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Hi. We are in the process of adoptiong from Ethiopia and I have a question about vaccines. Some of my birth children are vaccinated and 2 are not. I have not had any vaccines in years and my husband is military, so he has had ALL of them! We are planning to travel to Ethiopia to pick up our child and I was wondering if I will have to get vaccinated? (we are not taking our children with us) Also, will our kids need to be vaccinated for anything since they are not travelling? I am not really worried about hep a because I think it is mild in most children. I would love to not get any vaccines, but I don't want to do that if the risk is great that we would get something and bring it home. Thanks for any advice you have.<br><br>
Stacey<br>
(x posted in vaccinations)
 

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Call the Ethiopian Embassy, since they will be issuing your visa. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile"> They may even have the info available on the website. You might also talk to the adoption agency, or the travel agency (if you used one). They would be aware of vaccines necessary to get a visa (and whether there is a rejection option), and if they work in that country on a regular basis they'd know the true risks of contracting certain diseases.<br><br>
When I went over there, the only mandatory one (I think) was yellow fever. However, even most "mandatory" vaccinations allow a religious or philosophical objection.<br><br>
I would also suggest looking up the rates and virility of certain diseases there, and making sure that you have a <i>good</i> understanding of the risks. For our family, the risks of certain diseases there far outweighed the comparatively smaller risks of the vaccines. Part of the risk that needs to be considered is that there is basically no herd immunity to count on, so coming in contact with live active polio virus, for instance, is a way higher risk in Ethiopia than it is in the West. But that's something that needs to be considered on a case-by-case basis, and not every family will come to the same conclusion as ours.<br><br>
I don't think that your kids would need vaccinations if they're not going to Ethiopia. It might be a consideration if the child you're bringing back has an active, transmissable disease that could be vaccinated against, but even then it wouldn't necessarily be the first or only option. IMO, the biggest health worry would be possible tuberculosis exposure, but that's not something you can be vaccinated against anyway. And though my dh has been heavily exposed to TB in Ethiopia, and has violent reactions to the skin test, but is completely healthy and it is neither active nor contageous, so it's not a concern for us. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile"><br><br>
Wishing you luck! Thank you for opening your home to an Ethiopian child. <img alt="" class="inlineimg" src="/img/vbsmilies/smilies/joy.gif" style="border:0px solid;" title="joy">
 

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I think there is a TB vaccine, however it is not commonly used in the US. This vaccine does not actually prevent TB infection, but it does in some cases prevent latent TB from developing in to active TB disease (in lungs or other parts of the body).<br><br>
If you are bringing home a child with latent TB, you could talk with your doctor about whether or not to vaccinate your other children. (We've discussed this with our pediatrician because I have latent TB).
 

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Here is the CDC's recommendations on traveling to Ethiopia. It also discusses malaria:<br><br><a href="http://wwwnc.cdc.gov/travel/destinations/ethiopia.aspx" target="_blank">http://wwwnc.cdc.gov/travel/destinations/ethiopia.aspx</a>
 

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When I travelled to Ethiopia 4 years ago, there weren't any required vaccines. DH and I read over the CDC recommendations and chose not to recieve any vaccines that we hadn't already had. We didn't have any problems at all.<br><br>
Malaria is a bit of a concern, but less of an issue if you're going to be staying in Addis Ababa during your stay. We stayed in the capitol city and chose not to take anti-malaria meds. But research the issue yourself, and make informed decisions. Your agency may also be able to assist you in your travel preps.
 

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For yellow fever (and malaria), you should also consider your time/season of travel. The mosquitos that carry yellow fever cannot live in the high altitude of Addis, but if you are to travel outside of Addis to the region your child comes from, it may be an issue.
 

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Hello, we travelled in march without receiving any vaccines. Our children at home are not vaccinated but did not come with us. The only thing may be your Home Study. You will need a letter from your children's doctor for your HS. Our social worker said it needed to say the children were in good health, current on immunizations and free of any communicable diseases. But we left out the current on immunizations. Im wondering if social workers have different views on this?<br>
Hope all works well for you!
 

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<div>Originally Posted by <strong>jenmart</strong> <a href="/community/forum/post/14748529"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">Hello, we travelled in march without receiving any vaccines. Our children at home are not vaccinated but did not come with us. The only thing may be your Home Study. You will need a letter from your children's doctor for your HS. Our social worker said it needed to say the children were in good health, current on immunizations and free of any communicable diseases. But we left out the current on immunizations. Im wondering if social workers have different views on this?<br>
Hope all works well for you!</div>
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Ethiopia does not require that the children currently in your home are vaccinated. Not all states or social workers require that the children in your home be vaccinated- it really varies. We did not need to provide any info about our bio children to our social worker, beyond their names and birthdates. They were present for two of our homestudy meetings, and that was it.
 
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