Definition of Disease Continued...
MEDICAL WAIVERS
Most countries will accept a medical waiver for persons with
a medical reason for not receiving the vaccination. CDC recommends
obtaining written waivers from consular or embassy officials
before departure. Travelers should contact the embassy or
consulate for specific advice. Typically, a physician's letter
stating the reason for withholding the vaccination and written
on letterhead stationery is required by the embassy or consulate.
The letter should bear the stamp used by a health department
or official immunization center to validate the International
Certificate of Vaccination.
Yellow Fever Vaccination requirements and recommendations
are given in CDC's regional travel documents, such as "Tropical
South America," "West Africa," etc. A country-by-country
listing of Yellow Fever Vaccination Requirements is provided
in the document "Comprehensive Yellow Fever Vaccination
Requirements."
YELLOW FEVER CERTIFICATE
After immunization an International Certificate of Vaccination
is issued and is valid 10 days after vaccination to meet entry
and exit requirements for all countries. The Certificate is
good for 10 years. You must take the Certificate with you.
Travelers who have a medical reason not to receive the yellow
fever vaccine should obtain a medical waiver. Most countries
will accept a medical waiver for persons with a medical reason
not to receive the vaccine. When required, CDC recommends
obtaining written waivers from consular or embassy officials
before departure. A physician's letter clearly stating the
medical reason not to receive the vaccine, might be acceptable
to some governments. It should be written on letterhead stationery
and bear the stamp used by a health department or official
immunization center to validate the International Certificate
of Vaccination. Check embassies or consulates for specific
waiver requirements.
Travelers to Latin America should be aware of the epidemic
of cholera occurring there. The majority of cases have been
reported from Peru, Ecuador, Columbia, Guatemala, and Mexico.
Cholera has been reported in all of Latin America except Uruguay.
Cholera cases were first recognized in Peru in the last week
of January 1991 and by the end of 1995 had affected a total
of over 1,000,000 people throughout countries in Latin America.
Cholera has been reported in a small number of U.S. residents
traveling to several Latin American countries. However, the
risk of infection to the U. S. traveler is very low, especially
for those who follow the usual tourist itineraries and stay
in standard accommodations.
All content courtesy of the Center
For Disease Control (c) 1998
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