What is Yellow Fever?
Yellow fever is a viral infection causing jaundice, which is transmitted by mosquito bites. While this virus is present only in a few African / South American countries, the mosquito exists in large parts of the world including many Asian countries.
In what countries is there a risk for getting Yellow Fever disease? Or for traveling to what countries is Yellow Fever Vaccine recommended?
See our Population at risk page. (Need to create a page on our website)
Why is Yellow Fever Vaccine compulsory (a legal requirement) and other vaccines optional for traveling?
Yellow Fever Vaccine is NOT the most common problem in these countries. However, while the Yellow Fever virus does not exist in India, the conditions for the spread of Yellow Fever exist in India. The idea behind this vaccination is to prevent you from catching this disease in one of the African / South American countries, and then coming to India, and spreading Yellow Fever in India. Other diseases may be much more common and deadly, and you should take other travel vaccinations and precautions for the same to remain safe & healthy, by talking to your travel doctor. The latest list of travel vaccinations required for traveling to any country worldwide is available with TravelSafe Clinic in Mohali, Chandigarh & Noida, Delhi NCR.
Is Yellow Fever vaccination a legal obligation?
If you are travelling or transiting through areas that are infected with yellow fever, many countries including India require you to be vaccinated. A record of your vaccination must be entered and validated in your International Certificate of Vaccination. It is best to get the vaccination to make sure that you meet the varying entry requirements. For the latest information on the list of countries that are infected with yellow fever, look here. Talk to your travel agent and also consult with your doctor (preferably at least two months before traveling) to arrange for this and other travel vaccinations. You must have the yellow fever vaccine at least 10 days before to a yellow fever endemic country, otherwise you may be quarantined compulsorily (kept forcibly in a hospital for a week to make sure that you do not have Yellow Fever). Source
Are you an authorized center?
We are NOT authorized by the government of India. However, we are authorized by the Yellow fever vaccine manufacturer (Sanofi Aventis – Multi National company) who have gotten the approval from WHO for their Yellow Fever Vaccine – STAMARIL, made in France. They have also taken permission from DCGI for the same to market this vaccine in India. The Govt of India does not give direct permission to any private health care facility to provide Yellow Fever Vaccination.
How can I be sure that the vaccination taken from you would be accepted by my embassy / immigration etc.?
We have been providing Yellow Fever Vaccine since 2005, and thousands of clients have successfully taken the vaccination and traveled to different countries. In fact, a lot of our present business is by word of mouth publicity from past vaccine takers. However, we do NOT guarantee that you will not face any problems at embassy / immigration, since we are unable to interact with these authorities. Our certificates are displayed on our website, and we would be happy to show you the originals. As of September 2014, due to the Ebola scare, immigration authorities in India (at least the Delhi Airport) have started asking for the Government of India stamped Yellow Fever Vaccination certificate for people returning from Africa. Hence we are asking travelers to take Yellow Fever certificate from the Government centers or from abroad. The traveler is always responsible for clearing the immigration, and we do not take any responsibility for the same.
Do you take credit cards/ debit cards?
At present the Mohali center does accept most credit/ debit cards. We are working to extend the same facility at our other centers. We are also planning to provide online payment facility using credit cards on our website in the near future. Please check our home page (link to home page) for latest updates. All our centers are located fairly close to ATMs (less than 5 minutes walk)
What are the side-effects of this vaccine? I’ve read on the internet about serious problems that can be caused by this vaccine.
