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Malaria Vaccinations Or Tablets
17 Answers
We are going to Madagascar next year and having never been to a country where you need malaria vacs whats the procedure? Is it tablets or Vaccinations, how many and how far in advance of the trip do you need to get/take them?
Any help grateful
Thanks
Any help grateful
Thanks
Answers
1 to 17 of 17
Peter Pedant is on exactly the correct track regarding avoiding mosquito bites. The issue of malaria risk comes up fairly regularly on AB and I have occasionally contributed to the discussion. I have many, many years experience of living in malarial areas, including some weeks in Madagascar (I envy you of the opportunity, it's a wonderful place), and only...
10:56 Mon 02nd Dec 2013
this might help
http://
The last couple of times I've taken malarone it's upset my stomach a bit, but most people find it ok. Lariam is occasionally used but it seems it sometimes gives people psychotic episodes, which puts me off rather.
http://
The last couple of times I've taken malarone it's upset my stomach a bit, but most people find it ok. Lariam is occasionally used but it seems it sometimes gives people psychotic episodes, which puts me off rather.
This lady didn't bother much with anti malarial tablets: http://
This lady wasn't particularly bothered about taking anti-malarial tablets http://
oh dear
malaria present
and it seems chloroquine resistant
I didnt like Larium but take advice - not here - and if you think you need it - take a deep breath and take it.
Most people take the weekly dose on a Sunday and all the indigenous guides. taxi drivers etc are ready for Mad Monday.
Meflo I think is a week before -
Avoid mosquito bites by covering up with clothing such as long sleeves and long trousers especially after sunset, using insect repellents on exposed skin and, when necessary, sleeping under a mosquito net.
Check with your doctor or nurse about suitable antimalarial tablets.
Atovaquone/proguanil OR doxycycline OR mefloquine is usually recommended.
If you have been travelling in a malarious area and develop a fever seek medical attention promptly. Remember malaria can develop even up to one year after exposure.
If travelling to high risk malarious areas, remote from medical facilities, carrying emergency malaria standby treatment may be considered.
malaria present
and it seems chloroquine resistant
I didnt like Larium but take advice - not here - and if you think you need it - take a deep breath and take it.
Most people take the weekly dose on a Sunday and all the indigenous guides. taxi drivers etc are ready for Mad Monday.
Meflo I think is a week before -
Avoid mosquito bites by covering up with clothing such as long sleeves and long trousers especially after sunset, using insect repellents on exposed skin and, when necessary, sleeping under a mosquito net.
Check with your doctor or nurse about suitable antimalarial tablets.
Atovaquone/proguanil OR doxycycline OR mefloquine is usually recommended.
If you have been travelling in a malarious area and develop a fever seek medical attention promptly. Remember malaria can develop even up to one year after exposure.
If travelling to high risk malarious areas, remote from medical facilities, carrying emergency malaria standby treatment may be considered.
Peter Pedant is on exactly the correct track regarding avoiding mosquito bites. The issue of malaria risk comes up fairly regularly on AB and I have occasionally contributed to the discussion.
I have many, many years experience of living in malarial areas, including some weeks in Madagascar (I envy you of the opportunity, it's a wonderful place), and only for the first three months or so of all that time did I take any medication - I found the medication unhelpful because none of those available provide full cover and in principle I dislike loading my system with chemicals. For much of the subsequent time I had my wife and sons with me, the younger starting at less than two years old - neither I or they took any medication, nor did my mother in law who visited us. None of us got malaria.
If you avoid mosquito bites then you will not get malaria. Follow Peter Pedant's advice on this and additionally use insecticide liberally in your accommodation, keeping all doors and windows shut while you are there. For even better precaution take with you a mosquito net and unfailingly use it over your bed (assuming fitting it is an option) - you could enquire in advance, perhaps they already have nets. The comment that malarial deaths in Europe are very rare is pertinent (dog parasites are estimated to cause blindness in one child per week in the UK but even the NHS plays this down, not to mention the vitriol from dog owners if you point the fact out) but for months after your return you should insist on a blood test for malaria (even if you have to pay for it, it is very swift and simple) if you feel ill - remember that sometimes people with malaria recover briefly before becoming properly ill. Heed this advice even if you take buckets of tablets because you can still get malaria.
I have many, many years experience of living in malarial areas, including some weeks in Madagascar (I envy you of the opportunity, it's a wonderful place), and only for the first three months or so of all that time did I take any medication - I found the medication unhelpful because none of those available provide full cover and in principle I dislike loading my system with chemicals. For much of the subsequent time I had my wife and sons with me, the younger starting at less than two years old - neither I or they took any medication, nor did my mother in law who visited us. None of us got malaria.
If you avoid mosquito bites then you will not get malaria. Follow Peter Pedant's advice on this and additionally use insecticide liberally in your accommodation, keeping all doors and windows shut while you are there. For even better precaution take with you a mosquito net and unfailingly use it over your bed (assuming fitting it is an option) - you could enquire in advance, perhaps they already have nets. The comment that malarial deaths in Europe are very rare is pertinent (dog parasites are estimated to cause blindness in one child per week in the UK but even the NHS plays this down, not to mention the vitriol from dog owners if you point the fact out) but for months after your return you should insist on a blood test for malaria (even if you have to pay for it, it is very swift and simple) if you feel ill - remember that sometimes people with malaria recover briefly before becoming properly ill. Heed this advice even if you take buckets of tablets because you can still get malaria.
Malaria is not to be taken lightly it can kill very quickly. There are also types that stay in your system for years and can cause recurring bouts of it. As well as taking all the precautions mentioned if you are any going for a couple of weeks and not going to be living there for any length of time I would take some form of malaria tablet.
You really need to speak to a medical professional about this. Different areas require different types of prophylaxis. Eg what may keep you safe in say The Gambia, may not be as effective in Madagascar. My husband and I use Lariam and have no problems with it, malarone causes stomach upsets in some people and doxycycline can cause skin problems. All meds have side effects to a greater or lesser degree. Please do not go without them, malaria is one of the biggest killers in the world. Enjoy your trip and keep safe.
JB
JB
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