Guest guest Posted January 22, 2008 Report Share Posted January 22, 2008 NO vaccines required by law, although they will tell you they are EXCEPT yellow fever vax to some countries, S. America, some C. America countries & some African countries when traveling between countries who have yellow fever endemic. Just wouldn't go to those countries. This means NOT required traveling from US or back to US Hepatitis A - primarily a mild disease & just not necessary to vax - see my webpages Typhoid - water situation - drink good water, etc. http://www.vaccineshoppe.com/US_PDF/790-01_4327.pdf there is also an oral typhoid vax Malaria - no vaccine yet, working on it and the MALARIA pills are HORRIFIC - terrible reactions - I can send info on that. Cholera - again the water situation Polio - so many lies about polio presence in other countries..... Yellow fever - Sebastiana posted the article below in March. Most vaccine reactions are not specific to any particular type of vaccine (though some tend to cause certain types of reactions more than others), so you can give this person a general list of the many documented vaccine reactions. THEN tell him that all other vaccines you can get from ANY doctor, whilst the yellow fever vaccine is SO bad that you have to go to special centres to get it, where you get more closely monitored. So given how bad the others are, such caution is hardly a good advertisement is it? Bronwyn http://www.medscape.com/reuters/prof/2000/03/03.13/ep03130c.html Brazil to Investigate Possible Link Between Yellow Fever Vaccine and Meningitis Reuters Medical News By , MD SAO PAOLO, Brazil, Mar 13 (Reuters Health) - A rise in the number of viral meningitis cases in the city of Campinas, Sao o, has prompted the National Health Foundation (FUNASA) to launch an investigation into a possible co nnection with a yellow fever vaccination program that is under way in the area. Eighty-three cases of viral meningitis were reported this month, almost three times the expected number. Almost all the patients had received the yellow fever vaccine days to weeks beforehand. The investigation, coordinated by FUNASA and the Secretary of State for Health in the state of Sao o, will include epidemiologic studies and analysis of the yellow fever vaccine. In an interview with Reuters Health, Dr. Jarbas Barbosa, director of the National Centre for Epidemiology, the division of FUNASA responsible for the investigation, said that a connection between the rise in the numbers of meningitis cases and the yellow fever vaccine is unlikely. " It is most probable that we are seeing a normal seasonal variation in the numbers of meningitis cases that temporally coincides with the vaccination program, but the investigation will serve to rule out the possibility of a connection. " According to Dr. Barbosa, the investigation will not interrupt the planned extension of the vaccination program to reach individuals in the interior of the states surrounding Maranhao, where the yellow fever virus is endemic. Since January, the Ministry of Health has stepped up the yellow fever vaccination program to include all cities and municipalities in the north and central-west of Brazil, in response to a rise in the number of cases of yellow fever in these regions. Twenty-three cases of yellow fever have been reported, with nine deaths, the majority from the state of Goias. The city of Campinas, approximately 100 km outside of Sao o, where the vaccination program was started on February 5, has reported only one case, a traveler from the state of Goias. Almost 5 million doses of vaccine have been made available for use in Campinas and the surrounding municipalities. The live attenuated vaccine, manufactured by Fiocruz of the Oswaldo Cruz Foundation based in Rio, is distributed free by the Ministry of Health, and is recommended for all individuals, particularly travelers to and from endemic regions, except pregnant women and those with immunodepressive conditions. Preliminary results of the investigation are expected in the next few weeks. There is a book with quite a bit of info The World Travellers' Manual of Homeopathy - 434 pages info on diseases, a little on dangers of vaccines, more on each disease and prevention and treatment - homeopathic and other natural Amazon.com - US http://www.amazon.com/exec/obidos/ISBN%3D0852072422/wellwithinA/104-8562235- 4777555 Amazon.co.ca CANADA http://www.amazon.ca/exec/obidos/ASIN/0852072422/wellwithin09-20/701-2898648 -7787564 UK amazon.co.uk http://www.amazon.co.uk/exec/obidos/ASIN/0852072422/wellwithin-21/026-178527 3-3817212 ******* Mosby's GenRx®, 10th ed. Copyright © 2000 Mosby, Inc. Yellow Fever Vaccine (001292) CATEGORIES: Indications: Immunization, yellow fever WHO Formulary FDA Pre 1938 Drugs FDA DRUG CLASS: Vaccines/Antisera BRAND NAMES: Yf-Vax (US); DESCRIPTION: YF-VAX, for