As said above, we have provided thousands of doses of this vaccine and have not faced any serious problems. Since this is a single dose, WHO approved French vaccine made by a leading Multi-national company, we are certain about the safety of the vaccine. The common problems reported by a small number of clients include local pain, mild fever and sometimes a little bit of swelling. Only one of our customers reported a mild rash after the vaccination. That being said, any medicine / vaccine can cause serious side-effects rarely. For example, even Crocin drops given to small babies have this warning “May cause liver damage”, even though it is one of the safest medicines, and can be given to even a day old child. Hence we do ask that you wait for a few minutes after the vaccination so that we can monitor you for any potentially serious problems. As said above, we have thankfully not faced any such problems, though we are prepared for the same if the need arises. Just to add, we are the only travel clinic in the country to have researched the Yellow Fever Vaccine and have published data for Yellow Fever Vaccine in Indian travelers at the 9th Asia Pacific travel health conference, Singapore in May 2012. We have also presented data regarding the safety of Yellow Fever Vaccine at International conference on patient safety, NIPER in March, 2012.
Can I take a Crocin / other pain-killers if I get fever, pain or swelling after the vaccine?
Yes, while this is quite uncommon, for a mild reaction with little bit of fever, pain or swelling, you can take any OTC pain medicine including Crocin, Combiflam etc. If there is any doubt, please call us for clarification.
My child is 4 year old; do I need to vaccinate her?
Yes, any child above the age of 1 year must take the Yellow Fever Vaccine. Children below 6 months should definitely NOT take the vaccine, while we generally prefer to give vaccines to infants above 9 months to provide protection against this disease.
What other vaccines should I take if I’m traveling to XYZ country?
The list of travel vaccines varies in each country, and your travel doctor should be able to help you in this situation. Let us know where you are going and we would be glad to help. Remember, while Yellow Fever Vaccine is a legal requirement, many other diseases are far more common and much more serious for you & your family members while traveling abroad. Preferably meet a travel doctor at least 4-8 weeks before your travel date so that you can be protected against common illnesses.
Can I send someone else to take my Yellow Fever Vaccine certificate?
No, the certificate has to be signed by your personally, in front of the certifying doctor. Hence we are unable to send it with anyone else.
Can you courier the vaccine to XYZ address?
No, the vaccine cannot be sent by courier since it requires transport in ice to maintain the cold chain. If not transported properly, it can lead to serious side-effects. Also as mentioned above, the certificate has to be signed by your personally, in front of the certifying doctor. Hence we are unable to send it by courier.
Can you just issue the certificate without giving me the vaccine, I am scared of injections?
No, that would be cheating. We are only authorized to issue the certificate after vaccinating you. Of course, if there is a valid medical reason for not vaccinating you, we would be happy to assist you.
What are the requirements for taking this vaccination?
All you need is the copy of your passport. The WHO Yellow Card is issued immediately once the vaccine is given.
How much time would this take, I am a busy person, and many centers can take hours to process the certificate?
We understand, and we generally take between 5-15 minutes only to give the vaccine and provide the certificate.
Do I need to have the VISA before taking the vaccine?
No. The only necessity is the passport details (& original ID proof if original passport is NA). Visa is not needed.
My passport has gone to the embassy. Can I take the vaccine?
Yes. Just carry the details of your passport – preferably a photocopy, or send a scanned copy to our email. And carry an original photo ID proof, and we will do the vaccination.
What will happen to this Yellow Fever Certificate if I lose / renew my passport whose Number is mentioned on Yellow Fever Booklet
In case you renew your passport, we would recommend that you attach the old passport to your new one. In case the old passport is lost, we would recommend that you carry a copy of the FIR which states details of the old passport.
Do I need to send the original certificate to the embassy?
We do not know. Each embassy has a different requirement for issuing a Visa. Most would be happy with just a photocopy, but please check with your travel agent for the same. But you must carry the original certificate during immigration checks, along with your passport, while traveling to & from the affected African & South American countries.
Where is this certificate checked, during going or coming back to India?
It can be checked by any immigration officer, either while going out of India, or while coming back to India, in either country. Generally speaking, it is more likely to be checked at Indian customs while returning back, though some countries like Brazil are quite strict in checking the same during arrival / departure.
How soon before traveling can I take this vaccination?
The vaccination needs 10 days to become effective. It is valid for 10 years. The NDMC website states that the vaccination should be taken at least a week before traveling.
