We are NOT authorized by Govt of India for Yellow Fever Vaccination

Friday, January 9, 2015

Zambia, South Africa yet to resolve yellow fever impasse

DOREEN NAWA, Lusaka
ZAMBIA’S drive to banish yellow fever from its territory is now a reality and the country has been declared yellow fever free.
When Zambia started the yellow fever immunisation decades ago, little did people know that the ambition would yield positive results and see Zambia declared a yellow fever free zone.
Nobody enjoys injections and so it seemed particularly wonderful to get all travel documents ready and get off to either the airport or any place of departure.
Now that World Health Organisation (WHO) has declared Zambia as yellow fever free zone, the move is welcome news to many who feel it will ease the hustle that those leaving and entering Zambia had to face.
And with the current economic difficulties, the immunisation programme experienced several setbacks, including the illegal access of certification, as most would-be travellers preferred to go for unauthorised dealers.
Despite the declaration, scores of Zambians travelling mostly to South Africa are still purchasing the fake yellow fever certificates instead of administering the yellow fever vaccine, exposing the country to the deadly yellow fever epidemic.
Despite the WHO declaration, South African authorities still require that all visitors must be vaccinated against yellow fever and be able to produce a valid yellow fever certificate together with their passport at all points of entry and exit.
The yellow fever vaccine prevents the international spread of the disease by protecting countries from the risk of importing or spreading the yellow fever virus. It also protects individual travelers, who may be exposed to yellow fever infection.
“We have recently been made aware that Zambia has been declared free of yellow fever by WHO. It seems that the authorities in South Africa are still enforcing the requirement that any person visiting from Zambia needs to obtain a yellow fever vaccination and certificate. It seems, however, that the two countries are in discussion following the announcement from WHO, and we need this resolved urgently because it is an inconvenience,” a Lusaka-based cross border trader Janet Bwalya said.
Yellow fever is a tropical viral disease affecting the liver and kidneys. It causes fever and jaundice and is often fatal. It is transmitted by mosquitoes and is incurable.
A check at the Lusaka Bus Intercity Station found vendors openly selling yellow fever vaccination certificates to Zambians who were buying tickets to travel to South Africa for recess.
The travellers, who were interviewed, said the yellow fever vaccine cost was high at the Lusaka District Health office and they had no choice but to purchase the fake certificate for K250.
Mr Chama Mwila, who was en route to Durban to collect a car shipped from Japan, said he chose to buy the fake yellow fever certificate instead of getting vaccinated so that he could cut his expenses.
“The yellow fever vaccine is unaffordable and the idea of an injection is not welcome. I hear WHO has declared Zambia yellow fever free but South Africa has not recognised that.
“Bus fare to Johannesburg costs K500, which adds to K800 if you get your yellow fever certificate from the authorised point but if you get from intercity, it will cost you K750 and you tend to save a K50, which one can [use to] buy food on the way. If you factor in the proper vaccine, the travelling costs can easily sky rocket,” he said.
A source at the Lusaka Urban District Health Management Team says the declaration is a welcome move as it will stop people from being duped by fraudsters claiming to be issuing certificates.
The source, who sought anonymity, said yellow fever was a lethal viral infection transmitted by mosquitoes and those that purchase yellow fever certificates fraudulently put their lives and the country at risk.
“If you purchase the yellow fever certificate through fraudulent means, you are endangering your health because in reality, your body system is not protected from the infection. Furthermore, once an infected person returns to the country with the infection, the whole country is susceptible to infection because once a mosquito bites an infected person and moves to another person, it will transmit the virus,” the source said.
The source further said if anyone were to be infected with yellow fever, the effects would be fatal for the whole country as we still have mosquitoes that have a potential of transferring the infection throughout the country.
“Yellow fever is incurable and now that we have been declared free zone, it is even better because before then, it was important that those going out should be inoculated, to protect the country against the potential scourge of yellow fever no matter how much the infection risks are said to be low,” she said.
Yellow fever is a disease caused by a flavivirus that is transmitted by the bite of an infected mosquito. It gets its name from the yellowing of the skin and eyes (jaundice) that occurs when the virus attacks the liver. Yellow fever can be prevented by a vaccine.
In November 2013, Zambia reported South Africa to WHO for demanding yellow fever certificates from travellers.
Samples from various parts of Zambia were taken to WHO and recently, Zambia was declared a yellow fever free zone.
Source

Saturday, December 27, 2014

Sid, the wanderer's story regarding Yellow fever vaccination at the Government centers in Mumbai, india

Source

MY PERSONAL EXPERIENCE

I started from Pune at before 4am and reached a little after 6.30am at the building for vaccination. Everyday there are only 100 visitors who get vaccinated and I was number 104 in the list (where you put in your name and passport number). I decided to take a chance and wait. By eight there were 132 names. Initially we were all in an old room of Nav bhavan on the ground floor, but around 9.30 am they asked us to move out and line up. The line was made on the basis of the list and one of the visitors actually volunteered to help in this. I was well within 100 at this time, as about 12 people were gone already.

