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Vaccination Exemptions Vary Throughout United States

February 1, 2016 by Will Sowards Leave a Comment

Various vaccination exemptions can lead to a variety of issues.

When individuals consider international travel, one of their major concerns is vaccination requirements, which vary depending upon the destination and planned activities overseas. However, vaccines should be a consideration for domestic travelers as well. Throughout the United States, vaccination requirements actually vary by region because of exemption rules that are applied on a state-by-state basis. Although the Centers for Disease Control and Prevention (CDC) makes vaccination policy recommendations on a national level, states are in control of both creating and enforcing vaccine legislation. To better clarify the regional variances, Nursing@Simmons created an interactive map of vaccination exemptions by state to provide a visualization of the national dynamics.

What Types Of Exemptions Are There?

Although they vary among states, vaccination exemptions are provided for medical, religious, and philosophical reasons.

  • Medical exemption: An MD or doctor of osteopathy (DO) typically is required to write a medical exemption, but, in some states, other types of health care workers are able to certify that one is needed.
  • Religious exemption: This exemption is based on First Amendment rights for religious freedom, but can be withdrawn if the state can provide a compelling reason for requiring vaccination.
  • Philosophical, conscientious, or personal belief exemption: This is a blanket exemption, and must include all vaccines. In some states, collaboration with a healthcare professional is required—as well as the completion of a vaccine education program.

As noted on the map, the majority of states that permit exemptions either include all three types, or religious and medical exemptions only. There are just three states that limit exemptions to those related to medical reasons alone: West Virginia, Mississippi, and California.

Why Does It Matter?

The variance in state vaccination requirements creates the potential for increased risk to both individual and community health. According to the CDC, there is evidence that an increased incidence of vaccine-preventable diseases (VPDs) may be associated with higher rates of nonmedical exemptions. In addition, philosophical exemptions often occur in specific geographical pockets—a dynamic that places individuals in those areas at an increased risk for contracting VPDs, like pertussis and measles. Such diseases can represent a significant health risk for anyone who is unvaccinated—especially children and older adults.

In the U.S., VPDs have been officially declared as eradicated—although there are intermittent flare-ups of certain diseases, such as the occurrences of measles in 2014. Often, such transmissions can be linked to international travel—whether it’s someone visiting the U.S. from another country or an unvaccinated U.S. citizen who has contracted a VPD in a region where the disease is still somewhat prevalent.

This makes travel vaccinations even more important, as a single traveler can cause a notable risk to his or her community if there are individuals who are unable or unwilling to undergo routine vaccinations.

Vaccine vigilance when considering domestic travel is just one more reason to gain better insight into state-based exemptions—and how they may impact both your health and that of your family members.

To learn more about routine and travel vaccinations such as the polio, yellow fever and MMR vaccines see our routine vaccination and travel vaccination portals.

Filed Under: General Posts

Need A Passport? Now Is The Time!

January 28, 2016 by Will Sowards Leave a Comment

Renewing a passport in 2016 may be more difficult due to an influx of renewals.

Planning a trip in 2016? You might just want to renew your passport now.

But, that renewal may be more difficult this year as the U.S. State Department is anticipating a surge in renewals and new passports due to unusually high passport activity in 2006 and 2007. Add to this an increased interest in travel and the Real ID Act making travelers from some states use passports instead of state ID; travelers could be in for some real delays.

The State Department hopes to avoid being overwhelmed again a decade after the 2006-2007 travel seasons by requesting travelers renew their passports as soon as possible. Most countries require at least six months validity on passports in order to enter the country. This means you may need to renew your passport before your trip, even if it may not have expired.

If you are thinking about traveling in 2016, even if you haven’t booked a flight, consider renewing your passport now to avoid any travel hiccups. A late passport could cause you to have to delay or cancel your trip, especially if you are going to a country that requires a visa.

Passport Health’s Travel Document Services can help you start your passport renewal process today. Simply contact us and we will work with you to get everything organized and ready for your new passport.

Filed Under: General Posts

What Is The Zika Virus? How Do I Stay Protected?

January 20, 2016 by Will Sowards Leave a Comment

Zika virus

Zika virus (or ZIKV) was initially discovered in 1947, but the mosquito-borne disease has been slowly spreading across the globe, moving from Africa and Southeast Asia to the Pacific Islands and South America. Recently, the disease entered Brazil, and all signs point to this country becoming a new home for local transmission.

