{
  "schema_version": 1,
  "kind": "condition",
  "id": "yellow-fever",
  "name": "Yellow Fever",
  "category": "chronic",
  "sources": "ICPC-3 (WONCA International Classification of Primary Care, 3rd edition) class AD14.07 - condition scope only, no dose · No dose - referral pathway, no medicine given in primary care · Yellow Fever - StatPearls - NCBI Bookshelf - https://www.ncbi.nlm.nih.gov/books/NBK470425/",
  "review_status": "reviewed",
  "verified_against": "No dose - referral pathway, no medicine given in primary care · MSF Essential Drugs 2024 · Yellow Fever - disease-level clinical article (yellow-fever-clinical.txt)",
  "verified_date": "2026-08",
  "treatments": [
    {
      "id": 1975,
      "generic": "No drug therapy in primary care (Recognition & Referral)",
      "line": 1,
      "is_adjunct": false,
      "form": null,
      "strength_mg": null,
      "adult_dose": "Mosquito-borne viral haemorrhagic fever endemic to parts of Africa and South America, not Egypt. In practice the primary-care task connected to this code is travel medicine - Egypt requires proof of yellow fever vaccination from travellers arriving from endemic countries - rather than treating the disease itself.",
      "adult_duration": "Refer",
      "dose_source": "No dose - referral pathway, no medicine given in primary care",
      "rationale": "Mosquito-borne viral haemorrhagic fever endemic to parts of Africa and South America, not Egypt. In practice the primary-care task connected to this code is travel medicine - Egypt requires proof of yellow fever vaccination from travellers arriving from endemic countries - rather than treating the disease itself.",
      "cautions": [
        "Not endemic in Egypt. Relevant to a returning traveller or an imported case; consider the travel history before anything else.",
        "No medicine is prescribed for this in primary care - this entry is for recognition and referral. Anything given is decided by the service it is referred to.",
        "RED FLAG - The toxic phase progresses with DIC, hemorrhage, renal failure, and hepatic failure (ICU admission, 30-50% mortality).",
        "RED FLAG - Fever with jaundice or bleeding after travel to an endemic country needs urgent referral; do not manage it as a routine viral fever.",
        "A traveller lacking a valid yellow fever vaccination certificate when required is a travel-clinic or administrative issue, not a clinical one."
      ],
      "peds_mgkg_low": null,
      "peds_mgkg_high": null,
      "peds_max_mg": null,
      "peds_basis": null,
      "peds_unit": null,
      "peds_note": "Children follow the same pathway: recognise and refer. No primary-care medicine is implied.",
      "peds_min_weight_kg": null,
      "peds_max_weight_kg": null,
      "peds_age_min_months": null,
      "peds_age_max_months": null,
      "peds_age_bands": null,
      "peds_doses": null,
      "brands": [],
      "condition_id": "yellow-fever"
    },
    {
      "id": 1976,
      "generic": "Yellow fever vaccine",
      "line": 2,
      "is_adjunct": false,
      "form": "injection",
      "strength_mg": null,
      "adult_dose": "0.5 ml single dose",
      "adult_duration": null,
      "dose_source": "MSF Essential Drugs 2024",
      "rationale": "Live-attenuated vaccine conferring lifelong immunity for pre-travel prophylaxis against yellow fever.",
      "cautions": [
        "Contraindicated in egg allergy, immunocompromised patients, symptomatic HIV infection, or immunosuppressive treatment.",
        "Contraindicated in infants less than 6 months of age."
      ],
      "peds_mgkg_low": null,
      "peds_mgkg_high": null,
      "peds_max_mg": null,
      "peds_basis": null,
      "peds_unit": null,
      "peds_note": "Child >= 9 months: 0.5 ml single dose by IM injection (contraindicated in children < 6 months).",
      "peds_min_weight_kg": null,
      "peds_max_weight_kg": null,
      "peds_age_min_months": null,
      "peds_age_max_months": null,
      "peds_age_bands": null,
      "peds_doses": null,
      "brands": [
        {
          "trade_name": "STAMARIL VACCINE",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "SANOFI PASTEUR-FRANCE > ETIMEX-EGYPT",
          "price_egp": 50.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": null,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        }
      ],
      "condition_id": "yellow-fever"
    }
  ]
}