd4 257, vl 262400, %21
Mar 14.  start Atripla
May 18.  cd4 639, vl 690, %33
Aug 19.  cd4 583, vl 60, %38
Nov 18.  cd4 450, vl UD, %38
2012
Feb.19   cd4 649, vl UD, %35
Jun 08.  cd4 524, vl UD, %34
Sep 16.  cd4 567, vl UD, %35
Dec 02.  cd4 592, vl UD, %35
2013
Mar 10.  cd4 688, vl UD, %35

Offline bocker3

  • Member
  • Posts: 3,391
  • You gotta enjoy life......
Re: Yellow fever shot.
« Reply #1 on: December 12, 2012, 07:40:41 AM »
I talked with my ID doctor about this recently, as we are planning a safari to Tanzania and it is a "recommended" vaccine for entry (though not required). 
He had no concerns with me getting the shot, although he was convinced I needed it.  I have some time to decide, as the trip is still 14 months away.
Bottomline -- talk with your doctor about it, as he/she can give you the best advice for your personal situation.

Mike
Atripla - Started 12/05
Reyataz/Norvir - Added 6/06
Labs - Pre-Meds
Sep05 T=350/25% VL98,559
Nov05 288/18%  47,564
Current Labs
May2013 691/31% <20

Offline J.R.E.

  • Member
  • Posts: 7,180
  • Joined Dec-2003 Living positive, since 1985.
Re: Yellow fever shot.
« Reply #2 on: December 12, 2012, 08:25:43 AM »
I talked with my ID doctor about this recently, as we are planning a safari to Tanzania and it is a "recommended" vaccine for entry (though not required). 

Mike

Mike,

You were in the military weren't you ?  Didn't you get the yellow fever shot, as part of the vaccinations ?

Ray
Current Meds ; Viramune, Epzicom, 40mg of simvastatin, 12.5mg of Hydrochlorothiazide.
Metoprolol tartrate 25mg



http://forums.poz.com/index.php?topic=40802.0

http://forums.poz.com/index.php?topic=45159.0

http://forums.poz.com/index.php?topic=39722.msg495621;topicseen#msg495621

http://forums.poz.com/index.php?topic=46806.0

http://forums.poz.com/index.php?topic=39414.msg491701#msg491701


 In October of 2003, My t-cell count was 16, Viral load was over 500,000, Percentage at that time was 5%. I started my first  HAART regimen  on October 24th,03.

 As of 8/2514,  t-cells are at 402, Viral load <40

 Current % is at 11%

  
 62 years young.

Offline bocker3

  • Member
  • Posts: 3,391
  • You gotta enjoy life......
Re: Yellow fever shot.
« Reply #3 on: December 12, 2012, 05:43:46 PM »
Mike,

You were in the military weren't you ?  Didn't you get the yellow fever shot, as part of the vaccinations ?

Ray
I was -- I got a ton of shots prior to deploying to Saudi Arabia, Kuwait and Iraq for Desert Storm, but don't recall the yellow fever shot being one of them.  Of course, I walked down an aisle with needles being jabbed into each arm, so who the hell really knows what I got!  ;)

M
Atripla - Started 12/05
Reyataz/Norvir - Added 6/06
Labs - Pre-Meds
Sep05 T=350/25% VL98,559
Nov05 288/18%  47,564
Current Labs
May2013 691/31% <20

Offline Valmont

  • Member
  • Posts: 332
Re: Yellow fever shot.
« Reply #4 on: December 12, 2012, 07:10:09 PM »
I live in an endemic country and my doc told me NOT to be vaccunated because of the kind of vaccune it is.

You should get a letter from your doc that says it is not indicated in your case (it does not have to say you have HIV).

Another thing, this vaccune offers 10 years off protection, not 5.
Apr 2011: Diagnotized
Jun 2011: CD4: 504  VL: 176.000
Dic 2011: CD4: 714  VL: 95.000
May 2012: CD4: 395 VL: 67.000
Jun 2012: CD4: 367
Agu 2012: Starting Emtricitabine 200 mg / Tenofovir 300 mg and Efavirenz 600 mg (2 pills) different brands or VIRADAY/ATRIPLA/Mylan....
Sep 2012: VL: 138
Dic 2012: CD4: 708 VL: <34  %CD4: 32%
Jan 2013: CD4: 707 VL: <20
May 2013: CD4: 945 VL: <34 %CD4: 33%
Agu 2013: CD4: 636 VL: <34 %CD4: 50%
Dic 2013: Latent TB, started Isoniazid

Offline J.R.E.

