When traveling abroad, INC can help you plan ahead on vaccines that are recommended or required based on your travel itinary. INC has a highly trained and educated staff that evaluate your needs and administer vaccinations under the oversight of our medical director. There is also a health assessment and consultation that teaches you how to keep healthy and safe while traveling abroad.

 At INC we are up to date on current health threats, travel advisories, and disease out-breaks publicized by the Center for Disease Control.

 Many of the vaccinations you may receive before traveling must be administered in a two, three, or four part series. For this reason, it is important to plan your appointment within a couple months prior to traveling, to be sure that you are fully protected against diseases while away.


Yellow Fever Outbreak in Rural Brazil
On March 9, 2017, CNN reported an outbreak of yellow fever in the rural areas of Brazil. Experts from the New England Journal of Medicine say that the outbreak is raising concerns that the disease could jump borders and pass into the US, much like the Zika outbreak, which first emerged from Brazil in 2015.

Dr. Anthony Fauci, director of National Institute of Allergy and Infectious Diseases, says that while the likelihood of yellow fever outbreaks in the US is low “travel-related cases of yellow fever could occur, with brief periods of local transmissions in warmer regions such as the Gulf Coast states.” Dr. Fauci also says that an era of increased international travel, any marked increase in domestic cases in Brazil increases the chances of travel-related cases.

As of March 2, the virus has already killed an estimated 220 people, according to the Pan American Health Organization (PAHO); the PAHO has also confirmed 326 cases and suspect another 916. The fatality rate for this outbreak is 33% for confirmed cases and 11% for suspected cases. The outbreak began in December 2016 in rural areas of Brazil, mainly clustered on the eastern side of Brazil, in the states of Minas Gerais, Espírito Santo and São Paulo; though a few clusters have been reported nearer to urban centers including Rio de Janeiro where there are denser communities and fewer yellow fever vaccinations. This proximity to densely populated urban centers raises the concern that there could be an urban transmission of yellow fever in Brazil for the first time in decades.


Like Zika, mosquitos spread yellow fever, though different species are reported carrying the virus, the Haemagogus and Sabethes mosquitos, and though it has not been reported in this current outbreak, the Aedes aegypti mosquito, which carries the Zika virus, is capable of carrying yellow fever. Unlike Zika, there is a vaccine for yellow fever. The vaccine provides up to a 99% lifetime immunity to the virus, however it takes a long time to produce and there is a low supply due to a yellow fever outbreak in Angola and the Democratic Republic of Congo in 2016, which exhausted the world’s emergency vaccine stockpile. In light of this shortage, use insect repellant and wear thick, long sleeved clothing and sleep in screened or air-conditioned rooms as much as possible when travelling. – AHNA


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