I have taken the vaccination from some other center/ hospital, can you issue a certificate?
No, we can only certify vaccines taken from our center. However, you can contact us for more information / clarifications regarding the same.
I have lost the vaccination certificate, can you issue a duplicate?
No, we cannot issue a duplicate certificate. The original unique sticker of the vaccination is attached to the certificate that we provide you. If you lose the original certificate, we probably need to revaccinate. There are generally no serious side-effects of revaccination. If you have a copy of the certificate issued by us, please contact us for more information.
I am a vegetarian, and the govt center has refused to vaccinate me, citing possible egg allergy as a reason. Will you do it?
Yes, studies clearly show that there is no reason to test vegetarians for egg allergy before vaccination or avoid giving them the vaccine. We will do the vaccination under proper monitoring.
I have egg allergy, will you vaccinate me?
It depends. For true egg allergy – meaning severe breathing problems, severe rash, and low BP etc. the vaccination is contraindicated. We will check your medical history and advise accordingly. For milder allergies like mild stomach pain or diarrhea after eating eggs, this is not a problem, and we have vaccinated many such individuals without any side-effects.
Why are the govt center charges lesser than yours?
There are a couple of reasons for this.
a) The govt center uses an Indian vaccine while get the vaccination from France. The govt of India vaccination is actually not a WHO pre-approved vaccine, since the French vaccine that we use is a WHO pre-approved vaccine.
b) The govt vaccine is a multi-dose vial, and the same vial is used to vaccinate 10 different people. The vaccine that we use is a single dose vial, used for only 1 person with no risk of contamination.
Hence people can come to our clinic in any numbers, and on any day (except Sunday, and with prior appointment) for the vaccination. Also there is no significant waiting time, since unlike the govt centers that make you wait till they have 10 people before opening a new vial, no such problem exists here. Finally, given that this is a WHO approved single dose vaccine, the chances of side-effects are likely lesser with this vaccine.
We are travel agency and would be interested in sending our clients to you, how do we proceed?
Please contact us so that we can assist you further.
Do you have any branches?
We are currently available at three locations.
1. TravelSafe Clinic – Mohali
Dr. Gaurav Gupta, MBBS, DCH, DNB
Member AAP, IAP, ISTM, ASTMH, BGTHA & IAMAT
SCF 85 (FF), Phase – 7
Mohali – 160061
Mon – Sat: 9:30 am to 1:30 pm & 5:00 pm to 8:00 pm. Sunday Closed
Please contact us during regular office hours on 91-172-5092585, 91-172-4663775, 91-9872303775
2.TravelSafe Clinic – NOIDA (NCR, Delhi)
Dr ( Maj Gen) Rishi K Gupta,
MBBS( AIIMS), MD( Paed)
Ex Prof & HOD Paed AFMC Pune
H. no. 436, Sector 28,
NOIDA. U.P. (National Capital Region, Delhi)
Mon – Sat: 9 Am to 1:30 pm & 5:00 pm to 8:00 pm.
Sunday (By appointment only)
Please contact us during regular office hours on 91-120-2453202, 91-9810806594
3. TravelSafe Clinic – Mumbai
(MUMBAI Center NO LONGER provides Yellow Fever Vaccination)
Shop no. 3,
Near Four wheel world showroom,
Maitri park, Sion Trombay Road,
Chembur, Mumbai -400071.
1000 and 1100 and 1800 and 1900, Mondays through Saturdays. Sunday Closed
Please contact Malini- 9867694813 during office hours for appointments.
Are there different vaccines for children?
No, the same vaccine is given to children above the age of 1 year.
Can I get an exemption from this vaccination?
If you are pregnant, or have severe egg allergy (documented), or had a severe reaction to previous Yellow Fever Vaccine then you may be exempted from taking this vaccine. Carry your doctor’s certificate and supporting reports for the same.
How do we diagnose Yellow fever?
