Check Study Program

#Antimalarials_Pregnancy

#Malaria_Risk_Pregnancy_Newborn

#Malaria_Pregnancy

Considering the now lifelong validity of the ICVP for yellow fever for life, there are still some situations where a yellow fever booster dose is recommended. Women who were pregnant when receiving their initial vaccination should receive a booster prior to next visiting a yellow fever risk area. This is because immunological function might vary in pregnancy and the proportion of women who become yellow fever immunoglobulin G positive varies from 39% to 98% in various studies. #Yellow_Fever_Booster

The ICVP: • becomes valid 10 days after the date of vaccination • on 11 July 2016, the duration of validity of the ICVP for yellow fever changed from 10 years to the ‘life of the person vaccinated’ following amendment of Annex 7 of the IHR 2005 (www.who.int/publications/i/item/9789241580496). #ICVP_Vaccination_Certificate

#Yellow_Fever_Vaccination_Decision

#Yellow_Fever_Vaccination_Decisionmaking

#Yellow_Fever_Vaccine_Pregnancy

In general, precautions to an individual receiving yellow fever vaccination are: • age >60 years • HIV infection with a CD4 count >200 cells/mm3 • pregnancy • breastfeeding infants aged <nine months • haemopoietic stem cell recipients(24monthspost-transplant). These sources might have some variation in the list of precautions, but pregnancy is always included in all. It is important to note here that pregnancy is a precaution, not a contraindication, to yellow fever vaccine. #Yellow_Fever_Vaccine_Precautions

#Yellow_Fever_Vaccination

The WHO recommends that all travellers to polio-affected areas should be fully vaccinated against polio. Residents from infected areas (and visitors travelling to affected regions for more than four weeks) should receive an additional dose of oral poliovirus vaccines (OPV) or inactivated polio vaccine (IPV) within four weeks to 12 months of leaving the outbreak country. The Australian immunisation handbook recommends vaccination for travellers to areas or countries where polio is epidemic (outbreaks) or endemic.2 Boosters should be given to all adults visiting these high-risk countries. #Polio_Traveller

#Typhoid_Vaccine_Pregnancy

#Travel_Pregnancy_Hx

Amy, aged 27 years, is a registered nurse and midwife, and is pregnant for the first time. She is 15 weeks pregnant and is planning to visit Kenya and Uganda on an organised tour to visit the gorillas when she is 18 weeks pregnant. The tour is for 16 days, on an overland truck, and involves camping in tents. It begins in Nairobi and travels northwest through Lake Nakuru and Eldoret and into Uganda. The tour then goes through Kampala to Kalinzu Forest National Park and Queen Elizabeth National Park in the west of the country. Trekking is required uphill to see the gorillas in both parks. The tour then skirts the top of Lake Victoria, back into Kenya and then to Masai Mara National Reserve for game drives. The tour ends in Nairobi. 1.What history would you seek from Amy? 2.What vaccinations does Amy need for her upcoming trip? 3.What are the risks of giving yellow fever vaccine in pregnancy? 4.What is the risk of Amy contracting yellow fever during her two-week stay? 5.What are the risks if Amy were to get malaria while pregnant? 6.What antimalarial medications can be recommended for pregnant women? 7.What advice would you give to Amy to stay healthy while abroad? 8.What advice would you give to Amy to stay healthy while abroad? 9.Is it safe for Amy to travel while pregnant? #Week12_Case5

#Syphilis_Secondary_Rash

#Syphilis_Pregnancy

#Syphilis_Treatment

#Syphilis_Staging