Vaccinations for travel: educate patients well and vaccinate enough

The yellow fever certificate is not always valid for life

"Since 2013, this applies Certificate for life"The vaccine does not need to be refreshed as it was every ten years." The exceptions for lifetime validity are the first vaccinations for children under two years of age, vaccinations during pregnancy, hematopoietic stem cell transplantation and HIV-infected persons. The latter should receive a booster dose after ten years. This can be given if the CD4 count is greater than 200 / μl. Since the viral load is very important, the injection should take place only when the suppression of the virus is reached.


The risk of being bitten by a rabid animal during the trip is about 0.4% per month of travel. There are often meetings with street dogs (60%) or monkeys (24%) leading to bites. So, it's no wonder that Asia list these injuries (75%), followed by Africa (9%) Central and South America (7%). The probability of catching the rabies virus is low. But only one in three gets after a bite of a suspicious animal, listed immunoglobulins.

Reduction to two vaccinations also possible in Germany

the Pre-exposure prophylaxis is simpler than expected: according to the WHO, vaccination requires only two doses of vaccine and the booster is only necessary if the occupational risk is high. However, German doctors are faced with the problem of the legality of their submission to the Paul Ehrlich Institute (PEI) and not to the WHO. And Prince Edward Island is based on product information from the manufacturer, who continue to provide three injections and, if necessary, the recall.

But it is possible to inform patients about the alternative scheme and to secure themselves with an additional document. Rothe. She referred to an opinion of the Standing Committee on Travel Medicine of the German Society for Tropical Medicine and International Health.

Source: 7th Infectious Disease Update Seminar