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Question
Posted by: Rassie du Toit | 2011/03/23

Yellow fever and Guilliam Barr syndrome

I had Guilliam Barr as a kid, need a Yellow fever vaccination now, is it safe?

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Our expert says:
Expert ImageCyberDoc

Hallo Rassie
There is a small risk of Guillian Barre with Yellow fever vaccine as it is a live attenuated (weakened) virus. On the other hand, GBS rarely recurs and only about one to two percent of all former GBS patients will have a second episode. Multiple recurrences are highly unlikely. The incidence of GBS after yellow fever vaccination is estimated at four cases per million doses of vaccine.
If you need a yellow card for travel purposes, and you don't want to risk vaccination, you can carry a letter from your doctor saying that due to the risk of GB you can not be vaccinated. You will then just have to be very careful to avoid mosquito bites by wearing long sleeved clothes after dark, sleeping under a mosquito net and spraying yourself with Tabard every 6-8 hours.
See http://www.patient.co.uk/doctor/Yellow-Fever-Vaccination.htm
Dr Bets

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Our users say:
Posted by: Cyberdoc | 2011/03/23

Hallo Rassie
There is a small risk of Guillian Barre with Yellow fever vaccine as it is a live attenuated (weakened) virus. On the other hand, GBS rarely recurs and only about one to two percent of all former GBS patients will have a second episode. Multiple recurrences are highly unlikely. The incidence of GBS after yellow fever vaccination is estimated at four cases per million doses of vaccine.
If you need a yellow card for travel purposes, and you don't want to risk vaccination, you can carry a letter from your doctor saying that due to the risk of GB you can not be vaccinated. You will then just have to be very careful to avoid mosquito bites by wearing long sleeved clothes after dark, sleeping under a mosquito net and spraying yourself with Tabard every 6-8 hours.
See http://www.patient.co.uk/doctor/Yellow-Fever-Vaccination.htm
Dr Bets

Reply to Cyberdoc

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