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 Post subject: Re: Malaria risk in August/September
Unread postPosted: Mon Sep 10, 2012 1:58 pm 
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wilddog.prg wrote:
Hi,
does anybody know whether it is possible to buy Malarone in Pharmacy in South Africa without prescription? How much does it cost there? Thanks..


Hi there

As far as I know all Malaria Tablets are only available with Prescription.


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 Post subject: Re: Malaria risk in August/September
Unread postPosted: Mon Sep 10, 2012 7:44 pm 
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When Daramal and Paludrine was still used as malaria prevention medication, it was possible to buy them over the counter in South Africa. However, since chloroquine resistance has risen to unacceptable levels in this part of the world, it is no longer recommended. Hence, all officially-suggested antimalarial drugs are now only via a doctor's prescription - doxycycline, atovaquone/proguanil, or mefloquine. (There are homoeopathic preventatives, but these are not officially recommended as antimalarials by official sites.)

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 Post subject: Re: Malaria risk in August/September
Unread postPosted: Mon Sep 10, 2012 7:47 pm 
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Just out of interest, what time of year do they spray the KNP accommodation units? It would be interesting to read about the efforts to push back the malarial frontiers! Have just read that Italy used to have Malaria, and I certainly lived alongside malarial mosquitoes (not literally) in Bangkok as a child. Malaria used to affect a much greater area of South Africa, so it would be interesting to read how the boundaries have and can be pushed back..

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 Post subject: Re: Malaria risk in August/September
Unread postPosted: Mon Sep 10, 2012 7:54 pm 
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Graham, with the climate change happening malaria, dengue and a couple of other parasites are actually crossing the Mediterranean again, making even Europe unsafe in places.
So pushing it back is not really happening.

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 Post subject: Re: Malaria risk in August/September
Unread postPosted: Mon Sep 10, 2012 8:21 pm 
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Graham_5000 wrote:
Just out of interest, what time of year do they spray the KNP accommodation units? It would be interesting to read about the efforts to push back the malarial frontiers! Have just read that Italy used to have Malaria, and I certainly lived alongside malarial mosquitoes (not literally) in Bangkok as a child. Malaria used to affect a much greater area of South Africa, so it would be interesting to read how the boundaries have and can be pushed back..


I'm also interested when KNP units are sprayed. The malarial risk is definitely related to the amount of antimalarial spraying that takes place in an area.

Interesting that Italy is now being considered as a malarial risk area again, especially as it has been malaria free for several decades. :hmz: And, with the large amounts of mosquitoes around places like Venice, this is not good news.

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 Post subject: Re: Malaria risk in August/September
Unread postPosted: Tue Sep 11, 2012 6:35 pm 
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Malaria was rife in Italy until well after WW2. Draining the Pontine Marshes was one of the measures taken to reduce the incidence. This also contributed to the demise of wild buffalo in the country, which used to occur in the tens of thousands. The US Army also sprayed just about the entire population of Naples and other cities with DDT (which, by the way, was also sprayed from huge trucks along packed New York City beaches in summer).

Last outbreak of malaria in Amsterdam, capital of the Netherlands, was in 1956. Malaria occured as recently as the early 20th century in Scandinavia. It only disappeared when peasants no longer spent the whole winter under the same roof as their domestic animals.

That malaria is now considered a tropical disease only proves how short memories people have.

The risk of contracting malaria in Kruger as a tourist is so insignificant that is not worth thinking about for a second. There are far greater risks in life, such as crossing a street or driving a car. Heck, even driving a car in Kruger is far more dangerous. Just off the top of my head I can think of seven people killed in road traffic accidents in Kruger in recent years. How many malaria deaths can you think of?

Johan


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 Post subject: Re: Malaria risk in August/September
Unread postPosted: Tue Sep 11, 2012 7:31 pm 
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onewithnature wrote:
Graham_5000 wrote:
Just out of interest, what time of year do they spray the KNP accommodation units? It would be interesting to read about the efforts to push back the malarial frontiers! Have just read that Italy used to have Malaria, and I certainly lived alongside malarial mosquitoes (not literally) in Bangkok as a child. Malaria used to affect a much greater area of South Africa, so it would be interesting to read how the boundaries have and can be pushed back..


