Details:

Alternative Title:
Am J Trop Med Hyg
Publisher's site:
http://dx.doi.org/10.4269/ajtmh.12-0463
Personal Author:
Jentes, Emily S. ; Han, Pauline ; Gershman, Mark D. ; Rao, Sowmya R. ; LaRocque, Regina C. ; ... More +
Jentes, Emily S. ; Han, Pauline ; Gershman, Mark D. ; Rao, Sowmya R. ; LaRocque, Regina C. ; Staples, J. Erin ; Ryan, Edward T. Less -
Corporate Authors:
Global TravEpiNet Consortium
Description:
Yellow fever (YF) vaccine-associated serious adverse events and changing YF epidemiology have challenged healthcare providers to vaccinate only travelers whose risk of YF during travel is greater than their risk of adverse events. We describe the travel characteristics and YF vaccine use among US travelers visiting Global TravEpiNet clinics from January of 2009 to March of 2011. Of 16,660 travelers, 5,588 (34%) had itineraries to areas with risk of YF virus transmission. Of those travelers visiting one country with YF risk (N = 4,517), 71% were vaccinated at the visit, and 20% were presumed to be immune from prior vaccination. However, travelers visiting friends and relatives (odds ratio [OR] = 2.57, 95% confidence interval [95% CI] = 1.27-5.22) or going to Nigeria (OR = 3.01, 95% CI = 1.37-6.62) were significantly more likely to decline vaccination. To optimize YF vaccine use, clinicians should discuss an individual's risk-benefit assessment of vaccination and close knowledge gaps regarding vaccine use among at-risk populations.
Subject:
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Adolescent
Adult
Aged
Aged, 80 And Over
Child
Child, Preschool
Female
Friends
Humans
Infant
Male
Middle Aged
Patient Acceptance Of Health Care
Risk Assessment
Travel
Travel Medicine
Vaccination
Yellow Fever
Yellow Fever Vaccine
Yellow Fever Virus
Young Adult

Source:
Am J Trop Med Hyg. 2013; 88(5):954-961.
Document Type:
Journal Article
Funding:
U01CK000175/CK/NCEZID CDC HHS/United States ; U19CI000514/CI/NCPDCID CDC HHS/United States
U01CK000175/CK/NCEZID CDC HHS/United States ; U19CI000514/CI/NCPDCID CDC HHS/United States Less -
Place as Subject:
Nigeria
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:e21238c7459e647505c588f898c1f649ae89ec8b5e54573e4c45919e24e2dcbe
File Type:

Supporting Files

• 	license.txt	txt
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  	tropmed-88-954-g001.jpg	jpeg
  	tropmed-88-954-g002.gif	gif
  	tropmed-88-954-g002.jpg	jpeg
  	tropmed-88-954.nxml	txt

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