Nav Bhavan Building Seaman hospital Mumbai
Waiting inside early in the morning...
Nav Bhavan Building Seaman hospital Mumbai
The crowd waiting before forming a line...
Nav Bhavan Building Seaman hospital Mumbai
Some notices on wall - none are followed

They take two batches of 50 each (or so I think) and so you basically have to wait for a long time to even know if you will get a chance. I was in the line from 9.30 to 12.30 and only then go to know that I won’t get my turn today. It seems many who were not in the line originally, managed to sneak in. Unfortunately no one was in the line after no 85 could vaccinated – despite standing in alternative sun and intense rains!

After trying unsuccessfully at the Seaman Hospital, I decided to book a confirmed ticket to my destination and try again the next morning at Airport Health Organization building. I was super frustratedafter my first attempt and so went to the best five star hotel around, sat in AC, ordered black coffee and chilled for a while! I also came to the Airport building once to check the timings and locate the place so that I do not struggle in the morning and waste some precious minutes. The guard told me to come around 8am.

However, after my experience at the Nav Bhavan Building, I came here at 6am and entered my name in the list right away – I was number seven there :) You can sit at the canteen and sip tea till 8.30am when they open the seating area and you can wait there till 10.00am when the vaccination actually starts.There is a TV, air conditioning and food - what more can one ask? The vaccination process takes almost no time, and its super well organized. You go in batches of ten and the doctor takes less than ten seconds to vaccinate, and before you even know you are out in the open and happy with the day :)

Airport Health Organisation yellow fever vaccination
Airport Health Organisation building 
The canteen :)

Friday, December 26, 2014

Take those shots before hitting wild spots - Times of India

Bengaluru: It's time to explore the unexplored and for a healthy, happy journey. As Bengalureans head in droves to destinations literally in the wild this holiday season, they are also making sure it's a safe trip. So a visit to a doctor and then to the pharmacist to keep a medical kit ready is now a must. 

The concern is understandable. Hot on tourists' itinerary this season are back-of-the-beyond destinations like Kamchatka in far-east Russia; Svalbard off Norway; Pantanal in Brazil; Masai Mara in Kenya and Tanzania. 

Accessing these destinations is in itself a challenge for Bengalureans who live in year-round air-conditioned comfort. Kamchatka calls for a 75-minute chopper ride from Petropavlovsk and Svalbard, a 10-day sail. But the brown bears of Kamchatka, polar bears of Svalbard and wetlands of Brazil, not to speak of African safaris are worth all the trouble if travellers carry medicines and get vaccinated too. 

Manipal Hospitals says they get at least seven patients a week seeking travel advice. "These hitherto unexplored, off-beat nature and wildlife destinations are now being preferred by Bengalureans. They need to be on their guard against sea-sickness, diarrhoea and fever," says Dr Mabel Vasnaik, head of emergency at the hospital. 

Tour operators too give similar advice. "We tell all travellers to carry medicines as often these places are cut-off from cities and people tend to develop certain illnesses," said Giri Cavale, who conducts photography tours across the globe. 

The first travel medicine consultation happens two weeks before the trip. During this, doctors understand the medical history of the individual, the places they intend to travel and nature of travel. "We ask them to come again four weeks after they return," says Dr Swati Rajagopal, consultant, Infectious Diseases and Travel Medicine, Columbia Asia Referral Hospital, Yeshwantpur. She gets 5-6 people daily seeking travel advice. A list of clinics in those destinations is also given. 

BOXES 

LOCALES AND ADVISORIES 

Kamchatka 

Complete with glaciers, rivers, springs and lakes, Kamchatka has 28 active volcanoes and an exotic wildlife. Tourists must watch out for infections and diarrhoea among other things. 

Svalbard 

80 degrees north in the icy Arctic is Svalbard. It is the northernmost part of Norway. Freezing temperatures can leave tourists febrile. 