subcutaneous use, is prepared by culturing the 17D strain of yellow fever virus in living avian leukosis virus-free (ALV-free) chicken embryos. The vaccine, containing sorbitol and gelatin as a stabilizer, is lyophilized, and hermetically sealed under nitrogen. No preservative is added. The vaccine must be reconstituted immediately before use with the sterile diluent provided (sodium chloride injection--contains no preservative). YF-VAX is formulated to contain not less than 5.04 Log10 Plaque Forming Units (PFU) per 0.5 ml dose. The vaccine appears slightly opalescent and light orange in color after reconstitution. YF-VAX complies with official potency tests and other requirements of the US Food and Drug Administration (FDA) and the World Health Organization (WHO). CLINICAL PHARMACOLOGY: A clinical study to evaluate the serological responses and adverse reactions of yellow fever vaccine was performed on healthy young adults. One group of six received yellow fever vaccine non-ALV-free and another group of 18 received an immunization with yellow fever vaccine.1 Immunologic protection was measured utilizing a serum neutralizing antibody assay. No neutralizing antibody was detected prior to immunization. Both groups demonstrated a 100% conversion in the post-immunization sera. The incidence and severity of adverse reactions in each group were comparable.1 In a study involving 101 Nigerian women in various stages of pregnancy, it was concluded that vaccinating pregnant women with the 17D vaccines was not associated with adverse effects on the fetus or with risk of fetal infection. However, the percentage of pregnant women without neutralizing antibodies, who sero-converted, was significantly less than a non-pregnant control group (38.6% vs. 81.5%).2 Following a mass immunization campaign in Trinidad, congenital infection based on the observation of virus specific IgM in the blood of one infant exposed through maternal immunization with the 17D strain has been reported.3 This infant appeared normal at delivery. One case of fatal vaccine-associated encephalitis occurred after 17D yellow fever vaccine was administered to an apparently healthy 39-month-old girl.4 INDICATIONS AND USAGE: Yellow fever vaccine is recommended for active immunization of all persons 9 months of age traveling to or living in areas of South America and Africa where yellow fever infection is officially reported or to countries which require a certificate of vaccination against yellow fever.5,6 Vaccination is also recommended for travel outside the urban areas of countries that do not officially report the disease but that lie in the yellow fever endemic zone. In recent years, fatal cases of yellow fever have occurred among unvaccinated tourists visiting rural areas within the yellow fever endemic zone.5 Laboratory personnel who might be exposed to virulent yellow fever virus by direct or indirect contact or by aerosols also should be vaccinated.5 For simultaneous administration of other vaccines see DOSAGE AND ADMINISTRATION. Infants <9 months of age and pregnant women should be considered for vaccination if traveling to areas experiencing ongoing epidemic yellow fever when travel cannot be postponed and a high level of prevention against mosquito exposure is not feasible. However, in no instance should infants <4 months of age receive yellow fever vaccine because of the risk of encephalitis. 5 (See CONTRAINDICATIONS, WARNINGS and PRECAUTIONS.) United States vaccination certificates are valid for a period of 10 years commencing 10 days after initial vaccination or revaccination.6 (See DOSAGE AND ADMINISTRATION.) As with any vaccine, vaccination with yellow fever vaccine may not protect 100% of susceptible individuals. CONTRAINDICATIONS: Since the yellow fever virus is propagated in chicken embryos, it should not be administered to an individual with a history of hypersensitivity to egg, chicken protein, or to any other component of the vaccine. Generally, persons who are able to eat eggs or egg products may receive the vaccine. (See PRECAUTIONS for sensitivity testing.)5 Infection with yellow fever vaccine virus poses a theoretical risk of encephalitis to patients with immunosuppression in association with acquired immunodeficiency syndrome (AIDS) or other manifestations of human immunodeficiency virus (HIV) infection, leukemia, lymphoma, generalized malignancy, or to those whose immunologic responses are suppressed by corticosteroids, alkylating drugs, antimetabolites, or radiation. Such patients should not be vaccinated. If travel to a yellow fever-infected zone is necessary, patients should be advised of the risk, instructed in methods for avoiding vector mosquitoes, and supplied with vaccination waiver letters by their physicians.5,6 Low-dose (10 mg prednisone or equivalent) or short-term (<2 weeks) corticosteroid