Green Book: yellow fever chapter updated

15 January 2019

Article: 53/0202

Public Health England (PHE) has updated the yellow fever chapter of the Green Book. The vaccine contraindications section has been revised to clarify the advice regarding thymectomy and incidental thymectomy.

The updated version of chapter 35 is available in the Green Book.

Thymectomy is addressed in the Travax yellow fever FAQ (for health professionals), which has been updated to reflect the changes to the Green Book.

Recent media reports have highlighted the case of a man aged over 60 years of age who has died, apparently after an adverse reaction to the yellow fever vaccine. The risk of adverse reactions to yellow fever vaccine, although very rare, is greater in those aged over 60 years. Risk assessments of travellers and discussion of vaccination risks are imperative, and must be undertaken prior to the administration of the vaccine.

Further information and advice on yellow fever is available to view on the Travax (for health professionals) and fitfortravel (for the general public) websites.