Yellow Fever

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This page is intended NOT to give any yellow fever advice but to direct you to the very helpful resources available online.   

Yellow fever vaccine can only be given in a yellow fever centre.  In England, Wales and Northern Ireland the responsibility for the administration of these centres is undertaken by NaTHNaC and in Scotland by Public Health Scotland.  However even if you aren’t a yellow fever centre, you still need some knowledge of the disease and its prevention to appropriately refer them on to a yellow fever centre if a traveller needs vaccination.  In this situation is would be very helpful if you are directing your patient from an NHS setting, to provide them with a summary of their medical history, their medications and vaccination history to enable the receiving centre to perform a thorough risk assessment and give appropriate advice.  An individual traveller may not always necessarily have an accurate recollection of these details and this could be important in the decision making process.

Public Health England Resources

• GREEN BOOK CHAPTER 35 FOR YELLOW FEVER HERE
• Guidance in the event of yellow fever vaccination in travellers with a contraindication or report of a yellow  fever vaccine associated serious adverse event here
• Letter from MHRA, PHE, NaTHNaC, HPS Yellow fever vaccine: stronger precautions in people with weakened
  immunity and those aged 60 years or older here

IMPORTANT new information from 21.11.19 to the current day

• Yellow fever vaccine (Stamaril) and fatal adverse reactions: extreme caution needed in people who may be immunosuppressed and those 60 years and older 16.04.20 here
• News item on NaTHNaC on 29.01.20 on MANAGEMENT AND REPORTING OF ADVERSE EVENTS here 
• News item on NaTHNaC on 21.11.19 about REVIEW OF SERIOUS ADVERSE EVENTS FOLLOWING YELLOW FEVER VACCINATION here
• News item on NaTHNaC on 25.11.19 about YELLOW FEVER VACCINATION RECOMMENDATIONS: PERSONS AGED 60 YEARS OR OLDER here
• Letter published 21.11.19 about Yellow fever vaccine: stronger precautions in people with weakened
  immunity and those aged 60 years or older here
• Report of the Commission on Human Medicine’s Expert Working Group on benefit-risk and risk minimisation measures of the yellow fever vaccine here
• MHRA Drug Safety Update ‘Yellow fever vaccine: stronger precautions in people with weakened immunity and in those aged 60 years or older’ here 
• A blog written by me as the situation stood on 24.11.19 here

YELLOW FEVER RESOURCES from NaTHNaC

(please note below are just some of the resources but it would be useful to have a thorough look around the website)

1. NaTHNaC YELLOW FEVER ZONE (containing all relevant resources)
2. Becoming a yellow fever vaccination centre (YFVC) – here
3. Managing your YFVC here  (Please note, this is a very important section to read, especially ‘Conditions of Designation’ and ‘Code of Practice’.  For example, if the person in charge of the YFVC i.e. the Responsible Supervising Clinician or RSC changes then NaTHNaC must be informed within five working days.  If there is a breach in the conditions of designation, this may result in temporary suspension or de-designation with immediate effect).
4. Training details for yellow fever here and the training portal directly here
5. Medical letter of exemption here
6. ICVP – how to order, complete and re-issue, including a sample of a completed ICVP see here
7. Updated Guide on the ICVP here and the guidance video ‘Getting to grips with the International Certificate of Vaccination or Prophylaxis for yellow fever: a practical guide’ directly here
8. NaTHNaC e mail enquiry service for the ICVP here
9. Yellow fever information for travellers leaflet here 
10. Yellow fever pre-vaccination checklist on NaTHNaC here 
11. Yellow fever vaccine best practice review list from NaTHNaC here (published January 2020)
12. Contraindications and precautions for administering yellow fever vaccine from NaTHNaC in poster form here updated January 2020
13. Yellow Fever Featured Factsheets from NaTHNaC : Vaccination: special circumstances – here
14. Yellow fever maps here
15. NaTHNaC yellow fever factsheet here
16. Poster: Yellow Fever Vaccination – Valid For Life here
17. Finding a YFVC in England, Wales and Northern Ireland

• Yellow fever travel information here  (Note this includes a very useful interactive map of the yellow fever in Brazil where you can identify exact locations and whether vaccine is advised according to the US recommendations).
• CDC Yellow fever website here
• Yellow Fever Vaccine Information for Healthcare Providers here  (note this is advice from the US perspective and if working in the UK you need to follow our guidance).

Further addition resources

NHS Choices information on yellow fever

Resources by images