therapy or intra-articular, bursal, or tendon injections with corticosteroids should not be immunosuppressive and constitute no increased hazard to recipients of yellow fever vaccine. Persons who have had previously diagnosed asymptomatic HIV infections and who cannot avoid potential exposure to yellow fever virus should be offered the choice of vaccination. Vaccinees should be monitored for possible adverse effects. Since the vaccination of such persons may be less effective than that for non-HIV-infected persons, their neutralizing antibody response to vaccination may be desired before travel. For such determinations, the appropriate state health department or Centers for Disease Control and Prevention (CDC) (303-221-6400) may be contacted. Family members of immunosuppressed persons, who themselves have no contraindications, may receive yellow fever vaccine.5 Infants <4 months of age should not be immunized because they are more susceptible to encephalitis temporally associated with yellow fever vaccination than older children.5,6,7 (See INDICATIONS AND USAGE and WARNINGS.) WARNINGS: This Product Contains Dry Natural Latex Rubber as Follows: The stopper to the vial contains dry natural latex rubber. Infants <9 months of age and pregnant women should not be vaccinated. The decision to immunize infants between 4 and 9 months of age and pregnant women should be based upon estimates of the risk of exposure. 5,6,7 Anaphylaxis may occur following the use of yellow fever vaccine, even in individuals with no prior history of hypersensitivity to the vaccine components. The clinical judgment of the responsible physician should prevail. PRECAUTIONS: General Care is to be taken by the health-care provider for the safe and effective use of yellow fever vaccine. EPINEPHRINE INJECTION (1:1000) ALWAYS MUST BE IMMEDIATELY AVAILABLE TO COMBAT UNEXPECTED ANAPHYLACTIC OR OTHER ALLERGIC REACTIONS. Prior to an injection of any vaccine, all known precautions should be taken to prevent side reactions. This includes a review of the patient's history with respect to possible sensitivity to the vaccine or similar vaccines and to possible sensitivity to dry natural latex rubber. Health-care providers should obtain the previous immunization history of the vaccinee, and inquire about the current health status of the vaccinee. Administration of yellow fever vaccine is not contraindicated in individuals infected with HIV.7 A separate, sterile syringe and needle should be used for each patient to prevent transmission of hepatitis or other infectious agents from person to person. Needles should not be recapped and should be properly disposed (e.g., sterilized or disposed in red hazardous waste containers). Information for the Patient Patients, parents or guardians should be fully informed of the benefits and risks of immunization with yellow fever vaccine. Prior to administration of yellow fever vaccine, patients, parents or guardians should be asked about the recent health status of the patient to be immunized. The health-care provider, at an approved yellow fever vaccination center, should inform the patients, parents or guardians about the significant adverse reactions that have been temporally associated with yellow fever vaccine administration and obtain informed consent. Patients, parents or guardians should be instructed to report any serious adverse reactions to their health-care provider. As part of the patient's immunization record, the date, lot number and manufacturer of the vaccine administered should be recorded.8,9,10 Vaccinees should receive an International Certificate of Vaccination completed, signed, and validated with the center's stamp where the vaccine was given. The US Department of Health and Human Services has established a Vaccine Adverse Event Reporting System (VAERS) to accept all reports of suspected adverse events after the administration of any vaccine, including but not limited to the reporting of events required by the National Childhood Vaccine Injury Act of 1986.7,8 The VAERS toll-free number for forms and information is 1-800-822-7967.8 Hypersensitivity Reactions Since the yellow fever virus is propagated in chicken embryos, it should not be administered to an individual with a history of hypersensitivity to egg or chicken protein. In some instances, although symptoms appear soon after a vaccine is administered, differentiation between allergic reaction to the vaccine and reaction to an environmental allergen is impossible.11 Four types of hypersensitivity reactions are:11 1. Allergic reactions to egg or egg-related antigens. 2. Mercury sensitivity in some recipients of immune globulins or vaccines. 3. Antibiotic-induced allergic reactions. 