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Saturday, October 25 2014 @ 09:20 AM EDT

Yellow Fever Vaccination - It's A Real Requirement

Healthcare

By DON WINNER for Panama-Guide.com - It now begins to appear that in fact Panama will required Yellow Fever vaccinations for anyone entering the country. Of course there are exceptions for the very young or for those who the shot is not recommended for medical reasons, but those people are going to have to show basically a note from their doctor excusing them from the requirement. After I sent out a quick query this morning I started to receive additional information from several sources. It seems that the Panamanian Ministry of Health (MINSA) issued a notification 089-DE/0091-DGS/MS stating that they will begin to enforce the requirement on Wednesday, 1 October 2008. (more)

People Are Already Going To Be Screwed: This requirement takes effect on 1 October 2008, in four days. The shot takes ten days to take effect. So, if you don't already have the shot and you're holding tickets, you might not be allowed to travel. You can expect a significant degree of confusion to reign until standard procedures are established.

In Colombia: This came from Noticias RCN in Colombia:

  • Panama will begin to demand a Yellow Fever vaccination certificate from travelers.

  • The measure adopted by the Republic of Panama governmental, airport and sea port authorities, and health authorities will take effect on Wednesday, 1 October 2008.

  • According to an official press release presented by Panamanian authorities, “all travelers coming (into Panama) from countries where there is a risk of Yellow Fever transmission, according to the list published by the World Health Organization, who wish to enter the country must be properly vaccinated against this disease.”

  • The press release adds that "should any passenger arrive in the country without such accreditation, they will be returned to the country where they came from by the airline that carried them here."

  • The vaccine can be applied free of charge in airports and ground terminals in Colombia. The shot is good for ten years, but it will have to be applied at least ten days before arriving in Panama.

Mostly To Protect Panama: The governmental authorities in Panama are taking these measures to reduce the likelihood of someone who has been infected in their home country of bringing the disease here. From the looks of things travelers from the United States and Canada are not going be needing the Yellow Fever shot to visit Panama. However, I took a look at the World Health Organization's website about Yellow Fever, and if you go to Costa Rica then they might require you to have the shot in order to come back in. Take a look at the following two graphics:





Selective Requirement: So, according to the press release, “all travelers coming (into Panama) from countries where there is a risk of Yellow Fever transmission, according to the list published by the World Health Organization, who wish to enter the country must be properly vaccinated against this disease.” Anyone wanted to enter Panama from any of the countries shaded in blue above will probably have to be vaccinated.

The Onus is On the Airlines: Panama has apparently made it clear that if the airlines allow a passenger to board a plane and fly to Panama who has not been property vaccinated, then that passenger will be returned to their country of origin at the expense of the carrier. Much of the material that's being forwarded to me is coming in the form of press releases and announcements from airlines who are trying to get the word out to their passengers. The airlines will probably begin to screen passengers at the ticket counter and if you don't have the shot then you can't get on the plane.

Ten Day Incubation Period: Also, you can't just get the shot at the airport and be on your merry way. The shot has to have been administered at least ten days prior to your arrival in Panama or you will be denied entry to Panama.

To Get Your Shot Here: Go to the "International Immunization Center" in the Metropolitan Regional Health Center located in Corozal on the road leading to the Miraflores locks in the old IDAAN building. Due to the anticipated increase in demand for the shot they have increased their operating hours and will now be open Monday through Friday from 7:30 am to 12:00 noon, and then from 1:00 pm to 3:00 pm. The cost for the shot is $5.00 bucks. Phone numbers are 512-6600 and 512-6666.

A Requirement To Leave: The MINSA document also requires anyone who is leaving Panama and flying to a country that is on the list will also require a vaccination. So, if you want to fly to Costa Rica or Colombia or Peru then you will need the shot (or they might not let you travel.)

From Avianca: This was sent out by Avianca on this same subject. It's in Spanish and I'm not going to translate it but you can feel free to do so if the spirit moves 'ya. It basically says the same thing as this article just with more detail:

  • Panamá, 22 de Septiembre de 2008
  • Para: Agencias de Viajes
  • De: Gerencia de Ventas
  • Asunto: Vacuna de la Fiebre Amarilla
  • Por este medio me permito informarles que por disposición de el Ministerio de Salud de acuerdo a circular 089-DE/0091-DGS/MS a partir del 01 de Octubre de 2008 se exigirá a todo viajero procedente de países en riesgo de fiebre amarilla de acuerdo al listado adjunto publicado por la Organización Mundial de la Salud y que ingresen al país la respectiva vacuna de la Fiebre Amarilla.
  • Esta normativa aplicará a los siguientes viajeros:
  • 1. Todo nacional en Panamá que viaje a países en riesgo, debe estar vacunado contra la fiebre amarilla.
  • 2. Para certificar la vacunación se debe cumplir con los siguientes requisitos:
  • a. Tener el Certificado Internacional de Vacunación o Profilaxis
  • b. Vigencia a 10 años
  • c. Haberse vacunado al menos 10 días antes de llegar al país, con las excepciones conocidas.
  • 3. Indicaciones de vacunación contra la fiebre amarilla
  • a. Niños de un año de edad en adelante o adultos que vivan o viajen a países en riesgo de transmisión de fiebre amarilla.
  • b. Para residentes de nuestro país y extranjeros que deseen visitar las áreas de las Regiones de Salud de Darién, San Blas y Panamá Este.
  • c. Para viajeros internacionales y nacionales que deseen viajar a países en riesgo de transmisión de fiebre amarilla, es obligatorio que todos sean vacunados 10 días antes del ingreso al país o lugar a visitar para que su certificado sea válido ante las autoridades internacionales.
  • 4. Contraindicaciones:
  • a. Personas con enfermedades febriles agudas, con compromiso de estado general de salud.
  • b. Personas afectadas de Inmunodeficiencias secundarias (leucocis, linfomas, procesos neoplásticos) o en terapia de larga evolución con corticoides, antineoplásticos o radioterapia, así como en personas afectadas de infección por VIH.
  • c. Niños menores de 6 meses de edad.
  • d. Hipersensibilidad al huevo de gallina y sus derivados o proteínas de aves.
  • e. Embarazadas, salvo en situaciones de emergencias epidemiológicas, siguiendo recomendaciones expresas de las autoridades de salud.
  • f. Individuos con antecedentes de hipersensibilidad a la kanamicina y/o eritromicina.
  • 5. Precauciones:
  • a. Gestantes, salvo que se haya cumplido el sexto mes de embarazo y requiera viaje inminente e imposible de diferir en el tiempo a áreas en riesgo de transmisión de fiebre amarilla o ser contacto próximo de caso confirmado y siempre con justificación epidemiológica.
  • b. Los vacunados de cólera deben esperar para recibir la vacunación antiamarilla tres semana, pues de lo contrario el título de anticuerpos obtenido será muy bajo.
  • c. La vacuna puede ser aplicada simultáneamente con otras vacunas. Si usted ha sido vacunado recientemente con cualquier otra vacuna, usted debe completar 4 semanas, para poder vacunarse contra la fiebre amarilla, salvo por excepción epidemiológica efectuada por las autoridades de salud.
  • d. Quienes hayan recibido la vacuna en los 10 años anteriores, pues la duración de los títulos protectores eficaces alcanza 10 años.
  • e. Cuadro febril agudo.
  • f. Alergia tipo anafiláctico a algún componente vacunal.
  • g. Si se tiene que certificar estas contraindicaciones para viajeros, se realizará en texto español, e inglés, explicando la razón clínica de la excepción.
  • h. Se recomienda esperar 15 días después de la interrupción de una corticoterapia.
  • i. Se debe especificar como aclaración, que la cloroquina no impide la buena eficacia vacunal.
  • 6. Certificación de contraindicaciones para viajeros: Los médicos tratantes a solicitud de los pacientes o por su expresa solicitud, deberán presentar un texto en español e inglés que explique la razón clínica u otra de la excepción de la vacunación dirigida la directora Regional de Salud con copia al Epidemiólogo Regional de Salud, el Director Regional a su vez confeccionará nota al o las autoridades de salud correspondientes, establecidas por la ley: Autenticación por la Dirección General de Salud, Ministerio de Relaciones Exteriores y la del Consulado respectivo del o los países a donde se va a viajar.
  • 7. El esquema de vacunación del país solo exige vacunación a los niños mayores de un año de edad.
