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Traveling with HIV Disease | ||
Patients with HIV disease who travel abroad may encounter some unique risks. Some pre-travel vaccinations may be inappropriate for HIV positive travelers. The risk of acquiring infections abroad may be higher. Some countries also have discriminatory policies towards HIV positive travelers that may make entrance to the country difficult. Despite these facts, patients with HIV can travel safely and enjoyably simply by taking a few extra precautions. Visiting with a travel medicine specialist well in advance is an important part of ensuring a successful trip.
In general, patients with AIDS should avoid live vaccinations. The actual risk of live vaccines depends on the degree of immune system impairment and must be individualized. Live vaccines include Yellow fever, Measles/Mumps/Rubella, Varicella, Oral Polio vaccine, and BCG vaccine (which is rarely used in the United States). Some physicians feel that measles vaccine is safe1. Others feel that Yellow fever vaccination should be avoided for HIV positive travelers with a CD4 count of less than 2002. Patients with HIV should discuss the risks of traveling to a yellow fever area with their physicians and should generally avoid such travel if possible. Inactivated vaccines are safe for patients with HIV disease and should be administered as they would be in other travelers. In general, patients with HIV should plan to meet with their physicians at least three months before embarking in order to discuss vaccinations and other issues that may affect their journey. Traveler's Diarrhea Restrictions on Travel Notes
Date article first posted: October 19, 2001 |