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Staying Healthy on the Road Medical info, e.g. malaria, vaccinations, travel medical tips, medical insurance, where to find a doctor.
Photo by Anne Knoedler, Floating, Kolyma.

Adventure is what you make it

Anne Knoedler, Floating, Kolyma River, Russia.



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  #16  
Old 5 Aug 2009
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Because of some mental instability in my family's medical history, Depression etc.
I've used Malarone because of those reduced mental side effects.


Also mosquito netting or a treated tent are very useful.

Last edited by Cruise; 22 Apr 2011 at 22:49. Reason: I provided incorrect information.
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  #17  
Old 6 Aug 2009
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Originally Posted by Cruise View Post
Once you "get ill" you have malaria and will carry the parasite in your blood for the rest of your life...It may never bother you again, but you are at risk for future flare ups.
Fortunately, this is not true. Two of the four kinds of plasmodium parasite can hide in the liver, where they are not affected by the normal curative doses. In such cases there is a high likelihood or recurring acute malaria in the absence of further treatment These cases can, however, be treated with another anti-malarial, primaquine, which does kill the parasite during its liver phase.

Before taking a course of primaquine it's necessary to have a blood test for a certain blood deficiency which doesn't mix well with this medication. I believe you're also not supposed to take primaquine if pregnant.

The above is a perfect example of why you should not rely completely on internet forums for information about deadly diseases. The last poster was incorrect, although sincere. I believe myself correct....but how would you know the difference? What's more, what about when I'm wrong as well (which happens more often than I like to admit)? Don't trust me; do the research yourself.

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Also mosquito netting or a treated tent are very useful.
Absolutely!

Mark
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  #18  
Old 6 Aug 2009
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Originally Posted by TT-Kira View Post
I'm with Mark, I'd be suprised about Nepal but further south there's malaria abound!

Ignore it at your peril!

Kira
The jungle in Nepal's southern tier, the Terai, was famously malarial to the point where it was never settled by colonizers or local people except for certain tribes who were (so I've read) somewhat naturally immune. The widespread use of DDT delivered aerially brought about drastic decreases in anopheles mosquitoes, which allowed the intensive settlement, cultivation and resource extraction characteristic of the past 30 or 40 years. I talked to a guy who claimed to remember the planes swooping overhead trailing clouds of insecticides, although he might just have been telling stories to entertain the foolish white man with all the money.

Malaria is on the upswing throughout the Terai as well as in India, where it was almost beaten not so long ago. Last time I was in India there was an outbreak of cerebral malaria which (reportedly) killed thousands of people. This was not widely reported outside India because it happened at the same time that there was an outbreak elsewhere in India of plague, which makes better press and tv.

(/pedantic lecture)

I've had repeated experience with chloroquine, primaquine, mefloquine, doxycycline and Malarone. I tolerate all of them without any trouble, although the whole tetracycline family causes me to sunburn easily. I've also had repeated experience with acute malaria (2x), which I do not recommend. I very much prefer the side effects and/or expense.

Hope that helps.

Mark
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  #19  
Old 6 Aug 2009
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Malaria gets transmitted mainly at night. Dengue during daytime. I've just come out of SE-Asia, where I travelled between December & June. I didn't take any anti-malarials, although I had them with me: Doxycycline and Proguanil/Chloroquine.

A lot of areas didn't have too many mozzies anyway (dry season). My strategy for areas with too many mozzies: As soon as dawn kicks in, put some DEET repellant on. If it's only for 1-2 hours in the evening, 10% DEET did they job. For a long night out, I'd put the tropical (100% DEET) stuff on.

In the guesthouse: moskito nets (I had my own with me).
Thenly areas where 'malaria' and 'dengue' were a real topic for the locals during the dry season: Indonesia (Lombok, Sumbawa, Flores) and East Timor.
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  #20  
Old 9 Aug 2009
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Standing corrected

Oof!
Is my face red.


Not a good subject on which to be spreading misinformation!
Have family that lived in West Africa and got my info second hand.

Will be much more careful with anything I claim to know in the future.
And a very good lesson on proper research.
Thanks Mark!
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