Shouldn't this apply to ANY live attenuated vaccine? 

-----Original Message-----
From: Lactation Information and Discussion [mailto:[log in to unmask]] On Behalf Of Nikki Lee
Sent: Thursday, February 11, 2010 11:30 AM
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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