[Read more…]

Filed Under: General Posts

Yellow Fever – One Injection, 10 Years’ Protection

January 11, 2016 by Will Sowards 4 Comments

Yellow fever vaccine provides 10 years of protection.
Industry-leading Research
Industry-leading Research
Key Takeaways:
  • With one injection, travelers can guarantee themselves 10 years of protection from yellow fever.
  • Yellow fever is not in the US but citizens have died from it than some wars.
  • Vaccination is the most important step in preventing yellow fever.
  • Awareness of the disease, mosquito netting, and repellents also play a key role.
  • The risk contracting yellow fever is high in many African countries.
  • Estimates suggest more than 200,000 people contract yellow fever every year. As many as 30,000 of them die from the disease.
  • Those traveling to an area with yellow fever should vaccinate before they leave. Visit a

    travel health specialist at least 10 to 14 days before travel.

Introduction:

Traveling to a foreign country can be exciting, even for the most experienced travelers. Unfamiliar conditions and diseases can cause nervousness and fear.

Research is a key component before leaving for a trip. Travelers should ask: “Do I have everything I need?” This question covers more than just the obvious items of clothing or prescriptions. Many individuals forget the importance travel health can play. Vaccinations and other preventative measures are necessary to help stay healthy while away.

Vaccines or other preventative measures may seem to expensive or unnecessary. But, exposure to a deadly disease like yellow fever could ruin a well planned trip.

[Read more…]

Filed Under: General Posts, Passport Health Institute

Hepatitis C Titer Testing: Save Money and Your Life

January 4, 2016 by Will Sowards 2 Comments

Hepatitis titer testing
Key Takeaways:
  • Anyone who may have experimented with drug use and those who received blood transfusions before 1992 have a higher risk of hepatitis C infection.
  • Screening for hepatitis C is important for everyone who falls into a risk category.
  • Passport Health offers titer testing and the peace of mind that comes with the results.

What is Hepatitis C?

Hepatitis C is a viral infection that affects 3.2 million Americans. The virus spreads from person-to-person through contact with blood, often as a result of:

  • Injections (such as through drug-use)
  • Sharing of Tattoo Needles
  • Sexual Activity
  • Blood Transfusion (rare cases)

Victims of hepatitis C will often develop an acute illness with symptoms that include:

  • Fever
  • Body aches
  • Jaundice
  • Elevated liver enzymes

More often, the infection becomes chronic and over time, the virus causes damage to the liver. Hepatitis C can result in cirrhosis of the liver and liver cancer. According to the CDC, 16,000 Americans died of hepatitis C infection in 2010.

Who Is Most at Risk?

Hepatitis C is the most common blood-borne pathogen in the United States. Intravenous drug users are at the highest risk of infection. This includes individuals who may have used drugs only in their youth. People who received blood transfusions before 1992 are also at an increased risk of hepatitis C infection. If you fall into one of these groups, getting a hepatitis C titer test is good advice.

How can you get tested?

Many people do not know that they are infected with hepatitis C. Screening for the disease is important for anyone who falls into a risk category. Those who need a titer test can get one from a Passport Health clinic or from their primary care physician. Some local health departments also offer hepatitis C testing.

The hepatitis C titer test helps those infected understand how their bodies are managing the infection. This test measures the viral load of hepatitis C in a person’s bloodstream. Passport Health clinics offer this test to anyone who wants to have the peace of mind that comes with the results.

What are the other types of Hepatitis?

Hepatitis C is not the only type of viral hepatitis. Hepatitis B is also a blood-borne pathogen. It is spread through sexual activity, intravenous drug use, and during childbirth. It also affects the liver and is the leading cause of liver cancer worldwide.

Hepatitis A is a food-borne disease spread by eating fecally contaminated food. It causes an acute illness that can be severe.

Though uncommon, hepatitis D and E do exist. Hepatitis D is an incomplete virus that requires parts of hepatitis B to cause illness. People co-infected with hepatitis B and D may have a more severe course of the disease. Hepatitis E is another food-borne disease most common in people who have contact with pigs, such as farmers.

Passport Health offers titer testing for hepatitis A and B infection, as well as vaccinations against these diseases. Hepatitis A is a two-shot series while hepatitis B vaccination requires three shots for complete immunity.

To learn more about hepatitis A and hepatitis B as well as their vaccines, see their respective pages.

Filed Under: General Posts

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provides travelers and travel enthusiasts with a variety of news and features. We focus on bringing the most interesting and relevant stories right to our readers. Topics range from the vaccines needed for a destination to updates on recent outbreaks, travel advice and much more. Feel free to check out some of our most popular posts, linked in the sidebar, or our most recent posts below.

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