What Is Yellow Fever?
Yellow fever is a deadly flu-like disease transmitted by infected mosquitoes. It’s characterized by a high fever and jaundice. Jaundice is yellowing of the skin and eyes, which is why this disease is called yellow fever. This disease is most prevalent in certain parts of Africa and South America.
It isn’t curable, but you can prevent it with the yellow fever vaccine.
Symptoms of Yellow Fever
Yellow fever develops quickly, with symptoms occurring three to six days after exposure. The initial symptoms of the infection are similar to those of the influenza virus. They include:
- Acute Phase
- muscle aches
- joint aches
This phase usually lasts for three to four days. Common symptoms include:
- a loss of appetite
- muscle aches
- joint aches
- a fever
After the acute phase is over, symptoms will begin to go away. Many people recover from yellow fever at this stage, but some people will develop a more serious version of this condition.
The symptoms that you experienced in the acute phase may disappear for up to 24 hours. Then, those symptoms will return, along with new and more serious symptoms. These include:
- bleeding from the nose, mouth, and eyes.
- decreased urination
- abdominal pain
- vomiting (sometimes with blood)
- heart rhythm problems
This phase of the disease is often fatal, but only 15 percent of people with yellow fever enter this phase.
Diagnosis of Yellow Fever
See your doctor right away if you’ve been traveling recently and you experience flu-like symptoms. Your doctor will ask you about the symptoms you’ve been experiencing and if you’ve traveled recently. If your doctor suspects that you have yellow fever, they’ll order a blood test.
Your blood sample will be analyzed for the presence of the virus or for the antibodies meant to fight the virus.
Causes of Yellow Fever
The Flavivirus causes yellow fever, and it’s transmitted when an infected mosquito bites you. Mosquitoes become infected with the virus when they bite an infected human or monkey. The disease cannot be spread from one person to another.
Mosquitoes breed in tropical rainforests, humid, and semi-humid environments, as well as around bodies of still water. Increased contact between humans and infected mosquitoes, particularly in areas where people haven’t been vaccinated for yellow fever, can create small-scale epidemics.
Risk Factors of Yellow Fever
Those who haven’t been vaccinated for yellow fever and who live in areas populated by infected mosquitoes are at risk. According to the World Health Organization, an estimated 200,000 people become infected each year. Most cases occur in 32 countries in Africa, including Rwanda and Sierra Leone, and in 13 countries in Latin America, including:
Yellow Fever Prevention
Vaccination is the only way to prevent yellow fever. The vaccine for yellow fever is given as a single shot. It contains a live, weakened version of the virus that helps your body create immunity. The Centers for Disease Control (CDC) suggests that anyone who is 9 months through 59 years old and traveling to or living in an area where the risk of yellow fever is present should be vaccinated.
Groups of people who shouldn’t get the vaccine include:
- infants younger than 6 months old
- people who have HIV, AIDS, or other conditions that compromise the immune system
- If you’re older than 60 and you’re considering traveling to an area that may have the virus, you should discuss vaccination with your doctor.
- people who have severe allergies to eggs, chicken proteins, or gelatin
If you’re traveling with an infant who is 6 to 8 months old or you’re a nursing mother, you should either postpone travel to these areas if possible or talk to your doctor about vaccination.
The vaccine is considered extremely safe. A single dose provides protection for at least 10 years. The side effects may include:
- a low-grade fever
- muscle pain
- a mild headache
Other methods of prevention include using insect repellant, wearing clothing to reduce the amount of mosquito bites, and staying inside during peak times when insects bite.
Treatment of Yellow Fever
There’s no cure for yellow fever. Treatment involves managing symptoms and assisting your immune system in fighting off the infection by:
- having dialysis if you experience kidney failure
- getting oxygen
- maintaining a healthy blood pressure
- getting enough fluids, possibly through your veins
- getting blood transfusions
- getting treatment for other infections that may develop
Outlook for People with Yellow Fever
The WHO estimates that 50 percent of people who develop severe symptoms of this condition will die. Older adults and those with compromised immune systems are most at risk for serious complications.