Martin S. Wolfe, MD
To the Editor: I fully agree with Drs. Hill and Pearson (1) that revaccination with measles vaccine is advisable for all travelers born in or after 1957 and is particularly important for travelers to areas of high endemicity for measles. These areas occur particularly in the developing world where hepatitis A transmitted via fecal contamination is also a high risk to nonimmune travelers. Hepatitis A can be protected against very well with an injection of immune globulin, which is usually given just before departure because of its relatively short half-life.
According to the Centers for Disease Control recommendations for foreign
Wolfe MS. Measles and Immune Globulin Prophylaxis for Travelers and Hepatitis A. Ann Intern Med. ;112:235. doi: 10.7326/0003-4819-112-3-235_1
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Published: Ann Intern Med. 1990;112(3):235.
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