Introduction
Malaria is widespread
in many tropical and subtropical countries and is a serious and sometimes fatal
disease. You cannot be vaccinated against malaria, but you can protect yourself
in three ways:
Avoidance of Bites
Mosquitoes cause
much inconvenience because of local reactions to the bites themselves and from
the infections they transmit. Mosquitoes spread malaria, yellow fever, dengue
and Japanese B encephalitis.
Mosquitoes bite at any time of day
but most bites occur in the evening.
PRECAUTIONS TO TAKE:
1. Avoid mosquito bites, especially
after sunset. If you are out at night wear long-sleeved clothing and long
trousers.
2. Mosquitoes may bite through thin
clothing, so spray an insecticide or repellent on them. Insect repellents should
also be used on exposed skin.
3. Spraying insecticides in the
room, burning pyrethroid coils and heating insecticide impregnated tablets all
help to control mosquitoes.
4. If sleeping in an unscreened
room, or out of doors, a mosquito net (which should be impregnated with
insecticide) is a sensible precaution. Portable, lightweight nets are available.
5. Garlic, Vitamin B and ultrasound
devices do not prevent bites.
Taking
Anti-Malaria Tablets
1. Start before
travel as
guided by your travel health advisor
(with some tablets you
should start three weeks before).
2. Take the tablets absolutely
regularly, preferably with or after a meal.
3. It is extremely important to
continue to take them for four weeks after you have returned, to cover the
incubation period of the disease. (Malarone requires only 7
days post-travel)
Prompt
Treatment
Following these
guidelines faithfully might not guarantee complete protection. If you get a
fever between one week after first exposure and up to two years after your
return, you should seek medical attention and tell the doctor that you have been
in a malarious area.
If you are not clear if
the area you are travelling to has malaria you can check your destination on the
following web link
www.fitfortravel.nhs.uk |