Reisemedizin - Aufenthalte in fernen-Ländern

Yellow fever vaccinations

Our practice in the Munich district of Neuhausen-Nymphenburg is an officially approved yellow fever vaccination center, registered with the Bavarian State Ministry for the Environment, Health and Consumer Protection (registration number 154). We are authorized to administer yellow fever vaccinations and issue the corresponding certificates in accordance with legal requirements.

Yellow fever vaccination – mandatory for many travel destinations

As a physician specializing in travel medicine and yellow fever vaccinations, I am qualified to examine and advise patients traveling to distant countries, regarding vaccinations, and for travel with pre-existing medical conditions. I am also authorized to issue the corresponding international travel certificates.

Costs and reimbursement

Like many travel medicine precautions, the yellow fever vaccination is not covered by statutory health insurance and therefore often has to be paid for privately. However, numerous health insurance companies – both statutory and private – now reimburse the costs in full or in part. This voluntary service is provided for preventative reasons: vaccinations such as the yellow fever vaccination help to minimize the risk of infection and avoid potential subsequent treatment costs. Furthermore, the vaccination also serves public health protection, as it reduces the risk of bringing imported diseases into Germany.

Distribution area

Equatorial Africa between 15° north and 15° south latitude (including Kenya, Tanzania, Angola, Equatorial Guinea, Ethiopia, Benin, Burkina Faso, Burundi, Ivory Coast, Gabon, Gambia, Ghana, Guinea, Guinea-Bissau, Cameroon, Republic of Congo, Democratic Republic of Congo, Liberia, Mali, Niger, Nigeria, Rwanda, Zambia, Sao Tomé & Principe, Senegal, Sierra Leone, Somalia, Sudan, Togo, Chad, Uganda and Central African Republic).

Latin America from the 20th parallel north to the 30th parallel south (Bolivia, Brazil, Ecuador, French Guiana, Guyana, Colombia, Panama, Peru, Suriname, Venezuela, Trinidad and Tobago).

The Caribbean and Asia are free of yellow fever.

Information on yellow fever vaccination

A basic vaccination at least 14 days before entry, the vaccination is only possible at authorised yellow fever vaccination centres (like ours) because the vaccine is very sensitive to heat and an authorised international vaccination certificate must be issued. The vaccine serum is injected once under the skin.

Vaccination is strongly recommended for all travellers (including children) to risk areas and is required by risk countries upon entry. Vaccination protection occurs after approx. 10 days and is almost 100 %. A revaccination should be carried out after 10 years.

Passive protection

In addition to vaccination protection, you should always ensure that you have effective mosquito protection. Avoid mosquito bites at all times of the day and night. Protect yourself with mosquito nets, long closed clothing and a repellent (insect repellent, etc.).

Yellow fever is a serious viral infection (pathogen: arbovirus from the flavivirus family) that is transmitted by a species of mosquito (Aedes aegypti). The female mosquitoes transmit the virus from monkeys to humans or from humans to humans when they bite.

The disease begins 3 to 6 days after infection (insect bite and thus transmission of the virus) with a rapid rise in temperature, accompanied by severe general symptoms (headache, muscle pain, nausea), often accompanied by a slowed pulse and conjunctivitis.

After a brief recovery (approx. 1 day), organ involvement occurs, liver and kidney failure poison the organism (signs of jaundice, hence the name). Coma and death are the result in up to 50 % of cases of forms with liver involvement (the mortality rate of unvaccinated tourists is higher!).

Haemorrhagic yellow fever leads to skin and organ haemorrhages.

In addition to these severe forms of the disease, there are also mild cases, and symptom-free courses are also possible.

There is no medication against yellow fever. Treatment is intensive care and only relates to the symptoms.

The vaccination is generally well tolerated, occasionally reddening of the skin, swelling or flu-like symptoms occur. In rare cases, neurological vaccination reactions occur. Pregnant women, people allergic to milk protein and patients with immunodeficiencies should not be vaccinated.

After travelling to yellow fever areas without being vaccinated, entry into other countries may be refused.

In the event of ‘non-compliance’ with this regulation, very high fines may be ‘collected’ by customs officials or a non-existent certificate may not be pursued in return for a ‘generous donation’.

For medical reasons, there is the possibility of a vaccination exemption, which must be certified by state authorities, but is not necessarily recognised by all countries. It is therefore advisable to contact the embassy in advance.