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

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G UIDELINES FOR M ALARIA P REVENTION IN T RAVELLERS FROM THE U NITED K INGDOM Buzzers Electronic buzzers (emitting high frequency sound waves) are completely ineffective as mosquito repellents. Companies selling them have been prosecuted and fined under the UK Trades Descriptions Act and ACMP advice is that they should not be used. Vitamin B1 There is no evidence that vitamin B1 taken orally repels mosquitoes 21,22 . Garlic There is no evidence that garlic taken orally repels mosquitoes 23 . Savoury yeast extract spread It is sometimes stated that Marmite® taken orally repels mosquitoes either by giving off a cutaneous odour repellent to mosquitoes or via its vitamin B1 content. There is no evidence that either assertion is true. Tea tree oil There is no evidence that tea tree oil is an effective mosquito repellent. Bath oils There is no evidence that proprietary bath oils provide effective protection against mosquito bites. 30 “Once you get malaria it keeps coming back” Hypnozoite-induced relapses occur in vivax and ovale malaria, but can be treated successfully and further relapses prevented. If the patient has received a full course of treatment with modern antimalarial drugs and has not been reexposed to malaria, it is extremely unlikely that a history of recurrent febrile illness over a number of years is the result of chronic malaria.
G UIDELINES FOR M ALARIA P REVENTION IN T RAVELLERS FROM THE U NITED K INGDOM 4 - Chemoprophylaxis 4.1 Principles. 33 4.2 The drugs. 34 Chloroquine Proguanil Chloroquine plus proguanil Mefloquine Doxycycline Atovaquone plus proguanil 4.3 Dosage tables. 39 4.4 Country tables. 42 4.5 Popular destinations. 53 4.6 Emergency Standby Treatment. 54 31
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Page 21 and 22: 2. Awareness of Risk 2.1 What is ma
Page 23 and 24: 2.3 The malarial illness Malaria ca
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Page 63 and 64: 5. Diagnosis Suspected malaria is a
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Page 73 and 74: 7 - Special Categories 7.1 Children
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Page 77 and 78: As examples, cruises in the Caribbe
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TABLE 16 TABLE 17 G UIDELINES FOR M
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8.1 What malaria prevention should
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8. Frequently Asked Questions G UID
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G UIDELINES FOR M ALARIA P REVENTIO
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9. Information Resources 9.1 Expert
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9.4 References 1 General Medical Co
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29 Hill DR. Travel Associated Disea
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56 Steketee RW, Wirima JJ, Slutsker
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Membership of the HPA Advisory Comm
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