Yellow Fever
Also known as: Yellow jack, Bronze John
Yellow fever is a serious viral hemorrhagic disease transmitted by infected mosquitoes, primarily in tropical and subtropical areas of Africa and South America. Most infections cause mild illness, but a small percentage progress to a severe phase with jaundice, bleeding, and organ failure that can be fatal. A highly effective vaccine provides lifelong protection.
Symptoms
Causes
- Infection with the yellow fever virus, a flavivirus
- Transmission through the bite of infected Aedes or Haemagogus mosquitoes
- Maintained in nature through a cycle between mosquitoes and primates
Risk Factors
- Travel to or residence in endemic areas of Africa or South America
- Lack of vaccination
- Outdoor activities in tropical regions with mosquito exposure
- Unvaccinated individuals over age 60 at higher risk for severe disease
Diagnosis
- Blood tests for yellow fever-specific IgM and IgG antibodies
- PCR testing for viral RNA in early illness
- Liver function tests and blood clotting studies
- Cross-reactivity with other flaviviruses requires careful interpretation
Treatment
- No specific antiviral treatment available
- Supportive care with rest, fluids, and pain management
- Hospitalization for severe cases with monitoring of organ function
- Blood transfusion for bleeding complications
- Avoiding aspirin and NSAIDs that can worsen bleeding
Prevention
- Yellow fever vaccine providing lifelong protection with a single dose
- Vaccination required for travel to many endemic countries
- Mosquito bite prevention with repellent and protective clothing
- Eliminating mosquito breeding sites
When to See a Doctor
- Fever with jaundice after travel to an endemic area
- Symptoms developing within two weeks of visiting an at-risk region
- Any signs of bleeding or organ dysfunction
Frequently Asked Questions
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