In order to make a yellow fever diagnosis, your doctor will ask questions about a number of things (including recent medical and travel history), perform a physical exam, and recommend certain tests. As part of diagnosing a yellow fever virus infection, the doctor will also rule out other more common causes of possible yellow fever symptoms, such as the flu or the common cold. If the doctor thinks a person is at risk for yellow fever, he or she can order certain tests. These tests can include Blood tests, Cerebrospinal fluid tests (CSF), Electrocardiograms (EKGs). These individual tests will not definitely diagnose yellow fever, but they can be helpful. To make a definitive diagnosis of yellow fever, the doctor will draw a blood sample and send it to a commercial or public health laboratory for confirmation.[ Click to see source ] The diagnosis of yellow fever is made through examining the blood using various techniques in order to demonstrate the presence of either yellow fever viral antigens (the part of the virus that initiates the patient’s immune response) or specific antibodies (the cells produced by the patient’s immune system that are specifically directed against the yellow fever virus). [ Click to see source ] Specific diagnosis depends on isolation of virus from blood, demonstration of viral antigen in serum by enzime-linked immunosorbent assay ( ELISA ) or of viral RNA by polimerase chain reaction ( PCR ) during the period of infection. Serologic diagnosis include IgM antibody-capture ELISA, hemagglutination inhibition (HI), complement fixation (CF) or neutralization (N) tests. It’s important to consider that IgM, HI and N antibodies appear within 5 – 7 days and CF antibodies within 7 – 14 days after onset. Thus, paired acute and convalescent sera should be tested (interval of 14 days ). [ Click to see source ]
What are the other conditions that can mimic/ look like Yellow fever?
Increased erythrocyte sedimentation rate, total WBC elevated with neutrophilia and trans aminases levels slightly elevated . Dengue fever: Indistinguishable from yellow fever in the initial stages; jaundice is, however, a rare sign.
It must be always excluded by serial blood examination, even when the diagnosis of yellow fever is confirmed, due to the possible concomitant of both diseases. Anemia without hemorrhagic manifestations, splenomegaly and low levels of transaminases take account of malaria.
The insidious onset, usually without renal disease ( suggestive ) + presence of viral markers of hepatitis in sera confirm the diagnosis.
Can you provide a list of Government Vaccination Centers in India?
The Government of India has designated certain Government Hospitals and Agencies as Centers for Yellow Fever Vaccination.
Here is a list of these Government Centers Vaccination centres For Yellow Fever For International Travellers
Health Organization, Palam Airport. (Tue. and Thursday 1400 – 1600 hrs) Tel. 3295507.
Public Health Laboratory, Municipal Corporation, Town Hall, Alipur Road, Mon & Fri 1000 – 1200 hrs. Tel. 252 2058
Dr. Ram Manohar Lolia Hospital (Wed & Sat 1100 to 1300 hrs) Tel: 3365525 / 3735337
International Inoculation Centre, Mandir Marg, New Delhi – 110001
Health Office, Mumbai Airport.
Port Health Organisation, Seamens Medical Examination Organization, Nav Bhawan
All India Institute of Hygiene and Public Health.
Health Organization, Dum Dum Airport.
Port Health Organization.
Port Health Organization
Urban Health Organization, Panaji.
Institute of Preventive Medicine
Port Health Organization.
Central Research Institute
King Institute of Preventive Medicine, Guindy.
Port Health Officer / Assistant Port Health Officer / Assistant Airport Health Officer, Port Health Organization.
Port Health Organization
Office of the Civil Surgeon
Department of Preventive & Social Medicine, BJ Medical College
Port Heath Organization.
Can you provide a list of Private centers performing Yellow Fever Vaccination in India?
Unfortunately, no resource is available that provides a comprehensive list of Private Centers giving the Yellow Fever Vaccination.
Which Yellow Fever Vaccines are approved by WHO?
Here is the list of the only 3 WHO approved yellow fever vaccine producers in the world. TravelSafe Clinic, a unit of Charak Clinics, uses the ONLY WHO pre-approved vaccination that is licensed in India, namely STAMARIL from Aventis Pasteur, France.
