title: Travel characteristics and yellow fever vaccine usage among US Global TravEpiNet travelers visiting countries with risk of yellow fever virus transmission, 2009-2011.
abstract: Yellow fever (YF) vaccine-associated serious adverse events and changing YF epidemiology have challenged healthcare providers to vaccinate only travelers whose risk of YF during travel is greater than their risk of adverse events. We describe the travel characteristics and YF vaccine use among US travelers visiting Global TravEpiNet clinics from January of 2009 to March of 2011. Of 16,660 travelers, 5,588 (34%) had itineraries to areas with risk of YF virus transmission. Of those travelers visiting one country with YF risk (N = 4,517), 71% were vaccinated at the visit, and 20% were presumed to be immune from prior vaccination. However, travelers visiting friends and relatives (odds ratio [OR] = 2.57, 95% confidence interval [95% CI] = 1.27-5.22) or going to Nigeria (OR = 3.01, 95% CI = 1.37-6.62) were significantly more likely to decline vaccination. To optimize YF vaccine use, clinicians should discuss an individual's risk-benefit assessment of vaccination and close knowledge gaps regarding vaccine use among at-risk populations.
authors: Emily S
authors: ES
authors: Jentes
authors: Pauline
authors: P
authors: Han
authors: Mark D
authors: MD
authors: Gershman
authors: Sowmya R
authors: SR
authors: Rao
authors: Regina C
authors: RC
authors: LaRocque
authors: J Erin
authors: JE
authors: Staples
authors: Edward T
authors: ET
authors: Ryan
authors: The Global TravEpiNet Consortium
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D005260:Female; D033062:Friends; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged; D009549:Nigeria; D010342:Patient Acceptance of Health Care; D018570:Risk Assessment; D014195:Travel; D057236:Travel Medicine; D014611:Vaccination / Q000009:adverse effects / Q000706:statistics & numerical data; D015004:Yellow Fever / Q000453:epidemiology* / Q000517:prevention & control / Q000635:transmission*; D022341:Yellow Fever Vaccine / Q000008:administration & dosage / Q000009:adverse effects*; D015005:Yellow fever virus / Q000276:immunology; D055815:Young Adult
chemical_list: D022341:Yellow Fever Vaccine