4. Hypersensitivity to some component of the infectious agent or other vaccine components. Less severe or localized manifestations of allergy to egg or to feathers are not contraindications to vaccine administration and do not usually warrant vaccine skin testing.11 An egg-sensitive individual can be tested with the vaccine before it is used in the following manner:11 1. Scratch, Prick, or Puncture Test: A drop of 1:10 dilution of the vaccine in physiologic saline is applied at the site of a superficial scratch, prick, or puncture on the volar surface of the forearm. Positive (histamine) and negative (physiologic saline) control tests should also be used. The test is read after 15 to 20 minutes. A positive test is a wheal 3 mm larger than that of the saline control, usually with surrounding erythema. The histamine control must be positive for valid interpretation. If the result of this test is negative, an intradermal (ID) test is performed. 2. Intradermal Test: A dose of 0.02 ml of a 1:100 dilution of the vaccine in physiologic saline is injected; positive and negative control skin tests are performed concurrently. A wheal 5 mm or larger than the negative control with surrounding erythema is considered a positive reaction. EPINEPHRINE INJECTION (1:1000) ALWAYS MUST BE IMMEDIATELY AVAILABLE TO COMBAT UNEXPECTED ANAPHYLACTIC OR OTHER ALLERGIC REACTIONS. Desensitization11 If the individual has a history of severe egg sensitivity and has a positive skin test to the vaccine, the individual may be given the vaccine using a " desensitization " procedure if immunization is imperative. The following successive doses should be administered subcutaneously at 15- to 20-minute intervals: 1. 0.05 ml of 1:10 dilution. 2. 0.05 ml of full strength. 3. 0.10 ml of full strength. 4. 0.15 ml of full strength. 5. 0.20 ml of full strength. This type of skin testing and " desensitization " should be undertaken only if supervised by a physician experienced in the management of anaphylaxis and with necessary emergency equipment immediately available. Carcinogenesis, Mutagenesis, and Impairment of Fertility Yellow fever vaccine has not been evaluated for its carcinogenic, mutagenic potentials or impairment of fertility. Pregnancy Category C Animal reproduction studies have not been conducted with yellow fever vaccine. It is also not known whether yellow fever vaccine can cause fetal harm when administered to a pregnant woman or can affect reproduction capacity. Yellow fever vaccine should be given to a pregnant woman only if clearly needed. Nursing Mothers Yellow fever virus is not excreted in breast milk following vaccination, and there is no contraindication for vaccinating breast-feeding mothers with yellow fever vaccine.6 Pediatric Use Safety and effectiveness of yellow fever vaccine in infants below the age of 9 months have not been established. Therefore, yellow fever vaccine is NOT recommended for infants <9 months of age unless they live in or are traveling to a high-risk area. In NO instance should infants <4 months of age receive yellow fever vaccine because of the risk of encephalitis. 5 (See INDICATIONS AND USAGE and WARNINGS.) DRUG INTERACTIONS: In a prospective study of persons given yellow fever vaccine and 5 cc of commercially available immune globulin, no alteration of the immunologic response to yellow fever vaccine was detected when compared with controls.5,11,12 Studies have shown that the serologic response to yellow fever vaccine is not inhibited by the administration of certain other vaccines concurrently at separate sites or at various intervals of a few days to one month. Measles and yellow fever vaccines have been administered in combination with full efficacy of each of the components; Bacillus Calmette Guerin (BCG) and yellow fever vaccines have been administered simultaneously without interference. Additionally, severity of reactions to vaccination has not been amplified by the concurrent administration of yellow fever and other live virus vaccines. If live virus vaccines are not given concurrently, four weeks should elapse between sequential vaccinations.5 Some data have indicated that persons given yellow fever and cholera vaccines simultaneously or 1 to 3 weeks apart had lower than normal antibody responses to both vaccines.5. Unless there are time constraints, cholera and yellow fever vaccines should be administered to a minimal interval of 3 weeks. If the vaccines cannot be administered at least 3 weeks apart, the vaccines can be given simultaneously at separate sites or at any time within the 3-week interval.5 Hepatitis B and yellow fever vaccine may be given concurrently at separate sites.5 No data exist on possible interference between yellow fever and typhoid, paratyphoid, typhus, plague, rabies or Japanese encephalitis vaccines.5 Although chloroquine inhibits replication of yellow fever virus in vitro , it does not adversely affect antibody responses to yellow fever vaccine in humans receiving antimalaria