Re: Polio vaccine while traveling..
I am in Pakistan with my two kids (3 year and 8 months) they are both vaccinated in the US as per schedule. The polio vaccine people came and I refused to give them drops, they reported us to higher authority n blah blah.. Long story short, I have been told that since my stay in Pakistan is more than 30 days either I will need to vaccinate my kids at the airport or pay a hefty fine.
I have their up to date immunization rectord with me with three doses of IPV for both of them.
Any experience?
we were not asked/hassled last year traveling to or back from lahore pakistan.
GTG if you look at CDC's recommendations ..... it says if you are traveling to areas where polio cases are occuring [pk is one such country) ... adults should get another dose of IPV or OPA .... just as a percaution ... even if they've completed their course and likely have lifelong immunity.
below is a quote from CDC's current recommendations.
***"updated july 25, 2014
Infants and Children
*In the United States, all infants and children should receive 4 doses of IPV at ages 2, 4, and 6–18 months and 4–6 years. The final dose should be administered at age ≥4 years, regardless of the number of previous doses, and should be given ≥6 months after the previous dose. A fourth dose in the routine IPV series is not necessary if the third dose was administered at age ≥4 years and ≥6 months after the previous dose. If the routine series cannot be administered within the recommended intervals before protection is needed, the following alternatives are recommended:
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[ul]
[li]The first dose should be given to infants ≥6 weeks old.[/li]
[li]The second and third doses should be administered ≥4 weeks after the previous doses.[/li]
[li]The minimum interval between the third and fourth doses is 6 months.[/li]
[/ul]
If the age-appropriate series is not completed before departure, the remaining IPV doses to complete a full series should be administered when feasible, at the intervals recommended above, if the child remains at increased risk for poliovirus exposure.
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**Adults
*Adults who are traveling to areas where poliomyelitis cases are still occurring and who are unvaccinated, incompletely vaccinated, or whose vaccination status is unknown should receive a series of 3 doses: 2 doses of IPV administered at an interval of 4–8 weeks; a third dose should be administered 6–12 months after the second. If 3 doses of IPV cannot be administered within the recommended intervals before protection is needed, the following alternatives are recommended:
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[ul]
[li]If >8 weeks is available before protection is needed, 3 doses of IPV should be administered ≥4 weeks apart.[/li]
[li]If <8 weeks but >4 weeks is available before protection is needed, 2 doses of IPV should be administered ≥4 weeks apart.[/li]
[li]If <4 weeks is available before protection is needed, a single dose of IPV is recommended.[/li]
[/ul]
*If <3 doses are administered, the remaining IPV doses to complete a 3-dose series should be administered when feasible, at the intervals recommended above, if the person remains at increased risk for poliovirus exposure.
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*Adults who have completed a routine series of polio vaccine are considered to have lifelong immunity to poliomyelitis, but data are lacking. As a precaution, adults (≥18 years of age) who are traveling to areas where poliomyelitis cases are occurring and who have received a routine series with either IPV or OPV in childhood should receive another dose of IPV before departure. For adults, available data do not indicate the need for more than a single lifetime booster dose with IPV."
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