24 Mar 2015

Travel Alert: YELLOW FEVER!



For those traveling to African and South American countries, you are required to update yourself with latest announcement on traveling precautions vis-a-vis health and immunization requirements. Our country adhere to a very strict health procedures allowing travelers from countries with health risks from entering Malaysia - be it Malaysian or Non-Malaysian. 

The best way is to get yourself updated. The last thing you want is to contract a disease/s that the country you visited and worse, spread it nationwide. And, you also do not want to be quarantined at the airport for a very significant period. I'm talking about 14 days of stay in isolated room at the airport!

Below information is taken from my reading and I credited to the author of various sites. 

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YOU MUST KNOW THIS: Yellow Fever Vaccination

WHAT IS YELLOW FEVER (one might ask)

Yellow fever is an acute infectious disease. Recognised in two different forms i.e. urban and jungle. Urban Yellow Fever occurs in cities and is spread from mosquito to human.

In the jungle form, Yellow Fever is spread from mosquitoes to monkeys and also to humans (zoonosis). Although reported cases of human disease is the principal indicator of disease risk, they may be absent (because of a high level of immunity in population) or not detected as a result of poor surveillance.

Major public health threat in countries with risk of Yellow Fever transmission.
Travellers to countries with risk of Yellow Fever transmission of Africa, Central and
South America are at risk. The presence of the suitable vector, Aedes mosquito in Asia
may contribute to its potential occurrence. Malaysia is vulnerable and receptive to
Yellow Fever transmission.

Causative agent: Arbovirus of the Genus Flavivirus and family Flaviviridae.
Mode of Transmission: through the bite of infective Aedes aegypti mosquitoes.
Incubation Period: 3 - 6 days (or longer) after the bite of an infected mosquito.


COUNTRIES WITH RISK OF YELLOW FEVER TRANSMISSION (you might need to get updated list from the Ministry of Health. There might be omission or new addition to this)

SOUTH & CENTRAL AMERICA (13 COUNTRIES)

Argentina, French, Suriname, Brazil, Guyana, Trinidad & Tobago, Bolivia, Panama, Venezuela, Colombia, Paraguay, Equador, Peru

AFRICA (29 COUNTRIES)
Angola, Guinea, Equat, Benin, Ivory Coast, Burkina Faso, Kenya, Burundi, Liberia, Cameroon, Mali, Central Africa, Republic Mauritania, Chad, Niger, Congo, Nigeria, Democratic Republic Of Congo, Rwanda, Ethiopia, Senegal, Gabon, Sierra Leone, Gambia, Sudan, Ghana, Togo, Guinea, Uganda, Guinea Bissau

Note: The list of countries with risk of yellow fever transmission will be updated by
Ministry of Health Malaysia regularly based on WHO list.


PREVENTION & PRECAUTIONS

Yellow Fever Vaccination Requirement
·  A Yellow Fever vaccination certificate is required from all     visitors or delegates (Malaysians and Foreigners) coming from or going to/through countries with risk of Yellow Fever transmission (As stated in International Health Regulations 2005 and Prevention and Control of Infectious Disease Act 1988).
·  Yellow fever vaccination is also required for travelers having transited more than 12 hours through the airport of a country with risk of yellow fever transmission;
·  Travelers or delegates without a valid Yellow Fever vaccination certificate shall be quarantined upon arrival in Malaysia for a period not exceeding 6 days.
·  The period of validity of an international certificate of vaccination against Yellow Fever is 10 years, beginning 10 days after the date of vaccination.
·  If a person is re-vaccinated before the end of this period, the validity is extended for a further 10 years from the date of vaccination.
·  If the re-vaccination is recorded on a new certificate, travelers or delegates are advised to retain the old certificate for 10 days until the new certificate becomes
valid.