  • Member
  • Posts: 7,180
  • Joined Dec-2003 Living positive, since 1985.
Re: Yellow fever shot.
« Reply #5 on: December 12, 2012, 07:49:11 PM »
  Of course, I walked down an aisle with needles being jabbed into each arm, so who the hell really knows what I got!  ;)

M

 ;D  I remember it exactly the same way too. Walking along, and being jabbed in both arms. I was talking to Ed this morning about all the shots in Basic.  :P   I wonder if I could get a copy of all the shots I received, from my 201 file.  HHmmmm. I thought I had a record somewhere....


http://usarmybasic.com/about-the-army/army-shots

 ;D  http://www.youtube.com/watch?v=m8DX8go6GnM


Brenner, My apologies for distracting from your thread.  :P




Ray
Current Meds ; Viramune, Epzicom, 40mg of simvastatin, 12.5mg of Hydrochlorothiazide.
Metoprolol tartrate 25mg



http://forums.poz.com/index.php?topic=40802.0

http://forums.poz.com/index.php?topic=45159.0

http://forums.poz.com/index.php?topic=39722.msg495621;topicseen#msg495621

http://forums.poz.com/index.php?topic=46806.0

http://forums.poz.com/index.php?topic=39414.msg491701#msg491701


 In October of 2003, My t-cell count was 16, Viral load was over 500,000, Percentage at that time was 5%. I started my first  HAART regimen  on October 24th,03.

 As of 8/2514,  t-cells are at 402, Viral load <40

 Current % is at 11%

  
 62 years young.

Offline J.R.E.

  • Member
  • Posts: 7,180
  • Joined Dec-2003 Living positive, since 1985.
Current Meds ; Viramune, Epzicom, 40mg of simvastatin, 12.5mg of Hydrochlorothiazide.
Metoprolol tartrate 25mg



http://forums.poz.com/index.php?topic=40802.0

http://forums.poz.com/index.php?topic=45159.0

http://forums.poz.com/index.php?topic=39722.msg495621;topicseen#msg495621

http://forums.poz.com/index.php?topic=46806.0

http://forums.poz.com/index.php?topic=39414.msg491701#msg491701


 In October of 2003, My t-cell count was 16, Viral load was over 500,000, Percentage at that time was 5%. I started my first  HAART regimen  on October 24th,03.

 As of 8/2514,  t-cells are at 402, Viral load <40

 Current % is at 11%

  
 62 years young.

Offline tednlou2

  • Member
  • Posts: 4,906
Re: Yellow fever shot.
« Reply #7 on: December 13, 2012, 01:38:03 AM »
I have read several posts to the docs at the body about this.  Many poz folks report getting the vaccine there.  I also thought we weren't suppose to get the shingles vaccine, but a doc there said we should get it and it is safe. 

Offline wolfter

  • Member
  • Posts: 4,569
Re: Yellow fever shot.
« Reply #8 on: December 13, 2012, 01:52:20 AM »
I have read several posts to the docs at the body about this.  Many poz folks report getting the vaccine there.  I also thought we weren't suppose to get the shingles vaccine, but a doc there said we should get it and it is safe.

I believe the standard is that it's ok as long as your CD4 is over 200.  I couldn't get the vaccine when my Bill came down with them as I was battling AIDS.  He was in absolute misery and it gets to me to thinking I'll discuss this with my doctor next month.

Wolfie
Complacency is the enemy.  ;)  Challenge yourself daily for maximum  return on investment.

Offline Valmont

  • Member
  • Posts: 332
Re: Yellow fever shot.
« Reply #9 on: December 13, 2012, 05:03:23 PM »
I link an useful info in regard to that vaccune.  It is not exactly what I´ve told before or what my docs have told me, but being an info from CDC website I think it is a good guideline...  I hope it can help you...



http://wwwnc.cdc.gov/travel/yellowbook/2012/chapter-3-infectious-diseases-related-to-travel/yellow-fever.htm

Vaccine Administration
 
For all eligible people, a single injection of 0.5 mL of reconstituted vaccine should be administered subcutaneously. The International Health Regulations (IHR) published by the World Health Organization (WHO) require revaccination at 10-year intervals.


[...]


HIV infection
 
Yellow fever vaccine is contraindicated for people with AIDS or other clinical manifestations of HIV, including people with CD4 T-lymphocyte values <200/mm3 or <15% of total lymphocytes for children less than <6 years. This recommendation is based on a theoretical increased risk of encephalitis in this population (see HIV infection under the following section, Precautions).
 
