Small pox and yellow fever imunizations

My job may require yellow fever and small pox immunizations. Are these safe or should I avoid. Additionally, a job in SE Asia may require Antrax vaccines and I'm concerned about that one.

[windsrfr]

Some addition info: Have gone throught 2 rounds of TX, The first in 1992 daily injections and the 2nd in 2002, 48 weeks with a relapse 4 weeks after finishing. I am in good health except for high viral load.

[konyha]

I can only relate my experience.
I read somewhere there is a high correlation between vaccines in general and an increased viral load. The members of this forum are pretty diligent and resourceful, so maybe some of below data is enough to find more substantial travel issues as they relate to HCV.

The CDC has info on small pox - I did not have to worry about this one. It is on the CDC site somwhere if not here:          http://www.immunize.org/catg.d/p4042.pdf

Hopefully you have had Hep A & B vaccinations. Yellow Fever is considered a travel vaccination as well and in many high risk countries abroad you MUST be vaccinated by an authorized yellow fever vaccine provider/center before leaving the U.S. I had my 10 year booster for yellow fever when I knew I had HCV but way before treatment with no adverse events....other than the side effects, that is.

This PDF should help:
http://www.cdc.gov/vaccines/pubs/vis/downloads/vis-yf.pdf

Who should get the yellow fever vaccine
Persons who have ever had a life-threatening allergic reaction to eggs, chicken, gelatin or to a previousyellow fever vaccine.
Infants younger than 9 months of age. For infants 6 to8 months of age who cannot avoid travel to a yellowfever area, discuss vaccination with their doctor.
Under no circumstances should infants younger than 6months of age be vaccinated.
Pregnant women and nursing mothers should avoid orpostpone travel to a

Try this url: http://wwwn.cdc.gov/travel/destinationList.aspx

BioThrax is still kind of controversial and the full effects are not well studied. Liver enzymes (AST and ALT) and total bilurubin are temporarily elevated and eventually normalize.

BioThrax, commonly called Anthrax Vaccine Adsorbed (AVA) is administered in a six-dose primary series at 0,2,4 weeks and 6,12,18 months; annual booster injections are required thereafter to maintain immunity. Do not deviate from the dosing schedule.

The injections are painful (intramuscular – usually the deltoid) and leave the area of injection with swelling and very sore for several days. You will be tempted to take a lot of Tylenol: try not to. Read about the sx on their web site.

For civilians, I *think* you must have:
Yellow Shot Card (PHS-731) *and*
Required documentation:
Date immunized, name of vaccine, manufacturer, lot number, series number, dosage, provider name and MTF address

Some people should NOT get anthrax vaccine.
Temporary medical exemptions include:
Women who are pregnant, or uncertain if pregnant
Acute diseases, surgery
Short-term immune suppression
Medical evaluation or condition pending
Permanent exemptions can include:
Severe allergic reaction or other serious reaction after a previous dose of anthrax vaccine
People with a possible history of latex sensitivity
HIV infection or other chronic immune deficiencies
People who had Guillain-Barré syndrome (GBS)
Recovery from previous anthrax infection

Even if not traveling in a high risk area in southeast Asia, purchase antimalarial drugs in the U.S. before you travel.

I am in no way saying this will happen to you, but with some of the vaccinations you mentioned there is a possibility you might have to fill out intrusive vaccine, medical and background questionnaires,

[konyha]

OOps:

The heading about the Yellow Fever Vaccine should read:

Who should NOT get the yellow fever vaccine