  • 8. En lo relativo a la Certificación de contraindicaciones de la vacunación antiamarílica para viajeros nacionales. Los médicos tratantes a solicitud de los pacientes o por su expresa solicitud, deberán presentar un texto en español e inglés que explique la razón clínica u otra de la excepción de la vacunación; la nota debe ser dirigida al Director Regional de Salud con copia al Epidemiólogo Regional, el Director Regional a su vez confeccionará nota para su autenticación a la Dirección General de Salud, Ministerio de Relaciones Exteriores y el Consulado del país respectivo a donde se va a viajar.
  • 9. La normativa expresada en los puntos anteriores no aplica para los viajeros en tránsito: Aplica para aquellos países que no están ingresados en la lista de Países con Riesgo de Transmisión de Fiebre Amarilla. (Revisar Adjuntos).
  • Adicional a esta normativa señalamos dos aspectos de interés:
  • • Los pasajeros que no cumplan con la normativa de vacunación contra la fiebre amarilla establecida en este documento deberán ser devueltos al país de donde proceden, por la compañía aérea que lo trajo al país.
  • • Se concede plazo de gracia hasta el 01 de Octubre de 2008 para la implementación de esta normativa.
  • • Es necesario que de manera urgente e inmediata se divulguen nuevamente estas medidas a la población general y a nuestros representantes en el extranjero para asegurar su cumplimiento en beneficio de la salud pública nacional. Además, se solicita a todas las líneas aéreas su participación en el cumplimiento de las normas y al personal de salud, su aplicación en todos los puntos de entrada del país.
  • Finalmente deseamos informarles que el servicio de vacunación lo está prestando la Regional Metropolitana de Salud todos los días de 7:30 a.m. – 12:00 m.d. y de 1:00 p.m. – 3:00 p.m., tiene un costo de USD5 y están ubicados en Corosal, antiguo IDAAN, teléfonos 512-6600/6666.
  • Atentamente,
  • Ivette Torres
  • Gerente de Ventas
  • LISTADO DE PAISES CON RIESGO DE TRANSMISIÓN DE FIEBRE AMARILLA
  • PAÍSES 1 ANGOLA 24 GUYANA 2 ARGENTINA 25 KENYA 3 BENIN 26 LIBERIA 4 BOLIVIA 27 MALI 5 BRAZIL 28 MAURITANIA 6 BURKINA FASO 29 NIGER 7 BURUNDI 30 NIGERIA 8 CAMEROON 31 PANAMÁ 9 REPUBLICA CENTRAL AFRICANA 32 PARAGUAY 10 CHAD 33 PERU 11 COLOMBIA 34 RWANDA 12 CONGO 35 SAO TOME AND PRINCIPE 13 REPUBLICA DEMOCRATICA DEL CONGO 36 SENEGAL 14 COTE DÍVOIRE 37 SIERRA LEONE 15 ECUADOR 38 SOMALIA 16 GUINEA ECUATORIAL 39 SUDAN 17 ETIOPIA 40 SURINAME 18 GUYANA FRANCESA 41 TOGO 19 GABÓN 42 TRINIDAD AND TOBAGO 20 GAMBIA 43 UGANDA 21 GHANA 44 REPÚBLICA UNIDA DE TANZANIA 22 GUINEA 45 VENEZUELA 23 GUINEA-BISSAU
  • Nota: Este listado es publicado por la OMS y se puede obtener en la siguiente dirección electrónica: http//www.who.int/countries/vaccination/en/index.html
  • LISTADO DE PAÍSES QUE SOLICITAN VACUNACIÓN CONTRA LA FIEBRE AMARILLA A LOS VIAJEROS INTERNACIONALES QUE PROCEDEN DE PAÍSES CON RIESGO DE TRANSMISIÓN DE FIEBRE AMARILLA PAISES 1 AFGHANISTAN 57 MALAYSIN 2 ALBANIA 58 MALDIVES 3 ALGERIA 59 MALTA 4 ANGUILLA 60 MAURITANIA 5 ANTIGUA Y BARBUDA 61 MAURITIUS 6 AUSTRALIA 62 MONSERRAT 7 BAHAMAS 63 MOZAMBIQUE 8 BAHRAIN 64 MYANMAR 9 BANGLADESH 65 NAMIBIA 10 BARBADOS 66 NAURU 11 BELICE 67 NEPAL 12 BHUTAN 68 ANTILLAS HOLANDESAS 13 BOLIVIA 69 NUEVA CALIDONIA 14 BOTSWANA 70 NICARAGUA 15 BRAZIL 71 NIGERIA 16 BRUNEI DANUSSALAM 72 NIUE 17 CAMBODIA 73 OMAN 18 CAPE VERDE 74 PAKISTAN 19 CHAD 75 PALAU 20 CHINA 76 PANAMÁ 21 CHRISTMAS ISLAND 77 PAPUA NUEVA GUINEA 22 COSTA RICA 78 PARAGUAY 23 DJIBOUTI 79 FILIPINAS 24 DOMINICA 80 ISLAS PITCAIRM 25 ECUADOR 81 REUNIÓN 26 EGIPTO 82 SANTA ELENA 27 EL SALVADOR 83 SAINT KITTS AND NEVIS 28 GUINEA ECUATORIAL 84 SANTA LUCIA 29 ERITREA 85 SAINT VINCENT AND THE GRENADINES 30 ETIOPIA 86 SOMOA 31 FIJI 87 ARABIA SAUDITA 32 POLINESIA FRANCESA 88 SENEGAL 33 GAMBIA 89 SEYCHELLES 34 GRENADA 90 SIERRA LEONA 35 GUADALUPE 91 SINGAPORE 36 GUINEA 92 ISLA SOLOMON 37 GUINEA-BISSAU 93 SOMALIA 38 GUYANA 94 SUR AFRICA 39 HAITÍ 95 SIRI LANKA 40 HONDURAS 96 SUDAN 41 INDIA 97 REPÚBLICA ARABE SIRIA 42 INDONESIA 98 SWAZILAND 43 REPÚBLICA ISLÁMIICA DE IRÁN 99 SURINAM 44 IRAQ 100 TAILANDIA 45 JAMAICA 101 TIMOR LESTE 46 JORDAN 102 TONGA 47 KASAKHSTAN 103 TRINIDAD Y TOBAGO 48 KENYA 104 TUNISIA 49 KIRIBATI 105 UGANDA 50 FOREA, DEMOCRATIC PEOPLE REPUBLIC OF 106 URUGUAY 51 LAO PEOPLE´S DEMOCRATIC REPUBLIC 107 REPÚBLICA UNIDA DE TANZANIA 52 LEBANON 108 VIETNAN 53 LESOTHO 109 YEMEN 54 LIBYAN ARAB JAMAHIRYA 110 ZIMBAWE 55 MADAGASCAR 56 MALAWI Nota: Este listado es publicado por la OMS y se puede obtener en la siguiente dirección electrónica: http//www.who.int/countries/vaccination/en/index.html

