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NOTE: Even daily-wear soft contact lenses are three times more likely to cause bacterial keratitis as are the daily-wear, rigid, gas-permeable lenses. The HIV-Positive Adult Traveler Pre-travel evaluation Pre-travel medical screening should include (just as with all travelers) a medical history, immunization history, allergy history, and a history of any problems during previous travel. Those whose CD4ϩ cell counts are normal or greater than 500/L are usually at no greater risk than noninfected travelers for travel-related problems, but those whose CD4ϩ cell counts are less than 200 cells/L, or who are symptomatic, are at a greater risk of acquiring infections.
Proof of vaccination is currently valid for a period of three years, but this is likely to change with the introduction of the longer-lasting conjugate vaccine. 44 Vaccines for Travel Two doses of meningococcal ACWY vaccine are required for children ages six months to two years, with an interval of three months between the two doses. The vaccinating center must provide a vaccination booklet or letter completed with the traveler’s name, vaccine, date of administration, and signature. , travel to Saudi Arabia) may be administered to infants as young as 3 months.
2 for a summary of the varicella vaccine schedule, indications, precautions, and booster recommendations. Cholera The manufacture of the injectable cholera vaccine in the United States ceased in June 2000. Currently, a cholera vaccine is not available in this country. However, oral cholera vaccines are available in a number of other countries, including Canada. Cholera vaccine is no longer listed in the International Certificate of Vaccination booklet and is not “officially” required for entry into, or exit from, any country.