Dear Friends:

This is interesting.

Nursing mothers should not receive smallpox vaccine (CDC recommendation) and
now, not yellow fever vaccine.

<http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5905a2.htm?s_cid=mm5905a2_>

"On March 23, the mother, aged 22 years, delivered a healthy female infant
at 39 weeks' gestational age by elective cesarean delivery. During that same
month, a yellow fever epidemic had spread to a nonendemic area in Rio Grande
do Sul state where the mother resided (*1*). On April 7, when the mother was
15 days postpartum, she visited her health-care provider to have the sutures
removed from her caesarean incision. While in the provider's office, she
received 17DD yellow fever vaccine. She had not been vaccinated for yellow
fever previously. On April 12, 5 days after receiving the vaccine, she
reported a headache, malaise, and low fever, which persisted for 2 days. The
mother did not seek medical care for her symptoms."

(snip)

"The infant, who was exclusively breast-fed, was hospitalized at age 23 days
with seizures requiring continuous infusion of intravenous anticonvulsants.
The infant received antimicrobial and antiviral treatment for
meningoencephalitis. The presence of 17DD yellow fever virus was detected by
reverse transcription--polymerase chain reaction (RT-PCR) in the infant's
cerebrospinal fluid (CSF); yellow fever--specific immunoglobulin M (IgM)
antibodies also were present in serum and CSF. The infant recovered
completely, was discharged after 24 days of hospitalization, and has had
normal neurodevelopment and growth through age 6 months. The findings in
this report provide documentation that yellow fever vaccine virus can be
transmitted via breast-feeding. Administration of yellow fever vaccine to
breast-feeding women should be avoided except in situations where exposure
to yellow fever viruses cannot be avoided or postponed."

warmly,

Nikki Lee RN, BSN, Mother of 2, MS, IBCLC, CCE, CIMI
craniosacral therapy practitioner
www.breastfeedingalwaysbest.com

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