I'm also interested when KNP units are sprayed. The malarial risk is definitely related to the amount of antimalarial spraying that takes place in an area.

Interesting that Italy is now being considered as a malarial risk area again, especially as it has been malaria free for several decades. :hmz: And, with the large amounts of mosquitoes around places like Venice, this is not good news.



Can not find an article about Italy being affected this year? Do you reckon Scientific Services would give us details on how they prevent malaria? Do they spray generally or just accommodation etc? How often?

Was in the park mid Aug and did not see a single mozzie! Sprayed myself at dusk and dawn but did not take anti-malarials. Was more worried about being killed by a hippo on our walk!

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 Post subject: Re: Malaria risk in August/September
Unread postPosted: Tue Sep 11, 2012 8:49 pm 
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The Guidelines for the Prevention of Malaria in South Africa were developed by the National Department of Health in close collaboration with several stakeholders and malaria experts:

• Mrs Lee Baker, Medicines information consultant, Amayeza Information Centre
• Dr Lucille Blumberg, National Institute for Communicable Diseases, National Health Laboratory Service
• Assoc Prof Karen Barnes, Division of Clinical Pharmacology, University of Cape Town
• Dr Frank Hansford, Department of Health (Chairperson)
• Dr Cornelia Duvenage, Department of Internal Medicine, 1 Military Hospital
• Dr Gerhard Swart, CDC, Mpumalanga Department of Health
• Dr Etienne Immelman, KwaZulu Natal Department of Health
• Dr Jan van den Ende, Drs Martin & Sim/Toga Laboratories Pty Ltd
• Dr Bonnie Maloba, Dr Eunice Misiani, Ms Tsakani Furumele and Dr Devanand Moonasar, National Department of Health

They identify KNP as a high risk area and recommend preventative measures.

Image

As a pharmacist with 30 years experience I support these guidelines and think it is irresponsible to say that the risk of contacting malaria in KNP is insignificant.

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 Post subject: Re: Malaria risk in August/September
Unread postPosted: Tue Sep 11, 2012 8:54 pm 
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Thanks for the map Duke Ellieton (great name!). The map suggests what I thought - I visited in August and did not take anti-malarials which the guidance seems to support.

That doesn't mean I won't get bitten, nor does it mean that if I go to Mtunzini I can't contract it!

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 Post subject: Re: Malaria risk in August/September
Unread postPosted: Tue Sep 11, 2012 8:56 pm 
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I totally agree with you Duke, and so would my friend Nicki, who's cousin came to "somewhere near Kruger" to work with the local communities, last year.

He apparently had decided not to take anti-malarials, contracted the disease, and sadly died.


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 Post subject: Re: Malaria risk in August/September
Unread postPosted: Wed Jun 05, 2013 11:04 am 
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I posted my initial question so long ago, I completely forgot about it! Anyway, we never went to Kruger with our son, who is now 1 year old. I also felt that at 3 months he was at high risk, not just of malaria, but if anything happens (tonsilitis etc..) I would be too far away from a doctor and would worry too much. We have consulted with several people/websites etc, and made the call toe visit the park en of June though. I agree that one should take precautions with the little ones, luckily he is bathed etc before sundown and would be in his babygrow, covered in anti-mozzi lotions by nightime. He will sleep in his camping cot underneat a treated net. HE WILL NOT GO OUTSIDE TO SIT AROUND THE FIRE....I guess what I am saying is that we will take all possible precautions, which are a bit easier in winter given the warmer, full body clothes etc. I will also check one final time with our pediatrician on drugs, but initial checks were NOT RECOMMENDED in the low risk season.
I am thankful for the many responses, I must be honest, in the past I've been quite naive on the risk of Malaria in the Kruger....we've been there MANY times in high risk season, and NEVER took drugs.....I realise we've been lucky on these occasions. I am however also the type of person who believes in taking calculated risks....as someone put it earlier, in SA your risk of being killed in an armed robbery or a car crash is MUCH higher than from getting malaria on a short June visit to the Kruger. Thanks again for the kind, well meant advice.


