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Guidelines for malaria prevention in travellers from the United ...

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Allergies<br />

Give details of allergies to drugs or o<strong>the</strong>r below<br />

Medication<br />

Current medication<br />

Antiarrhythmics<br />

Anticonvulsants<br />

Anticoagulants<br />

Antiretrovirals<br />

Corticosteroids<br />

Oral contraceptives<br />

Bupropion (Zyban ®)<br />

O<strong>the</strong>r<br />

Yes/No Comments<br />

Previous anti<strong>malaria</strong>l<br />

chemoprophylactic<br />

agent taken<br />

Area to be visited<br />

See country tables and maps<br />

Dest<strong>in</strong>ation Length<br />

of stay<br />

Describe any problems<br />

Risk of<br />

<strong>malaria</strong><br />

G UIDELINES FOR M ALARIA P REVENTION IN<br />

T RAVELLERS FROM THE U NITED K INGDOM<br />

Urban/rural/<br />

both<br />

Prophylaxis advised<br />

<strong>from</strong> country table**<br />

** If <strong>the</strong> recommended regimens differ between <strong>the</strong> countries to be visited, see note<br />

on multi-trips <strong>in</strong> chapter 7.<br />

13

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