Where should I get myself vaccinated, a private center or the government recognized center?
While the government vaccination is cheaper, a private center has the following important advantages. a) Convenience – Most government centers provide vaccinations either once or twice a week. Also the time for the vaccination is restricted to a couple of hours. Prior appointment is generally needed too. We are open not only daily, but also work on most holidays too. We are only closed on Sundays. b) Better vaccine, possibly less side-effect – Private centers like ours use STAMARIL – a WHO Pre-approved french vaccination, in a single dose form. Government uses multi-dose vials of Indian origin (each vaccine is used for 5-10 recipients), thus possibly increasing the chances of side-effects like fever, pain etc. while private centers use single dose injections.
What are other travel vaccine that are recommended (in addition to Yellow fever vaccine)?
There is no “legal” requirement for any vaccine other than Yellow Fever (for most countries). However you MUST confirm the same by checking the CDC website here or by contacting the local embassy of the specific country.
As far as TravelSafe Clinic, a unit of Charak Clinics is concerned, we recommend the latest country specific vaccinations as per the recommendations of WHO/ CDC and other regulatory bodies. Please contact us for more details. Some of the vaccinations that are usually recommended for travelers include
- Typhoid Vaccine (repeat every 3 years)
- Hepatitis A (2 doses at 6 months interval for life-long protection)
- Oral Cholera Vaccine (2 doses at a gap of 15 days, protection )
- MMR Booster (Single dose for life)
- Td/ TdaP booster (Repeat every 10 years)
- Swine Flu + Influenza vaccination (combination – single dose above 9 years, 2 doses at a gap of 1 month below 9 years)
- Hepatitis B vaccine – 3 doses (0, 1 & 6 months preferably, otherwise accelerated schedule may be given with 0,7 and 21 days and a booster after a gap of 1 year)
What are the BEST resources for Travel related information / vaccination?
I would recommend the following resources as authoritative and comprehensive, if you are looking for genuine and rapid access to vast amounts of constantly update travel information.
While there are a large number of websites offering travel medicine related information, these are three websites that are regularly updated and have huge amounts of unbiased up to date information about almost any travel related health concerns that need to be addressed.
What are your credentials as a Travel doctor?
I’m glad you asked. It not only means that you are concerned regarding the quality of medical care that you receive, but it also gives me a chance to talk a bit about myself. We are member of International Society for Travel Medicine, American Society of Tropical Medicine & Hygiene am a member of International Association of Medical Assistance to Travelers. We are also the sole Indian member of British & GlobalTravel Health Association. There is no other center in India that has memberships of all the World’s Best Travel Health organizations. We have conducted & presented the only studies from India done on Stamaril, the WHO approved Yellow Fever vaccination that we are using to vaccinate you, in various International conferences.
Knowledge, attitude and practices of the Indian travelers receiving Yellow fever vaccination. 9th Asia Pacific travel health conference, Singapore. May, 2012. Abstract No- 139
2. Safety & tolerability of Yellow fever vaccine in the healthy Indian travelers. International conference on patient safety, NIPER. March, 2012. Abstract No- 9.
You will find at TravelSafe clinic, the best and most well read, articulate, friendly and knowledgeable travel & vaccine specialist, & will get the latest & best travel health advice in India at our clinic.
The most common FAQ for Yellow Fever Vaccine (most of our clients are from Punjab 😉
Can I drink after taking the Yellow Fever Vaccine?
Yes, you can eat & drink & make merry after the vaccine without any ill-effects whatsoever!
While we are at it, you do not need to be fasting or avoid any particular foods before taking the vaccine too.
Do I need to come fasting before the vaccination? Should I take my regular medicines for BP, Thyroid, Diabetes etc before the vaccination?
Please have your regular meals & medicines BEFORE coming for the Yellow Fever Vaccination. Do NOT come fasting. If you have any doubts please call us beforehand.