COSMIC RHINO

10 PRIME RISK MALARIA COUNTRIES IN AFRICA

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http://www.nation.co.ke/news/world/Malaria-High-risk-focused-in-10-African-countries/-/1068/2214002/-/7odfyxz/-/index.html

 

This is from a esteemed medical journal , they are the main risk countries ,that does not mean it is safe elsewhere.

 

places which claim to be malaria free could well be so to promote tourism, the same placves are regarded as having an element iof risk by the Centre for disease control.

 

the prime risk countries are Nigeria, Democratic Republic of Congo, Uganda, Ivory Coast, Mozambique, Burkina Faso, Ghana, Mali, Guinea and Togo together account for 87 percent of areas that have the highest prevalence of malaria.

 

You can get it in much of Africa and it is becoming increasing dangerous and difficult to treat

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This is very timely for me, thank you! We are less than 2 months out for our trip to Bot & SA. I'm trying to figure out what/if Malaria tablets we'll need. We are in Wilderness Safari camps in Botswana (LV, Chitabe, DT). CDC shows pretty clearly these are malaria areas. But, WS documentation is pretty vague and our doc (that has never been) didn't seem to think we'd need tablets for this area. I tend to disagree, but I'm not a doctor!

 

Further, we are heading to SA Kwazulu Natal area (Rocktail & Phinda) for the last half. Pretty much everyone agrees that we need tablets for this area. My concern is that I don't want to start taking anything mid-way through our trip. What if we have weird reactions? I'd rather err on taking the whole time.

 

Last bit of complexity is that we'll be diving. Most I've read suggest Malarone as the least potential risk. Anyone have any comment or experience?

 

Anyway, thank you for posting this link.

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First of all check with your medical professional before taking any medication. With that disclaimer out of the way, in my view taking malaria meds is a must in most safari destinations unless it's clearly in a malaria free area. For most people, Malarone is the most side effect free of the malaria prophylactics In addition to taking the meds attempt to avoid getting bitten by taking common sense precautions such as using repellent ( I like clothes that are pre-treated with repellent), wearing long sleeves, using mosquito nets etc.

 

Just use common sense and take your malaria meds and you should be ok.

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http://www.hpa.org.uk/webc/HPAwebFile/HPAweb_C/1203496943523

 

This is an interesting British document, and recent. If you take the time to read it, you realize that prophylaxis or stand-by meds should always be an individual decision of a traveller, based on a visit to a doctor experienced in travel medicine.

 

@BJlock: They recommend bite avoidance for Bots and chemoprophylaxis for KwaZulu (table starting on page 38). The CDC reports a very low risk of transmission for Bots and a low risk for SA, based on Malaria cases among returning US travellers (a high percentage might have taken prophylaxis, some may have been to the deserts only, though)

 

In general, the recommendations have changed in the last years, with a trend to use less chemoprophylaxis than before. This may explain some of the contradictons one can find researching different sources.

 

f

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"Nigeria, Democratic Republic of Congo, Uganda, Ivory Coast, Mozambique, Burkina Faso, Ghana, Mali, Guinea and Togo together account for 87 percent of areas that have the highest prevalence of malaria, it said."

Copied from the article. Thanks Cosmic Rhino!

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I took Malarone 3 days prior to arriving in Kenya, during the trip and continued for 3 days after returning home at the instruction of my travel doctor. It may be in in your best interest to meet with a Dr who specializes in travel medicine for peace of mind. They have the most up to date information on high risk areas & by understanding your medical background can advise you accordingly. To follow up on what AKR1 said, pre-treated clothing will also be helpful. If your clothing is not pre-treated, you can buy a spray or wash to treat your clothes before your trip as an additional precaution. Have a great trip :) !

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Most doctors say 1 Malarone day before travel and 7 days upon returning home. In fact that is what it says on the packet.

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