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Subject:
From:
Pat Young <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Thu, 11 Feb 2010 12:53:45 -0500
Content-Type:
text/plain
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text/plain (83 lines)
Dr Hale already said that.  2008 ed.
----- Original Message -----
From: "Nikki Lee" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Thursday, February 11, 2010 12:30 PM
Subject: yellow fever vaccine


> 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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