• Expert review of vaccines · Aug 2005

    Review

    Yellow fever vaccine.

    • Thomas P Monath.
    • Acambis, Inc., 38 Sidney Street, MA 02139, USA. tom.monath@acambis.com
    • Expert Rev Vaccines. 2005 Aug 1; 4 (4): 553-74.

    AbstractYellow fever, a mosquito-borne viral hemorrhagic fever, is one of the most lethal diseases of humankind. The etiologic agent is the prototype member of the genus Flavivirus, family Flaviviridae, a group of small, enveloped, positive-sense, single-strand RNA viruses. Approximately one in seven people who become infected develop a rapidly progressive illness, with hepatitis, renal failure, hemorrhage and cardiovascular shock, with a case fatality rate of 20-50%. Yellow fever occurs in sub-Saharan Africa and tropical South America, where it remains a continuing public health problem of varying magnitude, depending on the level of vaccination coverage in the human population and cyclical, ecologic and climatic factors that influence virus transmission.

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