Introduction
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Introduction
Vaccination of the persons proceeding abroad and issuance of International Health Certificate under the provisions of International Health Regulation of WHO.

Immunization Guide Lines
|
Category |
Vaccine |
|
1. Routine vaccination |
Diphtheria/Tetanus/Pertussis (DTP) |
|
2. Selective use for travellers |
Cholera |
|
3. Mandatory vaccination |
Yellow fever (for protection of vulnerable countries) |
a OPV = oral poliomyelitis vaccine; IPV = inactivated poliomyelitis vaccine.
Cholera :
· The requirement for an International Certificate of cholera vaccination was removed from the International Health Regulations.
Smallpox :
· WHO declared on 8th May 1980 that smallpox had been eradicated. Smallpox vaccination is therefore is no longer justified. It may even be dangerous.
M.M.R :
· M.M.R. Vaccination for Measles, Mumps and Rubella.
· Should be taken in two doses with an interval of minimum period of one month.
· After second dose as per guidelines – certificate is valid for life time.
Yellow fever :
· Mandatory vaccination against yellow fever is carried out to prevent the importation of yellow fever virus into vulnerable countries. These are countries where yellow fever does not occur but where the mosquito vector and non-human primate hosts are present. Importation of the virus by an infected traveller could potentially lead to the establishment of infection in mosquitoes and primates, with a consequent risk of infection for the local population. In such cases, vaccination is an entry requirement for all travellers arriving from countries, including airport transit, where there is a risk of yellow fever transmission. If yellow fever vaccination is contraindicated for medical reasons, a medical certificate is required for exemption.
· The International Certificate of vaccination or revaccination against Yellow fever is valid only if the vaccine used has been approved by the World Health Organization and if the vaccinating center has been designated by the Health administration for the territory in which that center is situated.
· The validity of this certificate shall extended for period of ten years, beginning ten days after the date of vaccination or, in the event of a revaccination within such period of ten years, from the date of that revaccination.
· This certificate must be signed by in his own hand by a Medical practitioner or other person authorized by the National Health Administration; his official stamp is not an accepted substitute for his signature.
· Any amendment of this certificate, or erasure, or failure to complete any part of it, may render it invalid.

Meningitis :
·
Vaccination against meningococcal disease is required by Saudi
Arabia for pilgrims visiting Mecca annually (Hajj) or at any time (Umrah).
Following the occurrence of cases of meningococcal disease associated with N.
meningitides W-135 among pilgrims in 2000, the current requirement is for
vaccination with tetravalent vaccine (A, C, Y and W-135). Vaccine requirements
for Hajj pilgrims are issued each year and published in the
Weekly epidemiological record.
Typhoid :
· Purified Vi polysaccharide Typhoid vaccine.
· Immunization of Adults & children over two years age.(WHO TRS 840,1994)
· Protection after two weeks from date of immunization.
· Valid for three years.
Contraindications : (Not advised in the presence of fallowing conditions)
· Egg allergy; immunodeficiency from medication, disease or symptomatic HIV infection; hypersensitivity to a previous dose; restrictions in pregnancy; Any active infection; Lactating (feeding ) mother.
Vaccination in pregnancy
|
Vaccine |
Use in pregnancy |
Comments |
|
BCGa |
No |
sdf |
|
Cholera |
sdf |
Safety not determined |
|
Hepatitis A |
Yes, administer if indicated |
Safety not determined |
|
Hepatitis B |
Yes, administer if indicated |
sdf |
|
Influenza |
Yes, administer if indicated |
In some circumstances, consult a physician |
| Japanese encephalitis |
sdf |
Safety not determined |
| Measlesa |
No |
sdf |
| Meningococcal disease |
Yes, administer if indicated |
sdf |
|
Mumpsa |
No |
sdf |
|
Poliomyelitis |
|
|
|
Rubellaa |
No |
sdf |
|
Tetanus/diphteria |
Yes, administer if indicated |
sdf |
|
Rabies |
Yes, administer if indicated |
sdf |
|
Typhoid Ty21a |
sdf |
Safety not determined |
|
Varicellaa |
No |
sdfsdf |
|
Yellow fevera |
Yes, administer if indicated |
Avoided unless at high risk |
· a Live vaccine – to be avoided during pregnancy
Vaccination for International Travellers from INDIA
Vaccines for travellers include: (1) those that are used routinely, particularly in children; (2) others that may be advised before travel; (3) those that, in some situations, are mandatory. Most of the vaccines that are routinely administered in childhood require periodic booster doses throughout life to maintain an effective level of immunity. Adults in their country of residence often neglect to keep up the schedule of booster vaccinations, particularly if the risk of infection is low. Some older adults may never have been vaccinated at all. It is important to realize that diseases such as diphtheria and poliomyelitis, which no longer occur in most industrialized countries, may be present in those visited by travellers. Pretravel precautions should include booster doses of routine vaccines if the regular schedule has not been followed, or a full course of primary immunization for people who have never been vaccinated.
M M R vaccination
USA, AUSTRALIA & CANADA ( Mandatory for those born after 1957 )
Yellow fever vaccination
· Mandatory for all travellers to endemic zones.
· Mandatory for above 9 months of age.
· Yellow fever vaccine charges –
Rs.200-/ (Excluding service charges)
· Yellow fever vaccine given only on
Tuesday.
African countries
ANGOLA, BARKINAL FAED, BENIN, BURINDI, CAMEROON,
CENTRAL AFRICAN REPUBLIC, CHAD, COTE D’LVOIRE,
CONGO, DEMOCRITIC REPUBIC OF CONGO, EQUATORIAL
GUINEA, ETHOPIA, GABON, GAMBIA, GHANA, GUINEA,
GUINEA BISSAU, KENYA, LIBERIA, MALI, MAURITANIA, NIGAR,
NIGERIA, RAWANDA, SAO TOME PRICIPE, SENEGAL, SOMALIA,
SUDAN, TOGO, UNITED REPUBLIC OF TANZANIA, UGANDA .
South American countries
BOLIVIA, BRAZIL, COLMBIA, ECUADOR, FRENCH GUIANA, GAYANA, PANAMA, PERU, SURINAM, VENEZUELA.
Typhoid vaccination
U.A.E. (ABUDABI, DUBAI, SHARJAH), BAHRIN. CHINA, IRAN, IRAQ, ISRAIEL, JAPAN, KUWAIT, MUSQUTT, OMAN, PAKISTAN, SINGAPOOR & ALL EUROPEAN COUNTRIES.
Meningitis vaccination
SAUDI ARABIA (RIYADH, JEDDAH).
Optional vaccination:
DT, Hepatitis, Meningitis & Vericella.
P.P.D. Skin test
Requirements
· All Travellers has to get their ORIGINAL PASSPORT at the time of Immunization. (International Certificate of vaccination)
Working Hours
· 10.30 A.M. to 4. 30 P.M (1.00 P.M. to 2.00 P.M.Lunch)
On all Andhra Pradesh State Government Working days.
Service charges
· Rs. 50-/ as service charges collected from each International traveller.
· For Yellow fever vaccination (provided by the center) Rs. 200-/ For each dose.