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Malaria

Find information and FAQ's not related to the parks, like Health & Safety, 4x4 etc.

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Freda
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Unread postby Freda » Sun May 21, 2006 12:40 pm


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Unread postby wildtuinman » Mon May 22, 2006 8:12 am

Spoke to a pharmicist on sunday up here in PTA. She said that a 1/4 of mefliam tablet to the young ones would be a-ok. She and the doctors do however advise to not take a child under the age of 5 to a malaria area.

The treatment that little one needs to go thru after contracting malaria just about kills them... and the parents.
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Unread postby Jay » Mon May 22, 2006 9:43 pm

read an eye opener today: if you take malaria medication, take the whole dosage to it's end,or you may very well carry the parasite without becoming ill, but will then pass it on to the next mosquito which bites you back at home!

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Unread postby DebM » Mon May 22, 2006 11:06 pm

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Unread postby Jumbo » Tue May 23, 2006 12:32 pm

I know I have mentioned this before, but I keep on hearing about people currently coming down with malaria in Maputo…this time of the year, unbelievable! :shock: People should at present still be very aware and cautious of malaria. Maybe not so bad in the South of Kruger because the weather is normally cooler than in Maputo, but the Central and Northern regions should experience the same problems.

PS: If you take the anti-malarial drugs and still get falciparum malaria, the chances of that progressing to cerebral malaria are very slim.
If you get cerebral malaria you chances of survival are apparently something like 2%.
Also take into consideration how many malaria cases the doctors in your hometown have treated. On a recent visit to the Garden Route we took our own malaria test kit and treatment with us…would not dare the risk of a doctor in George trying to treat me for malaria. :roll:

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Unread postby Bush Baptist » Tue May 23, 2006 6:35 pm

Jay wrote:read an eye opener today: if you take malaria medication, take the whole dosage to it's end,or you may very well carry the parasite without becoming ill, but will then pass it on to the next mosquito which bites you back at home!


I suppose that's how people get malaria living in "non malaria" areas.
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Unread postby Schoemanskloof » Wed May 24, 2006 12:24 am

In Aug 2001, my family and I (the youngest, 24 at the time) spent 2weeks in Kruger, moving from Sirheni to Biyamiti. We were all taking Lariam at the proper dosage under the proper regimen, and I 'got' malaria.

We were not expecting the symptoms, so it took a few days before we realized what was happening to me. We had traveled through Cape Town region and I had just landed back in the States. Luckily, a friend of the family is the head of infectious diseases at the local university and was able to help move me through the system. In contract to this friend, I had to describe to some of the learning-physicians (in the States, hospitals help in the training of the MDs) the diagnosis, symptoms, and treatments. Most had heard of the disease but never expected to encounter it in the midwest of the US!

It recurred every 6-7months, each time a little weaker, for about 3 years. Further, the Center for Disease Control wanted my blood for analysis, since I was taking their then-strongest anti-malarial and still got it.

In regards to an earlier post about the disease killing many children (and adults!) every year, it is undoubtedly true. However, it is my understanding that the vast majority of those who die from malaria are those without any adequate access to healthcare services at all, and are also in weakened states of health (diet, other diseases, etc).
It is a deadly disease, but I don't believe (read: personal opinion, not fact!) that it is worth a blanket avoidance.

As a child, proper precautions allowed me to visit my uncle in Swaziland for long periods and also spend numerous vacations throughout the low-veld, in all seasons.

I say again, however, that my opinion is not fact, and scientific advice from trusted sources should be the basis of your own decisions.

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Unread postby graemy » Wed May 24, 2006 11:51 am

Hello

On our trip to Kruger in may, we had a prescription from our doctor here in France for an anti-malarial drug (malarone) which we took during our stay and then for another seven days after returning. This was incredibly expensive, as anti-malaria always has been (360 Zar for just 12 tablets (one per day)) Total cost: 1200 Zar

ImageWhen we were in Orpen, I saw a sign stating that ant-malaria medication could be bought from the shop.Image I didn't have time to investigate. Can anyone tell me whether this is trustworthy and approximately how much it costs? If it is cheaper I would take this on next trip, but I don't want to take any chances with this illness. I fully agree with all the comments about the seriousness of it!!!
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Unread postby nunu » Wed May 24, 2006 12:23 pm

Hi Graemy

The combination must saffies use is Paludrine+Chloroquine. This is what is sold in the Park. Its nowhere near as expensive as Malarone. Its not the most up-to-date treatment either (nor is malarone incidently) BUT most of us use it and very few of us ever get malaria so its cant be that bad. Big think is to go for combination protection - medical and physical (eg citronella candles) etc. You actually seldom see a mozzie in a hut. Wear long pants and shirts at night whilst braaing and everything should be okay.

