Bonjour,
Voici une info concernant la fièvre jaune qui pourra intéresser certains, parue dans un bulletin professionnel suisse( Infovac)
1. Du côté des autorités : L’O.M.S. a annoncé sa conclusion que les rappels de vaccins contre
la fièvre jaune ne sont plus nécessaires (lien : SAGE/WHO recommandations fièvre jaune).
Cette conclusion est basée sur :
- l’extrême rareté des échecs vaccinaux (12 cas connus dans le monde sur 600 millions de
doses de vaccin distribuées), survenus dans les 5 ans suivant la vaccination - donc sans faire
suspecter de perte d’immunité avec le temps (échec vaccinal primaire plutôt que secondaire);
- la persistance d’anticorps neutralisants pendant des dizaines d’années ;
- la démonstration de l’induction efficace d’une immunité cellulaire forte, capable
d’interrompre la réplication virale et donc de protéger même après la disparition des anticorps.
Le Comité Suisse d’experts en médecine des voyages a annoncé son intention de suivre cette
recommandation et de ne plus recommander de rappels tous les 10 ans que pour les voyageurs à
destination de pays où la vaccination contre la fièvre jaune est obligatoire. En pratique, les
médecins autorisés à vacciner contre la fièvre jaune continueront à vacciner les voyageurs
tous les 10 ans pour les pays qui exigent encore une vaccination obligatoire tous les 10
ans, y compris les pays de transit (T1 et T2) inclus dans la liste publiée régulièrement par
l’O.F.S.P. Les vaccinations de rappel ne seront plus effectuées pour les pays où la
vaccination est recommandée mais pas obligatoire (une dose suffisante). Cette décision
devrait devenir officielle d’ici quelques semaines (dès sa publication dans le bulletin de l’O.F.S.P.).
En pratique: Pas beaucoup de changement pour le moment, l'avis des experts de l'OMS est consultatif, le Réglement Sanitaire International n’est pas (encore) modifié, ça prendra sûrement du temps si c’est envisagé, puis avant que les pays concernés changent leur réglementation et leurs contrôles...
La vaccination pour les pays qui l'exigent reste donc nécessaire, sinon risque de refus d'entrée ou de vaccination "sauvage" tarifée à l'arrivée, avec un vaccin de qualité inconnue et dans les conditions d'hygiène douteuses...
L'attitude pourrait changer pour des personnes qui se rendraient dans des pays où la vaccination n'est que "recommandée" , ce sans aucun transit ou passage envisagé dans un pays qui l'exige, ce qui ne représente pas une population importante des centres de vaccinations internationales.
Je viens de faire mon 4ème vaccin FJ 🙁, alors que nous savons depuis longtemps que l'immunité dépasse largement les 10 ans. Un avantage est que comme il s'agit d'un vaccin vivant, ce rappel est très bien toléré 😉
La vaccination pour les pays qui l'exigent reste donc nécessaire, 😉
Bonsoir,
C'est bien ce que dit ce texte, là où les reglèments internationaux l'exigent on vaccine et on fait le rappel si > 10ans, c'est seulement pour les pays où la vaccination n'est que conseillée qu'on en reste à 1 dose, même si > 10 ans
Tu as raison , mais cela est un peu complexe pour le voyageur, et notre attitude est de ne pas compliquer les choses, tant que le RSI n'a pas évolué, pour éviter des erreurs d'interprétation et des gens qui se retrouvent face à des attitudes locales rigides dans les pays d'arrivée (vaccination ou refus d'entrée), sur lesquelles il est impossible d'agir (souviens-toi du problème de Zanzibar)
Ce ne sont d'ailleurs pas les règlements internationaux qui posent les exigences, mais chaque pays qui en est libre (tout comme d'accepter ou de refuser les certificats médicaux de contre-indication)
mais cela est un peu complexe pour le voyageur, et
Bonsoir,
oui je suis d'accord, c'est pour cela que j'ai précisé qu'il s'agissait d'une information professionnelle, que j'ai reçue ce matin. Mais je me suis dit que cela pouvait intéresser , surtout en ces temps où les vaccins ont parfois mauvaise presse et que l'on oublie toutes les vies qu'ils ont sauvées, d'aucuns serons contents de voir qu'ils peuvent-selon leur destination- s'en tenir à 1 seule dose
L'organisation mondiale de la santé préconise dorénavant le vaccin de la fièvre jaune pour tous transitaires en zambie. C'était jusqu'à présent obligatoire…
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Hi there,
Does anyone know if there’s travel insurance for someone who’s had a heart attack?