prophylaxis.5,13 (See DOSAGE AND ADMINISTRATION.) Usually, yellow fever vaccine should be administered at least one month apart from other live-virus vaccines. However, field observations and clinical data indicate that simultaneous administration of the most widely used live-virus vaccines have not resulted in impaired antibody response or increased adverse reactions.7 Thus, if time is a critical factor for required vaccinations, the clinical judgment of the responsible physician should prevail. ADVERSE REACTIONS: Adverse reactions to 17D yellow fever vaccine are generally mild. After vaccination, 2% to 5% of vaccinees have mild headaches, myalgia, low-grade fevers, or other minor symptoms for 5 to 10 days. Fewer than 0.2% of the vaccinees curtail regular activities. Immediate hypersensitivity reactions, characterized by rash, urticaria, and/or asthma, are uncommon (incidence <1/1,000,000) and occur principally among persons with histories of egg allergy.5 Two cases of encephalitis temporally associated with vaccinations have been reported in the United States; in one fatal case, 17D virus was isolated from the brain.4,5 Anaphylaxis may occur following the use of yellow fever vaccine, even in individuals with no prior history of hypersensitivity to the vaccine components. EPINEPHRINE INJECTION (1:1000) ALWAYS MUST BE IMMEDIATELY AVAILABLE TO COMBAT UNEXPECTED ANAPHYLACTIC OR OTHER ALLERGIC REACTIONS. Reporting of Adverse Events Reporting by patients, parents or guardians of all adverse events occurring after vaccine administration should be encouraged. Adverse events following immunization with vaccine should be reported by the health-care provider to the US Department of Health and Human Services (DHHS) Vaccine Adverse Event Reporting System (VAERS). Reporting forms and information about reporting requirements or completion of the form can be obtained from VAERS through a toll-free number 1-800-822-7967.8 Health-care providers also should report these events to the Director of Medical Affairs, Connaught Laboratories, Inc., a Pasteur Merieux Connaught Company, Discovery Drive, Swiftwater, PA 18370-0187 or call 1-800-822-2463. DOSAGE AND ADMINISTRATION: Parenteral drug products should be inspected visually for extraneous particulate matter and/or discoloration prior to administration whenever solution and container permit. If these conditions exist, the vaccine should not be administered. Reconstitute the vaccine using only the diluent supplied (sodium chloride injection). The vaccine appears slightly opalescent and light orange in color after reconstitution. Draw the volume of the diluent, shown on the diluent label, into a suitable size syringe and inject into the vial containing the vaccine. Slowly add diluent to vaccine, let set for one to two minutes and then carefully swirl mixture until a uniform suspension is achieved. Avoid vigorous shaking as this tends to cause foaming of the suspension. Use vaccine within 60 minutes following reconstitution. All reconstituted vaccine and containers which remain unused after one hour must be properly disposed (e.g., sterilized or disposed in red hazardous waste containers). 5 Do not dilute reconstituted vaccine. SWIRL VACCINE WELL before withdrawing each dose. Administer the single immunizing dose of 0.5 ml subcutaneously at once. If immunization is imperative to an individual with a history of severe egg sensitivity and a positive skin test to the vaccine, see PRECAUTIONS, Desensitization. Primary vaccination. For persons of all ages, a single subcutaneous injection of 0.5 ml of reconstituted vaccine (formulated to contain not less than 5.04 Log10 Plaque Forming Units [PFU]) is administered.5 Immunity develops by the 10th day after primary vaccination.6 Booster doses. The International Health Regulations require revaccination at intervals of 10 years. Revaccination boosts antibody titer; however, evidence from several studies suggests that yellow fever vaccine immunity persists for at least 30 to 35 years and probably for life.5 Simultaneous Administration of Other Vaccines Studies have shown that the serologic response to yellow fever vaccine is not inhibited by the administration of certain other vaccines concurrently at separate sites or at various intervals of a few days to one month. Measles and yellow fever vaccines have been administered in combination with full efficacy of each of the components; Bacillus Calmette Guerin (BCG) and yellow fever vaccines have been administered simultaneously without interference. Additionally, severity of reactions to vaccination has not been amplified by the concurrent administration of yellow fever and other live virus vaccines. If live virus vaccines are not given concurrently, four weeks should elapse between sequential vaccinations.5 Some data have indicated that persons given yellow fever