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Unread postby graemy » Wed May 24, 2006 1:13 pm

Thanks for your advice nunu!!!!
I presume it is a treatment which can be taken on the day of arrival.....

(Some treatments ( but that depends on the type of malaria and the type of drug taken) have to be started 1 week before arrival)

I think I will look into buying a treatment in the park next time. Does anyone have any other comments to make about the treatment sold in the park...?????

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Unread postby Penny » Wed May 24, 2006 6:39 pm

Graemy - I am led to believe from articles in the press etc that the cominbation sold in the Park and elsewhere of Paludrine and Chloroquin is NOT effective in preventing cerebral malaria. In fact I read a short while ago that it was gradually being phased out because of this lack of efficacy and has been replaced by New Age drugs only available with doc's prescription. We have not taken malaria medication for 6 or 7 years now and prefer to be assidious in our precautionary measures like lighting coils on the verandah, having a plug in bottle of repellant in all the rooms and covering ourselves in cream such as Tabard or Peaceful sleep from top to toe religiously! I have also taken to recently taking a low odour spray that kills flying insects and spraying our bedrooms and bathrooms when we return from our evening drive and them immediately switching on the bottle on the wall in each room.
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graemy
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Unread postby graemy » Wed May 24, 2006 7:22 pm

Thanks Penny

Many things to consider....Image

When went to our doctor before our last visit, but due to the cost we probably won't be able to come back to Kruger as often as we would like to.
The first and most important thing is to do as you say... protect yourself physically with sprays and coils and creams etc...!!!!

I'll try to keep up to date on any new info before we come again.
Thanks for helpingImage
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Unread postby luislang » Wed May 24, 2006 7:27 pm

Hi Graemy

If I may give you some advice, start taking your anti malaria medication at least 72hours before entering the park. I've spoken to a few doctors and they all agree. I for instance are not able to take it due to medical reasons, but do take precautionary antibiotics. (Tetracycline). Rather discuss the matter with your GP.
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Unread postby Jazil » Wed May 24, 2006 7:43 pm

There are many different theories on taking preventative measures for malaria, pills I mean.

I have worked with a Specialist Physician here in Swaziland for 25 years, now his theory is TAKE NO prophylactics. BUT do as Penny says, Spray everything in site, use Tabard, Milol, Peaceful Sleep, mozzie coils. Spray peaceful sleep or Tabard or Milol all over youselves, clothes and all.

Then if you feel at all coldie or flu like 10 days after being in a malaria area, IMMEDIATELY go to a doctor and tell him, immediately start taking antibiotics to kill the malaria, even before the tests come back, if its not malaria, great, the antibiotics you take will not have harmed you, but you will have a head start. My Physician reckons that the prophylactic can mask the symptoms of malaria.

Ok, now my son has just had malaria, he and my SO were in Moz about a month ago, they go regularly there to fish, My SO sprays like fury and has to date, not got malaria, my son is a bit more careless!!!! He got it, but within 8 hours of the first headache and aching symptons was on treatment. Yes for three days he suffered quite a lot, high temps etc, but he is fine now.

My Physician tells me that sometimes the first treatment does not work, but you have time, IF CAUGHT immediately, to try another one, and then another one, in fact he says in time to try up to 5 different treatments, but if you take the prophylactics, you may be too late to try up to 5 treatments if the first four dont work.

Now remember, this is just ONE opinion. There are plenty, and most GP's will not agree with this. But we do live in a malaria country so I think he has a reasonable argument, and we have always stuck with it. BEsides which some of the prophylactics you are given can mess you up plenty, liver etc.....

I dont know, its just what I believe and what we do.
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Unread postby graemy » Wed May 24, 2006 7:50 pm

Hi Luislang (love your pseudo by the way)

I know this topic has been discussed and discussed, that's why my question was more relating to the fact that I saw a treatment for sale in the park shops. This quite surprised me, although I did once buy cheap medication in a chemist shop in Nairobi without a doctor's prescription.
The malarone that I took was prescribed to be taken 24 hours before arrival. It all depends on which drug is being taken.

Your answer has given me the valuable reminder that if I buy medication in the park, then I will not have any time before arrival, neither my 24 hours, nor your 72 hours!!!

In some respects I don't think there should be a thread on such a serious subjet. Some people might give wrong or misleading information. But then again, the locals such as yourselves, with a lot of experience, do have some valuable insight.....
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