b. Army Aviators and Aircrew Members. These personnel are restricted from
flying for a minimum of 12 hours (24 hours if not detrimental to the mission) after
receiving any immunization with the exception of oral poliomyelitis and smallpox
Exemptions, permanent or temporary, may be given for medical reasons by the
surgeon (staff medical officer) or the commanding officer of a medical treatment facility.
It is important to note that travelers not in compliance with International Health
Regulations may be subjected to isolation, surveillance, detention, or alternately denied
entry to the country in question.
a. Individuals with a history of high sensitivity (such as severe systemic
reactions or anaphylaxis to eating eggs) should be exempt from immunizing agents
cultivated in eggs. Immunizing agents cultivated in eggs include those for influenza,
yellow fever, measles, mumps, and rubella. Allergists should arrange for skin testing
with dilutions of egg extract and vaccine product, plus positive and negative controls,
under conditions with adequate precautions. Record severe individual reactions or
significant proven allergy in the individual's immunization record. When soldiers must
be immunized for a military mission, contact a board-certified allergist to make up the
schedule for specific immunizations.
b. Army personnel on active duty who have a permanent medical exemption for
immunization against yellow fever have a permanent assignment limitation and will not
be assigned to areas endemic with yellow fever.
There are two kinds of waivers: permanent and temporary.
a. Permanent. Permanent waivers may be given for administrative reasons,
usually religious beliefs. Some individuals have legitimate religious objection to
immunization. Permanent waivers are subject to being revoked when the military
mission accomplishment is in danger of being compromised. Persons with permanent
waivers will not be assigned to areas where smallpox and yellow fever are endemic.
Those are the only assignment limitations which apply to the permanent waiver. The
Surgeon General of the Army has the power to grant this waiver.