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Travelers' Immunizations

W. Paul McKinney, MD; Gary P. Barnas, MD
JAMA. 1990;264(14):1812. doi:10.1001/jama.1990.03450140032027.
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To the Editor.—  In counseling patients at the International Travelers' Clinic of the Medical College of Wisconsin, we have noted discrepancies cited by travelers between officially published immunization requirements and the requirements stated by representatives of foreign embassies or consulates. These inconsistencies have recently been verified through a telephone survey of embassy and consulate personnel in which we asked what vaccinations were required for travel from the United States to their countries.1 Although certain responses were in obvious error, we suggest that the most appropriate standard against which to compare foreign embassy responses is the actual practice of officials checking documents at their borders. Occasionally, the consistent practice of some countries is at odds with published statements, resulting in the potential need for additional immunizations to gain entrance into those countries. For example, Tanzania has no official requirement for cholera vaccine and requires yellow fever vaccination only for

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