If travel to a yellow fever–endemic area cannot be avoided in a person with severe immune suppression based on CD4 counts (<200/mm3 or <15% total for children less than <6 years) or symptomatic HIV, a medical waiver should be provided, and counseling on protective measures against mosquito bites should be emphasized. See the following section, Precautions, for other HIV-infected people not meeting the above criteria.


[...]

HIV infection
 
Asymptomatic HIV infection with CD4 T-lymphocyte values 200–499/mm3 or 15%–24% of total lymphocytes for children aged <6 years is a precaution for yellow fever vaccination (see also the HIV infection in the Contraindications section above). Large prospective, randomized trials have not been performed to adequately address the safety and efficacy of yellow fever vaccine among this group. Several retrospective and prospective studies including approximately 450 people infected with HIV have reported no serious adverse events among patients considered moderately immunosuppressed based on their CD4 counts. However, HIV infection has been associated with a reduced immunologic response to a number of inactivated and live attenuated vaccines, including yellow fever vaccine. The mechanisms for the diminished immune response in HIV-infected people are uncertain but appear to be correlated with HIV RNA levels and CD4 T-cell counts.
 
Because vaccinating asymptomatic HIV-infected people might be less effective than vaccinating people not infected with HIV, their neutralizing antibody response to vaccination should be measured before travel. Contact the appropriate state health department or the CDC Arboviral Diseases Branch (970-221-6400) to further discuss serologic testing.
 
If an asymptomatic HIV-infected person with moderate immune suppression (CD4 T-lymphocyte values 200–499/mm3 or 15%–24% of total lymphocytes for children aged <6 years) is traveling to a yellow fever–endemic area, vaccination may be considered. Vaccinated people should be monitored closely after vaccination for evidence of adverse events, and the state health department or CDC should be notified if an adverse event occurs.
 
If international travel requirements—not risk of yellow fever—are the only reason to vaccinate an HIV-infected person, the person should be excused from immunization and issued a medical waiver to fulfill health regulations. If an asymptomatic HIV-infected person has no evidence of immune suppression based on CD4 counts (CD4 T-lymphocyte values ≥500/mm3 or ≥25% of total lymphocytes for children aged <6 years), yellow fever vaccine can be administered if recommended.


And this...

Medical Waivers (Exemptions)
 
Some countries do not require an ICVP for infants younger than a certain age (<6 months, <9 months, or <1 year of age, depending on the country). Age requirements for vaccination for individual countries can be found in the Yellow Fever and Malaria Information, by Country section in this chapter. For medical contraindications, a physician who has decided to issue a waiver should fill out and sign the Medical Contraindications to Vaccination section of the ICVP (Figure 3-02). The clinician should also do the following:
 •Give the traveler a signed and dated exemption letter on the physician’s letterhead stationery, clearly stating the contraindications to vaccination and bearing the stamp used by the yellow fever vaccination centers to validate the ICVP.
•Inform the traveler of any increased risk for yellow fever infection associated with nonvaccination and how to minimize this risk by avoiding mosquito bites.
 
Reasons other than medical contraindications are not acceptable for exemption from vaccination. The traveler should be advised that issuance of a waiver does not guarantee its acceptance by the destination country. On arrival at the destination, the traveler may be faced with quarantine, refusal of entry, or vaccination on site. To improve the likelihood that the waiver will be accepted at the destination country, clinicians can suggest that the traveler take the following additional measures before beginning travel:
 •Obtain specific and authoritative advice from the embassy or consulate of the destination country or countries.
•Request documentation of requirements for waivers from embassies or consulates and retain these along with the completed Medical Contraindication to Vaccination section of the ICVP.

 
 

« Last Edit: December 13, 2012, 05:10:41 PM by Valmont »
Apr 2011: Diagnotized
Jun 2011: CD4: 504  VL: 176.000
Dic 2011: CD4: 714  VL: 95.000
May 2012: CD4: 395 VL: 67.000
Jun 2012: CD4: 367
Agu 2012: Starting Emtricitabine 200 mg / Tenofovir 300 mg and Efavirenz 600 mg (2 pills) different brands or VIRADAY/ATRIPLA/Mylan....
Sep 2012: VL: 138
Dic 2012: CD4: 708 VL: <34  %CD4: 32%
Jan 2013: CD4: 707 VL: <20
May 2013: CD4: 945 VL: <34 %CD4: 33%
Agu 2013: CD4: 636 VL: <34 %CD4: 50%
Dic 2013: Latent TB, started Isoniazid

 


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