Shots

I'm headed to Ghana for work in a few weeks, and I needed two shots to go there. One was called "meningococcal", which doctor-speak for meningitis. The other is "yellow fever", which is doctor-speak for yellow fever. Unfortunately, our med unit at the embassy doesn't stock yellow fever vaccine, and I was referred to something ominously called the Bureau of Quarantine.

Knowing that this was a government office, I entered with low expectations. The place is located in the port section of Manila, which made sense when I walked in and realized I was surrounded by Filipino sailors about to head out to sea. All of this was fine until I completed the pre-inoculation for and answered, honestly, that yes, I had received a vaccine in the past seven days (specifically, the meningicoccal that had been administered an hour earlier at the embassy med unit). "Oh no, po", I was told, "you have to wait a week between vaccinations." As any well-vaccinated American knows, this is nonsense - we get multiple shots all the time. I also knew that I had just spoken to the embassy nurse about getting the yellow fever shot, and she had said it was just fine to go now. Third, I had just read the CDC information sheets about both vaccines, and both said that they were safe to receive at the same time as other shots. Finally, the doctors at the Bureau of Quarantine weren't citing medical reasons not to get the shot, they were going on about their policies.

So I was pretty sure there wasn't actually a medical reason I couldn't get this shot. But if I waited a week, I would start to push up against my departure time, and I couldn't get my Ghana visa until the yellow fever shot was completed. Lying seemed like a real option. At the same time, I like to be an honest person whenever I can.

What to do?

Well, I'm only sort of sorry to say that for just a few minutes I put aside my sense of propriety and remembered that I was dealing with government officials who just want to follow the rules. I made it easy for them - "Sorry, po, I misunderstood the question - my meningicoccal shot is right after this one, I haven't gotten it yet." A bit of discussion in Tagalog ensued. A was asked a few more times if I was sure about this, which I dutifully answered in the affirmative. (I'll note here that if I *had* gone to BQ first, then the med unit, I'm 100% certain that I would have gotten both shots in one day with no problem.) With no real alternative presented, the government doctor and nurse gave in. I got the shot - in the left arm, of course, because the right was still a bit sore from the other one, and still had a bandage on it.

It's at times like these that I try to remind myself that I, too, am but a lowly bureaucrat. I get it. All a good bureaucrat needs is a plausible explanation for how what they do is within the rules. So that's what I gave them. Shame on me.