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| Distinguished Virtual Ranger |
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Award: Musketeer of the Year, Quiz Whiz of the Year (2011)
Joined: Tue Dec 23, 2008 5:22 am
Posts: 19076
Location: Midway between the infinite and the infinitesimal! Award: Musketeer of the Year, Quiz Whiz of the Year (2012) |
Exbrakpanite, as malaria is a subject spanning expansive amounts of information and opinionated variations, there have been, over time, some "experts" who have offered strange - and sometimes inappropriate or downright uninformed - advice on malaria websites and threads. It must be remembered that people can die by being led into directions not scientifically backed up by evidence; therefore, malaria advice, as you have noted, needs to be sound and from an informed source. There are actually some health-professionals who do not have sufficient knowledge or are not up-to-date enough to advise fully on malaria - especially when involving complicated cases, such as certain immune-lowering diseases; pregnancy; young children; and the like. However, in my personal experience, most of the health-professionals that I have come into contact with do, at least, get the important basics right. Those who live in high-risk malaria areas obviously are generally more informed and geared-up to diagnose and take actions against malaria when it does occur. However, as you have aptly noted, it is up to the traveller to be vigilant and act on suspicious symptoms and signs. (It goes without saying that no doctor can test for and treat malaria if a person with the disease does not contact her or him.)
Having said all of that, I must tell you that I combed slowly and thoroughly through the information on your website, and I must applaud you for posting, in my opinion, pertinent and accurate information, backed up by appropriate sources. You have taken time to research the topic at hand and, although of course by no means thoroughly covering every aspect of the disease - which requires a full volume of expert and sound scientific research and knowledge - people can learn from what you have posted. However, people are encouraged always to consult experienced and knowledgeable helath-professional experts to better their chances of making an even more informed choice when travelling to designated malaria areas.
There is only one thing I would like to expand on from what you have said: malaria-carrying mosquitoes do not only bite at dusk and dawn, but ALL NIGHT LONG, beginning from about a half-hour before dusk to a half-hour after dawn. However, their peak biting frequency is generally until about midnight, with an increase again approaching dawn. Frequency of biting does however depend on other factors - such as number of mosquitoes in a certain location, season (more important in seasonal-risk malaria areas), weather conditions, clothing coverage, colours of clothing worn, and the propensity of the person to be bitten (some people simply are more attractive to mosquitoes than others (such as moi)).
I, in fact, read the whole website and was highly entertained by your style, anecdotes, and comments. Perhaps one day we may be lucky enough to "bump" into you both in some remote destination on this most wonderful of continents. Disclaimer: My recommendations here - though based on some experience and some drug knowledge - are not absolute, and further consultation with suitable health-care professionals is suggested before a final decision is taken on whether to enter a malarial area, what prophylaxis to use, and any general factors and limitations that need to be taken into account. Furthermore, I only advise based on what information is given by the person(s) entering the malarial area, but I have no control on the information given to me, and so such information could possibly be incomplete or misleading.
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EVERYBODY'S TR!TR: A NEW DAY IS S-OWNTR: NECTAREAN NICETIES OF THE NORTHTR: PRIMEVAL PLEASURE"Outside of a dog, a book is a man's best friend. Inside of a dog, it's too dark to read." (Groucho Marx)
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