I can’t find an insurer that covers a pre-existing condition, even if it’s stable.
Thanks so much!
Hi everyone, next month my wife, our 6-year-old daughter, and I are flying to Thailand. It’ll be a great chance to soak up some sun—something we’ve been missing lately here in France! But speaking of sun, I burn easily, and our daughter even more so. I was wondering what SPF to get for sunscreen and whether it’s better to buy it there or before we leave? Thanks for your tips!
Hello,
We’re planning to spend 3 months in Madagascar starting in mid-February.
Areas: Mahajanga, Tulear, Diego Suarez, and Sainte Marie—the order isn’t set yet. We’ll either drive for part of the trip or take flights.
We’ve heard all sorts of things about required vaccines and medications (is anti-malarial mandatory?). What’s the exact situation for travelers?
I’ll come back to you for other topics (like finding a reliable driver, among others).
Thank you.
Best wishes to you all,
Nicole
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I'd love to hear from people who've been on organized trips to this destination and could share their experience. We were thinking of taking Malarone around 7:30 PM, assuming dinner would be closer to 7 PM than 6 PM. Also, if the meal ends up being earlier or later than when we take the pill, would a cookie or a piece of bread be enough to take with Malarone?
I’m planning to set off on a "round-the-world" trip/long journey at the start of next year, lasting between 4.5 and 6 months. For now, the itinerary looks like this: South Korea (2 weeks) -> Japan (1 month) -> New Zealand (1 month) -> Argentina (1 month) -> United States (1 month).
I’m on medication (paroxetine 20 mg/day) and was hoping to bring enough for the entire trip so I wouldn’t have to find a doctor on the spot, deal with a molecule that might be slightly different from what’s available in France, or wonder if that’s even a possibility. Basically, it seemed simpler on paper...
But after looking into the regulations for each country, it’s suddenly way less simple . Many seem to only allow the amount corresponding to the length of your "stay" in the country... Which is a problem if I arrive in Korea with 4.5 months’ worth of medication, for example.
After all that, and even though I’ll obviously contact the relevant authorities in each country (fingers crossed for a response 😛), here’s my question:
Has anyone here had any experience with this? (Even if it’s a different medication or different countries, any input would be helpful!)
I’m trying to plan a trip to Dubai with my mom. I’ve seen that some of our medications require prior authorization (sleeping pills, codeine, anti-anxiety meds, etc.).
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I’m starting a new discussion on this topic since there doesn’t seem to be a recent one.
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I'm currently in Bangkok: How can I find a good doctor for a consultation? It's for a friend who'd like a second medical opinion compared to what they got in their country of residence.
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I’ve already visited quite a few countries across several continents, but I’m pretty new to Asia.
I’m planning a trip to Thailand in October or November, and I wanted to check about health precautions: malaria treatment, vaccinations (hepatitis A or others...).
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Hi there,
I was wondering if anyone is heading to Cuba soon and could bring me some over-the-counter Sildenafil (viagra) tablets—available at Varadero Airport, among other places.
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Hi,
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For several years now, increased aggression has been observed in Cape fur seals.
At least 70 unprovoked attacks on humans.
It was recently confirmed that this is due to rabies.
The suspected origin is contamination in Namibia by jackals.
The contagion seems to be spreading.
Preventive vaccination (of the animals) is being considered.
Just a reminder:
Rabies affects all mammals.
Once symptoms appear—sometimes weeks or even months later—death is inevitable.
It’s the bite that transmits the disease.
There are so-called "furious" forms with aggression, but also forms without aggression.
In case of a bite, in addition to standard wound care, tetanus prevention… rabies prevention is essential.
Stay careful out there…
Seeing seals from a boat along the coast isn’t rare in these parts…
I need 2 dental implants and I'd like to get them done abroad (it's a question of price).
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Hello,
I’m looking for a dentist who can do a full lower-arch implant with a complete prosthesis. I’m in Quebec and available to travel to Cuba. Need full contact details. Thanks everyone!
My current plan is to get my teeth treated in Cuba, especially for dental implants.
Has anyone here had experience and could refer me to a good, affordable dentist?
I’d really appreciate it if you could give me an idea of the price for one implant, since I need at least 6 done.
Thanks so much!