Reminder to Malaysian Who Wants to Go to the Countries with Risk of Yellow Fever Transmission

·   Malaysians are advised to take the vaccination at least 10 days before the date of departure to countries with risk of Yellow Fever transmission for protection against infection.
·  To carry the international certificate of vaccination during travel for health check.
·  To get the vaccination against Yellow Fever disease at the Approved Yellow Fever vaccinating Centres in Malaysia.
·  To report to Entry Point Health Office on arrival in Malaysia for health check.

YELLOW FEVER VACCINE

Type of vaccine: Live attenuated vaccine
Number of doses: one priming dose of 0.5ml
Booster: 10 yearly

Contraindications:
Egg allergy, immunodeficiency from medication, disease or symptomatic HIV infection,
hypersensitivity to a previous dose and pregnancy.

Adverse reactions: Rarely encephalitis or hepatic failure.

Before departure: International certificate of vaccination becomes valid 10 days after
the date of vaccination.
Recommended for: All travelers to countries with risk of Yellow Fever transmission and
wherever mandatory

Special precautions: Not for infants under 12 months of age.


THIRTY ONE (31) APPROVED YELLOW FEVER VACCINATING CENTRES IN
MALAYSIA APPROVED YELLOW FEVER VACCINATING CENTRES IN MALAYSIA
**(Based on Ministry of Health List until 1st December 2013)

1. Pejabat Kesihatan Pelabuhan Pulau Pinang
1st Floor, Tuanku Syed Putra Building
Jalan Downing, 10300 Pulau Pinang.
Tel: 04-2611264, 04-2644918
PULAU PINANG

2. BP Diagnostic Centre
275, Jalan Kampar
30250 Ipoh, Perak
Tel: 05-2559090 Ext 402
PERAK

3. Pejabat Kesihatan Kinta
Jalan Aman, 31000, Batu Gajah, Perak.
Tel: 05-3652077
PERAK

4. Klinik Berkat
No. 75-4A, Jalan Mamanda 1, Ampang Point
68000 Ampang, Selangor Darul Ehsan
Tel: 03-42515450
SELANGOR

5. KPJ Selangor Specialist Hospital
Lot 1, Jalan Singa 20/1
Section 20, 40300 Shah Alam
Tel: 03-5543 1111, Fax: 03-5543 1722
SELANGOR

6. Poliklinik Sri Permai
No. 11, Jalan P9 B/1
Presint 9, 62259 Putrajaya
Tel: 03-88880268
PUTRAJAYA

7. Klinik Kesihatan Putrajaya
No. 1, Jalan P9E, Presinct 9
62250, Putrajaya.
Tel: 03-88883057
PUTRAJAYA

8. Virus Research Division
1st Floor, Institute of Medical Research
Jalan Pahang, 50588 Kuala Lumpur.
Tel: 03-26986033
WP KUALA LUMPUR

9. The KL Clinic
Mezzanine Floor, East Wing
Rohas Perkasa, No. 9, Jalan P. Ramlee
50250 Kuala Lumpur
03-21660395 Faks 03-2181 3362
WP KUALA LUMPUR

10 Twin Towers Medical Centre KLCC Sdn. Bhd.
KLCC, Lot LC 402-404, Level 4
Suria KLCC, KL City Centre
50088, Kuala Lumpur.
Tel: 03-23823500, 03-23823577
WP KUALA LUMPUR

11. Klinik Kita
Lot F-23, First Floor City Point
Kompleks Daya Bumi
Jalan Sultan Hishamuddin, 50050, Kuala Lumpur.
Tel: 03-26989740, 03-26980740
WP KUALA LUMPUR

12. Hospital Angkatan Tentera Tuank Mizan
(Bhg. Kesihatan Primer–untuk anggota tentera sahaja)
No. 3, Jalan 4/27A, Section 2, Wangsa Maju,
53300 Kuala Lumpur
Tel: 03-4145 4200
WP KUALA LUMPUR

13. Klinik Yong
Tingkat 2, Wisma Maran
No. 28, Medan Pasar
50050 Kuala Lumpur
Tel; 03-20720808, Fax 03-20310487
WP KUALA LUMPUR

