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Yes, I speak from repeat personal experience in both Africa and South America. That checking of the certificate in South America has dwindled is well known. Sure, some people may have bad luck, but there is a reason that many holidaymakers are no longer even aware that there is a rule on the books.

The certificate is commonly checked in Africa, but as I said, often the official on the border checking it is not capable of understanding the details – they just look for the paper with the familiar color and logo. Also, it has been common for travelers unable to get the yellow fever vaccine in their home country (historically supplies in Eastern Europe have been scarce, for instance) to simply forge the certificate, which is easily done. The WHO is aware that some amount of certificates will be forgeries, but nevertheless believes that the policy of requiring vaccination will be enough to reduce the risk of outbreaks.




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