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KARIBU KENYA - UNON - the United Nations Office at Nairobi

KARIBU KENYA - UNON - the United Nations Office at Nairobi

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exceptions of Lake Naivasha, Mount Kenya and <strong>the</strong> Aberdares.The anopheles<br />

mosquitoes th<strong>at</strong> carry malaria are common <strong>at</strong> <strong>the</strong> coast, in Baringo and in<br />

most of <strong>the</strong> n<strong>at</strong>ional parks.These mosquitoes bite mainly <strong>at</strong> dusk and during<br />

<strong>the</strong> night, so <strong>the</strong> most important guards against malaria are to spray yourself<br />

with a good repellent (preferably one containing DEET), to wear trousers,<br />

socks and long-sleeved shirts, and to sleep under a tre<strong>at</strong>ed mosquito net.<br />

Malaria generally causes symptoms such as headaches, aching limbs, fever<br />

and chills 10 days to two weeks after being infected (although <strong>the</strong>se timelimits<br />

are not set in stone). If you have travelled to a malarial area and you<br />

subsequently get a fever, you should consult a doctor immedi<strong>at</strong>ely – even if you<br />

have been taking a prophylaxis.<br />

With <strong>the</strong> rising resistance of some malaria strains to traditional antimalarial<br />

drugs, you will invariably encounter conflicting opinions about malaria<br />

prophylaxis.The UN Medical Service recommends <strong>the</strong> traditional combin<strong>at</strong>ion<br />

of chloroquine and paludrine toge<strong>the</strong>r with <strong>the</strong> newer mefloquin<br />

(Lariam), although <strong>the</strong>re remain many more options available.Wh<strong>at</strong> is important<br />

is to find a balance between effective medicines and potential neg<strong>at</strong>ive<br />

side-effects. The UN Medical Service will be very happy to advise staff on<br />

wh<strong>at</strong> prophylaxis might best suit <strong>the</strong>m and <strong>the</strong>ir dependents. Upd<strong>at</strong>ed inform<strong>at</strong>ion<br />

on malaria and antimalarial drugs is also available on <strong>the</strong> WHO<br />

website <strong>at</strong> www.who.int.<br />

Dog Bites<br />

Although <strong>the</strong>re has been little rabies in <strong>Nairobi</strong>, <strong>the</strong> disease is endemic in<br />

Kenya. If you are bitten by a dog or ano<strong>the</strong>r animal th<strong>at</strong> could be infected<br />

(such as c<strong>at</strong>s and monkeys), it is important to immedi<strong>at</strong>ely scrub <strong>the</strong> wound<br />

with soap, apply an antiseptic, and consult your doctor. If it is possible to<br />

impound <strong>the</strong> animal, it will also help in determining <strong>the</strong>ir rabies st<strong>at</strong>us. Even<br />

if you have been vaccin<strong>at</strong>ed against rabies, you will still require a short course<br />

of anti-rabies inocul<strong>at</strong>ions. Dog owners are strongly advised to keep <strong>the</strong>ir<br />

annual rabies vaccin<strong>at</strong>ions up to d<strong>at</strong>e.<br />

HIV/AIDS<br />

The prevalence of HIV/AIDS has grown rapidly in Kenya in recent years,<br />

with <strong>Nairobi</strong> as one of <strong>the</strong> principal ‘hotspots’ of infection. Comprehensive<br />

inform<strong>at</strong>ion on <strong>the</strong> risks of contracting <strong>the</strong> virus and means of protecting<br />

52 • <strong>KARIBU</strong> <strong>KENYA</strong>

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