Immunization 

Vaccinations are recommended for typhoid, Hepatitis A, Hepatitis B, diphtheria, TB, rabies, cholera, yellow fever and Japanese encephalitis depending on the destinations 

GUARD AGAINST 

Fever, fatigue, respiratory tract infections 

Travel diarrhoea 

Gastritis, travel sickness, sea-sickness and allergy 


Source

Sunday, December 7, 2014

Can travel restrictions actually stop spread of diseases?

Travel Restrictions Slow, but Do Not Stop, Pandemic

Sealing international borders, a tactic debated as a way to slow the spread of other contagious diseases, delayed the spread and peak of influenza pandemics from a few days to 4 months but, ultimately, on its own, it could not prevent dissemination of influenza, according to a systematic review.
Dr. Ana L.P. Mateus, from the Field Epidemiology Training Programme, Public Health England (East Midlands Office), Nottingham, United Kingdom, and colleagues report the findings of their metaanalysis online September 29 in theBulletin of the World Health Organization.
According to the authors, the World Health Organization (WHO) in 2007 included travel restrictions in an interim protocol aimed at rapidly stemming the initial emergence of pandemic influenza. Once a pandemic is established, however, WHO takes a dim view of such travel restrictions because of their effect on global travel and trade. Nonetheless, the strategy gained favor in 2009 as countries attempted to avert the arrival of A(H1N1) influenza virus.
In their review of 23 studies, the authors found initially positive outcomes with "extensive travel restrictions" that limited more than 90% of movement, but those beneficial effects were erased when the transmissibility of the viral strain increased. Internal travel bans could delay pandemic spread by roughly 1 week, but international travel restrictions reduced pandemic attack rates by less than 0.02%. Banning air travel by children may be effective but, the authors argue, is "socially impractical."
At the local level, travel restrictions "appeared to have limited effectiveness in the containment of influenza," the authors write. In Mongolia, for instance, a simulation restricting road and rail travel by 95% resulted in a 0.1% reduction in the pandemic attack rate. Likewise, in the United States, travel restrictions that were 99% effective in barring entry of infected travelers resulted in a delay of pandemic spread by just 2 to 3 weeks.
In densely populated England, Scotland, and Wales, a combination of internal and international travel could help to stagger the effect of the pandemic across the United Kingdom, the authors write, but at the international level, travel restrictions had "limited effectiveness," with a 40% restriction of air travel delaying by less than 3 days the march of A(H1N1) from Mexico to other countries.
A pandemic that began in Sydney, Australia, or Hong Kong would take 2 to 3 weeks longer to arrive in the United States if 95% of air travel were restricted. Selectively canceling one quarter of flights connecting between 500 of the globe's major cities, however, would pack more bang for the preventive buck, with an additional 19% reduction in infected travelers.
Travel restrictions that exceeded 90% could delay the spread of pandemics by up to 4 months for low to moderately transmissible strains, but with highly transmissible strains, such travel bans "appeared ineffective."
"The results of our systematic review indicate that overall travel restrictions have only limited effectiveness in the prevention of influenza spread, particularly in those high transmissibility scenarios," the authors write. "Only extensive travel restrictions — i.e. over 90% — had any meaningful effect on reducing the magnitude of epidemics. In isolation, travel restrictions might delay the spread and peak of pandemics by a few weeks or months but we found no evidence that they would contain influenza within a defined geographical area."
The authors reviewed evidence from modeling studies published before May 2014 and excluded studies that only examined disease spread among animals. The researchers included 23 studies, 19 of which were mathematical modeling studies.
"It seems likely that, for delaying the spread and reducing the magnitude of an epidemic in a given geographical area, a combination of interventions would be more effective than isolated interventions," the author conclude. "Travel restrictions per se would not be sufficient to achieve containment in a given geographical area, and their contribution to any policy of rapid containment is likely to be limited."
The University of Nottingham Health Protection and Influenza Research Group, which employs three of the study authors, disclosed receiving research funds from GlaxoSmithKline and unrestricted educational grants for influenza research from F Hoffmann-La Roche and Astra Zeneca. Among those three authors, one author further disclosed receiving funding before October 2010 to attend influenza-related meetings, give lectures, and received research funding from several manufacturers of antiviral drugs and influenza vaccines. This same author disclosed being an employee of SmithKline Beecham, Roche Products, and Aventis-Pasteur MSD before 2005. The remaining authors have disclosed no relevant financial relationships.
Bull World Health Organ. Published online September 29, 2014. Full text