    Copyright 2008 by Don Winner for Panama-Guide.com. Go ahead and use whatever you like as long as you credit the source. Salud.

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Yellow Fever Vaccination - It's A Real Requirement | 2 comments | Create New Account
The following comments are owned by whomever posted them. This site is not responsible for what they say.
Yellow Fever Vaccination - It's A Real Requirement
Authored by: Anonymous on Saturday, September 27 2008 @ 03:12 PM EDT

Yellow fever is an Arbovirus, which means it is spread by the bite of an insect. The bite in this case comes from the female Aedes Aegypti mosquito which is also the same mosquito that transmits Dengue Fever. This is not the same mosquito ( Anopheles ) that transmits Malaria.Yellow fever, as well as all Arboviruses are only spread by the bite of an insect not people.
It is harbored in monkeys living in tropical rain forest areas where the mosquitoes live.
They bite the monkeys and then they bite the people to spread the disease. I think it is prudent for countries that are having outbreaks (that unfortunately are in direct correlation to the mosquito populations that flucuate in a cyclic manner) to warn travellers for their protection. However, innoculations are not to protect other people from your infection should you be infected, or Panama or any other country from somehow bringing in an infectious disease. Yellow fever is not transmitted from human to human. So people should not be panicked by the outbreak other than they should be prudent and get their inoculation and take preventative measures to keep from being bitten. Why this information wasn't in the article I do not know. It seems a very important piece of information. It would seem that no matter where you come from if there is a possibility that you will be spending a lot of time in the tropical rain forest where there are monkeys and mosquitoes you should get your Yellow Fever inoculation to protect yourself. I think the ministry of health should look at it in another way. If countries that border Panama are in fact having outbreaks of Yellow Fever then Panama should require those people from any country visiting Panama to be vaccinated to protect themselves. The residents of Panama should do the same to protect themselves as well. I just do not understand the angle they are coming from by requiring only those people coming from countries that may have outbreaks of Yellow Fever to be vaccinated. If someone has verifiable medical information that is factual to the contrary I would like to see it.

Yellow Fever Vaccination - It's A Real Requirement
Authored by: Anonymous on Sunday, September 28 2008 @ 07:58 AM EDT

I wrote an article on my blog with directions to the clinic in July. At that time there was no posting of a requirement but obviously now it is.

At such a low price it is good to have. I have a friend who was to travel on business from Panama to Brazil (as I recall) and he was not allowed on the flight because he did not have current shots. He had to fly back to Miami and leave from there and using that route he was able to get to Brazil for his meeting.

A potential problem is people who are now enroute for Panama and do not have the shots and were not told. (like my family) I guess we need a doctor´s letter.

Cynthia, Destination Panama