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Deaths Tied to Yellow Fever Vaccine

WebMD Health News

July 13, 2001 -- Within the past five years, seven people who had been vaccinated against yellow fever ended up contracting the disease from the vaccine itself. Of those, six subsequently died, according to reports that raise new concerns about the safety of a 60-year-old, widely used vaccine required for travelers destined for parts of South America and sub-Saharan Africa.

Yet experts emphasize that these incidents remain extraordinarily rare when compared with the numbers of people who safely receive the vaccine. And they stress that the risks of getting yellow fever in high-risk areas of the world without immunization are far greater than the risk of any severe side effects from the vaccine.

"This is a safe vaccine," says Thomas Monath, MD. "All vaccines have some side effects and sometimes these are severe. It really shouldn't change the way we use the yellow fever vaccine."

Monath is vice president of research and medical affairs at Acambis, Inc., a Cambridge, Mass., biotechnology firm. He was an author of one of the reports that appear in the July 14 edition of the medical journal The Lancet.

Despite the assurances, the yellow fever cases have startled public health experts. And they have underscored yet again that there is no such thing as a perfectly safe vaccine.

Monath's report described a 5-year-old girl and a 22-year-old woman -- both in Brazil -- who developed symptoms of yellow fever within four days of being immunized. Those symptoms included headache, feeling unwell, and vomiting, symptoms that ultimately progressed to jaundice -- the yellowing of the skin characteristic of yellow fever -- and death.

A second report by researchers at the CDC in Atlanta described four similar cases in older Americans (over age 63) who received the vaccination prior to travel. Three of those cases resulted in death.

And a third "research letter" from physicians in Australia describes a 56-year-old Australian who developed symptoms of yellow fever within days of receiving the vaccination and died a week later.

So why did these particular individuals succumb -- and not the millions of others who have received the vaccine?

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