14. Drs Young Newton dan Rakan-Rakan
Level 1-01, Cape Square, Signature Office
No. 11, Persiaran Cape Square
Blok A, Capital Square
50100, Kuala Lumpur
Tel: 03 26982967
WP KUALA LUMPUR

15 Prince Court Medical Centre Sdn. Bhd.
39, Jalan Kia Peng
50450, Kuala Lumpur
Tel: 03- 21600000 ext 2984/3860
WP KUALA LUMPUR

16. Klinik Integral Occupational Health Services Sdn. Bhd.
Lot 2-05, Level 2 Menara HLA
No. 3 Jalan Kia Peng
50450, Kuala Lumpur
Tel: 03-21712882, Faks: 03-21712992
WP KUALA LUMPUR

17. Gleneagles Intan Medical Centre
Lot 286, Jalan Ampang
50450 Kuala Lumpur
Tel: 03-41413135, Faks 03-42552980
WP KUALA LUMPUR

18. Kuala LumpurSports Centre Sdn. Bhd.
7th Floor, Wisma Perintis
Jalan Dungun, Damansara Heights
50490 Kuala Lumpur
Tel: 03-20961033 Fax: 03-20961500
WP KUALA LUMPUR

19. Pejabat Kesihatan Johor Baru
Jalan Abu Samad, 80100 Johor Bahru, Johor.
Tel: 07-2224711, 07-2224818
JOHOR

20. Poliklinik Komuniti Beserah
Jalan Beserah, 26100, Kuantan
Negeri Pahang Darul Makmur
Tel: 09-5445633
PAHANG

21 Health Office
Divisional Health Department
Kucing Division,
Jalan Tun Zaidi Adruce
93150, Kucing, Sarawak.
Tel: 082-432563
SARAWAK

22. Health Office
Divisional Health Department
Sibu Division, 5th Floor
Wisma Persekutuan, Block 3
Persiaran Brooke, 96000 Sibu, Sarawak.
Tel: 084-315494
SARAWAK

23 Columbia Asia Medical Centre
Lot 1035-1039
Jalan Bulan Sabit, CDT 155
98009, Miri, Sarawak.
Tel: 085-437755
SARAWAK

24. Klinik Cheu SB
Lot 512, Pelita Commercial Centre
98000, Miri Sarawak
Tel: 085-438068, Fax: 085-43807
SARAWAK
25. Colombia Asia 21st Century Healthcare
Lot 3582, Block 26, Jalan Sri Ikhwan
Kemena Land District
Tanjung Kidurong
97000 Bintulu, Sarawak
Tel: 086-251888 Faks 086-252888
SARAWAK

26. Bintulu Medical Centre
Lot 6009, Block 31, Kemena Land District
97000 Bintulu, Sarawak.
Tel: 086-330333 Faks 086-330777
SARAWAK

27. Normah Medical Specialist Centre
Section 30 KTLD
Jalan Tun Abdul Rahman, Petra Jaya
93050, Kuching, Sarawak
Tel: 082-440055 Fax: 082-442600
SARAWAK

28. Klinik Kesihatan Luyang
Off, Jalan Lintas, 88300 Luyang,
Kota Kinabalu, Sabah
Tel: 088-715000
SABAH

29. Klinik Kesihatan Sandakan
KM 3.2 Jalan Utara
90500 Sandakan, Sabah
Tel: 089-225800
SABAH

30. Klinik Kesihatan Apas Balung
Batu 24, Jalan Apas
91008 Tawau, Sabah
Tel: 089-951029
SABAH

31. Klinik Wilayah (L) Sdn. Bhd.
U0391, Jalan Bunga Rambai
87069 Labuan
Tel: 087-413140 Fax:087-413146
WP LABUAN

REFERENCES ORGANIZATION/ SUPPORT
International Travel & Health, WHO 2012
International Health Regulations, 2005, WHO
Control of Communicable Diseases Manual, 18th Edition by David L. Heymann, MD,
Editor, 2004
http://travelhealth.co.uk/

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