and cholera vaccines simultaneously or 1 to 3 weeks apart had lower than normal antibody responses to both vaccines.5 Unless there are time constraints, cholera and yellow fever vaccines should be administered at a minimal interval of 3 weeks. If the vaccines cannot be administered at least 3 weeks apart, the vaccines can be given simultaneously at separate sites or at any time within the 3-week interval.5 Hepatitis B and yellow fever vaccine may be given concurrently at separate sites.5 No data exist on possible interference between yellow fever and typhoid, paratyphoid, typhus, plague, rabies or Japanese encephalitis vaccines.5 REFERENCES: 1. Unpublished data available from Connaught Laboratories, Inc. 2. Nasidi A, et al. Yellow fever vaccination and pregnancy: a four-year prospective study. Transactions of the Royal Society of Tropical Medicine and Hygiene 87: 337-339, 1993. 3. Tsai TF, et al. Congenital yellow fever virus infection after immunization in pregnancy. J Infect Dis 168: 1520-1523, 1993. 4. Jennings AD, et al. Analysis of a yellow fever virus isolated from a fatal case of vaccine-associated human encephalitis. J Infect Dis 169: 512-518, 1994. 5. Recommendations of the Advisory Committee on Immunization Practices (ACIP). Yellow Fever Vaccine. MMWR 39: No. RR-6, 1990. 6. Vaccination Certificate Requirements. Health information for international travel. US Department of Health and Human Services. June 1991. 7. ACIP. General recommendations on immunization. MMWR 38: 205-227, 1989. 8. CDC. Vaccine Adverse Event Reporting System - United States. MMWR 39: 730-733, 1990. 9. CDC. National Childhood Vaccine Injury Act: requirements for permanent vaccination records and for reporting of selected events after vaccination. MMWR 37: 197-200, 1988. 10. Food and Drug Administration. New reporting requirements for vaccine adverse events. FDA Drug Bull 18 (2), 16-18, 1988. 11. American Academy of Pediatrics. Report of the Committee on Infectious Diseases. 23rd ed. Elk Grove Village, IL, 1994. 12. Kaplan JE, et al. The effect of immune globulin on the response to trivalent oral poliovirus and yellow fever vaccinations. Bull WHO Vol 62: 585-590, 1984. 13. Tsai TF, et al. Chloroquine does not adversely affect the antibody response to yellow fever vaccine. J Infect Dis 154: 726, 1986. 14. Requirements for yellow fever vaccine. WHO Technical Report Series 594, 1976. HOW SUPPLIED: YF-VAX in the United States is supplied only to designated Yellow Fever Vaccination Centers authorized to issue valid certificates of Yellow Fever Vaccination. Location of the nearest Yellow Fever Vaccination Centers may be obtained from the Centers for Disease Control and Prevention, Atlanta, GA 30333, state or local health departments, or the USPHS booklet " Immunization Information for International Travel " (obtainable from the Superintendent of Documents, US Government Printing Office, Washington, DC 20402). Storage Storage Temperature: Freeze-dried vaccine must be maintained continuously at a temperature between 0-5°C (32- 41°F). YF-VAX does not contain a preservative, therefore all reconstituted vaccine and containers which remain unused after one hour must be properly disposed (e.g., sterilized or disposed in red hazardous waste containers). 5 Shipping Temperatures: YF-VAX is shipped in a container with solid carbon dioxide; use is not recommended unless the shipping case contains some dry ice upon arrival. Stability Studies The information in TABLE 1 is provided for those countries or areas of the world where an adequate cold chain is a problem and inadvertent exposure to abnormal temperatures has occurred. TABLE 1 Stability of Yellow Fever Vaccine (Freeze-Dried) at Elevated Temperatures1 Temperature °C Test Number of Lots Tested Computed Half-Life (Days) 35-37°C Mouse Assay 3 14.0 35-37°C Vero Cell Assay 3 13.9 45-47°C Mouse Assay 3 3.3 45-47°C Vero Cell Assay 3 4.5 YF-VAX is formulated to satisfy the current US potency requirements of not less than 5.04 Log10 Plaque Forming Units (PFU) per 0.5 ml dose and meets the minimum requirements of WHO.14 MD Consult L.L.C. http://www.mdconsult.com Bookmark URL: /das/drug/view/1/1292/top -------------------------------------------------------- Sheri Nakken, former R.N., MA, Hahnemannian Homeopath Vaccination Information & Choice Network, Nevada City CA & Wales UK $$ Donations to help in the work - accepted by Paypal account Voicemail US 530-740-0561 Vaccines - http://www.nccn.net/~wwithin/vaccine.htm or http://www.wellwithin1.com/vaccine.htm Vaccine Dangers On-Line courses - http://www.wellwithin1.com/vaccineclass.htm Reality of the Diseases & Treatment - http://www.nccn.net/~wwithin/vaccineclass.htm Homeopathy On-Line courses - http://www.wellwithin1.com/homeo.htm NEXT CLASSES start by email January 9 & 10 Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.