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 Post subject: Re: Malaria risk in August/September
Unread postPosted: Wed Jun 05, 2013 7:00 pm 
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johanrebel wrote:
Malaria was rife in Italy until well after WW2. Draining the Pontine Marshes was one of the measures taken to reduce the incidence. This also contributed to the demise of wild buffalo in the country, which used to occur in the tens of thousands. The US Army also sprayed just about the entire population of Naples and other cities with DDT (which, by the way, was also sprayed from huge trucks along packed New York City beaches in summer).

Last outbreak of malaria in Amsterdam, capital of the Netherlands, was in 1956. Malaria occured as recently as the early 20th century in Scandinavia. It only disappeared when peasants no longer spent the whole winter under the same roof as their domestic animals.

That malaria is now considered a tropical disease only proves how short memories people have.

The risk of contracting malaria in Kruger as a tourist is so insignificant that is not worth thinking about for a second. There are far greater risks in life, such as crossing a street or driving a car. Heck, even driving a car in Kruger is far more dangerous. Just off the top of my head I can think of seven people killed in road traffic accidents in Kruger in recent years. How many malaria deaths can you think of?

Johan


Wonderful information on areas of Europe little known to Africans, JohanRebel. :clap: :clap: :clap:

Your last paragraph, however, I cannot agree with in its entirety. Indeed there are many risks in life that will have a higher prevalence of death than malaria in South Africa; now, why then would one ignore the "lesser" ones in favour of the more-commonly published ones? That is like saying that one can drive through red traffic lights at high speed in the dead of night because the amount of cars on the road is so much less than during peak hour. If one thumbs one's nose at Death often enough, it may just prove itself more knowledgeable than you.

There are hundreds of thousands of people that visit Kruger - some many times each year - and very few ever contract malaria. However, speak to the families of those who did pass away from this dread disease and I have no doubt that almost all of them will tell you that, if they could advise the deceased to do things differently and so save his or her life, they would. The risk is always there - ALWAYS. Yes, sometimes lower, sometimes higher, almost never on a par with some of the notoriously dangerous malaria countries of the tropics. But, why risk it? I will never, and I will always advise others the same. We are given the blessing of one life on this planet - live it to the full, but do so sensibly and to the extent that you may not only be a role model to many others, but also preserve your health and vitality to maximise your enjoyment of it.

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 Post subject: Re: Malaria risk in August/September
Unread postPosted: Thu Jun 06, 2013 9:40 am 
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Hear-hear! :thumbs_up:

I agree with OWN and Duke Ellieton. We do have scientific data on this. Risks have been determined and there are medical guidelines on this. Let's stick to that when advising others. Many people go to malaria areas for years without taking prophylaxis and never get malaria. Does this mean nobody is at risk and we should all just throw caution to the wind? Others, like the person Val knew, died of it. I have diagnosed a patient with malaria after visiting the park the first weekend in Sept 2 years ago. Luckily we diagnosed him early and he's fine - but he will never go without prophylaxis again. Other patients went for 10 years - never used anything - and advised others against it too! Year 11 both the husband and wife ended up in ICU with malaria. Luckily they are still alive and now recommending to all their friends and relatives not to go to KNP in summer without prophylaxis.

We all have opinions and our own experiences. But when giving advice on a life-threatening illness - I'd suggest we stick to the scientific facts (as outlined by Duke above). :thumbs_up:

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 Post subject: Re: Malaria risk in August/September
Unread postPosted: Thu Jun 06, 2013 8:06 pm 
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Hi there,

We have taken our son to KNP since he was 15 months old. Usually during winter (July-Sep). We have always given him malaria pills. Initially we used Larium - would have to cut the pills up, crush them and add to a spoon of ice cream or something like that. Taste terrible.

Now use Malarone. You can get a paediatric dose but not all places carry it. Bottom line- speak to your child's paediatrician and discuss your options.

Also use bug repellents, spray under beds, behind curtains etc.

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 Post subject: Re: Malaria risk in August/September
Unread postPosted: Wed Jun 12, 2013 2:08 am 
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Well done, Cheetahlady. Better safe than sorry. :clap: :clap:

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