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Malaria

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onewithnature
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Re: Malaria risk in August/September

Unread post by onewithnature » Sun Mar 23, 2014 1:55 am

Hi ctm7943. The female malaria-carrying mosquitoes here (the Anopheles genus) bite between dusk and dawn, even when it is colder (although the bite frequency generally decreases with temperature). That is, technically speaking, just before dusk until just after dawn. So, to be safe, begin applying mosquito repellant half to one hour before it gets dark and reapply anytime before the sun rises if you are out and about that time. (Of course, if you are active at night, you need to reapply repellants every few hours as well.) September in Kruger is on the cusp of high malaria risk, so you cannot go wrong using anti-malarial pills as well. (Your choice of Malarone is good if you're able to use it as it generally has a good side-effect profile.)

The malaria-carrying mossies here do not bite in the day, although there are other mosquitoes that may. ctm7943, I would not worry about showering during the daytime. I, personally, have no issue about showering in Kruger at night either, as I find that I seldom get bitten while in the bathroom. Also, I make sure that I apply mosquito repellant before dusk and then reapply immediately after showering.

The most important thing is to be diligent in malaria-prevention techniques, but most especially to enjoy your trip to Kruger (and elsewhere). :thumbs_up:
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onewithnature
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Re: Malaria risk in August/September

Unread post by onewithnature » Mon Mar 24, 2014 2:22 am

Rains indeed usually coincide with the advent of Spring - or, they are supposed to: these days, with the global repositioning of weather processes, it is difficult to accurately predict when the rains will start in Kruger after winter. However, the area is in a wet cycle, so there may be significant rains a few weeks prior. Traditionally, the higher-risk season (which now is known as the moderate-risk reason - great news for everyone) in the area begins on the 1st of September and lasts until the 31st May each year. Earlier or later rains may affect the number of malaria-carrying mosquitoes and their life spans, but it is prudent to use the recommendations as is.

Disclaimer: My recommendations here - though based on some experience and some drug, and other, 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. Moreover, people vary subjectively as to how they metabolise, and react to, drugs and other substances, which further accentuates that my suggestions here are only general suggestions, and therefore not to be taken as pertaining to every person alike.
Last edited by onewithnature on Mon Mar 24, 2014 3:00 am, edited 1 time in total.
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Malaria Risk in Southern Kruger

Unread post by bushwackedblonde » Wed Nov 19, 2014 9:56 am

Please could someone advise me on the current malaria risk in Southern Kruger. I am heading to Croc Bridge in 2 weeks time for 2 nights. I have had malaria 3 times and am now allergic to Quinine. I have never taken anti-malarials in the past due to working in Malaria areas, but don't fancy getting it again! I currently live in Nelspruit.

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Re: Malaria Risk in Southern Kruger

Unread post by Yoda » Wed Nov 19, 2014 10:11 am

It is summer now, so I guess there must be a risk of Malaria.

Might be worth your while consulting a dr about the best way to proceed.

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Re: Malaria

Unread post by bushguy » Wed Nov 26, 2014 12:21 pm

BWB

I was in Skuks beginning of Nov and there had been 5 cases there in the last month already.

Due to the nature of the transmission, there needs to be an infected individual bitten by the mozzie, that then bites you - so higher population of infected people = increased risk. Theoretically the fact that there are some "illegal people" that are very likely carriers frequenting the park , there is an increased risk.

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onewithnature
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Re: Malaria Risk in Southern Kruger

Unread post by onewithnature » Thu Nov 27, 2014 1:56 am

bushwackedblonde wrote:Please could someone advise me on the current malaria risk in Southern Kruger. I am heading to Croc Bridge in 2 weeks time for 2 nights. I have had malaria 3 times and am now allergic to Quinine. I have never taken anti-malarials in the past due to working in Malaria areas, but don't fancy getting it again! I currently live in Nelspruit.


Bushwhackedblonde (good alias :clap: ), what is good news in recent times is that the Department of Health has approved a new malaria map of South Africa that reflects risk zones reduced both in their extent and intensity. That means that many areas that were once considered as high seasonal-risk areas are now revised to moderate seasonal-risk areas and the low-risk areas have reduced in extent. Also, certain areas that were said to be high-risk areas have now been revised to low-risk (the northern-most area of KwaZulu Natal).

All of this means that it is primarily the north-eastern areas of Limpopo and Mpumalanga where antimalarial chemoprophylaxis (medications) is still recommended from September to May, inclusive. At the time that you are going to Kruger, it is officially designated as a risk area where chemoprophylaxis is recommended. However, each person makes her or his own decision on this matter. In your case, you can weigh up the fact that you are going for two nights only, and whether you'd be in a position to use diligent non-preventative measures from dusk until dawn, versus the cost and risk of you contracting malaria over that time period. You don't say whether you're in chalets or camping, but if the former, then if you leave your air-conditioner on at night (it does get pretty warm most of the time), the chances of mosquitoes getting into the unit and biting you is greatly reduced. I have just come back from Kruger and, because it was quite dry in many areas, and it didn't rain much, there were not that many mosquitoes around - although I did get bitten several times. However, always bear in mind that it just takes one infected female Anopheles mosquito to transmit the disease.

You say you have had malaria in the past, but then you lived in a malaria area, so were always exposed to risk. You don't say where you worked, but I assume it was high-risk areas. However, the fact that you had malaria before does not change your risk of getting it again. You mention that you are allergic to quinine, but I cannot ascertain whether that allergy prevents you from using the drug to treat malaria or whether it only gives you uncomfortable side-effects. Either way, there are other options to quinine for treating malaria, although quinine is still a staple of the treatment regimen, as far as I can tell.

My advice to you is to find out more from a travel clinic or appropriate health professional and then decide what route you want to follow. If you do choose to use chemoprophylaxis, then you'd have to consult a doctor to prescribe the medications in any case. Whatever you choose, go ahead and enjoy your trip.


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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Re: Malaria

Unread post by leo21 » Thu Dec 18, 2014 12:48 pm

hi all

quick qeustion . i dont know if its been posted here alread but im heading to the Kruger in Jan for a short period my 1.5year old son wil be joining me. is there any malaria prevention for him? i know there is going to be plnty of opinions but would like to know what they are.......we are staying at Thamboti for 3 nights only.
December Holiday BOOKED!!!!
25 Decemeber - [b]Skukuza[/b]
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Re: Malaria

Unread post by DinkyBird » Thu Dec 18, 2014 10:23 pm

Hi leo21

When it comes to these precious little people, it is worth chatting to your doc about malaria meds. I am not even sure if under 2 year olds can take prophylactics. January is a high risk period so you do need to take precautions for you all when visiting Kruger.
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onewithnature
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Re: Malaria

Unread post by onewithnature » Fri Dec 19, 2014 2:23 am

Leo, there is plenty of information on this thread regarding young children in malaria-risk areas, and virtually everything has been covered before. Try the "Search" option above, add two or three key words, and it will throw out relevant posts.

The bottom line is that young children - and yours is indeed young - are at serious risk of morbidity and/or mortality if they are unlucky enough to contract the disease. One reason is because it is often similar to flu-like symptoms and so detection may be retarded, but the most serious thing is that the disease can progress rapidly in the young child, meaning that it can quickly become cerebral malaria. There are options for malaria prophylaxis - all of them are on a doctor's prescription - and you and your healthcare professional need to assess the benefits of using them. Non-drug measures are the mainstay of malaria prevention between dusk and dawn - whether you use chemoprophylaxis or not - and it is advisable to ensure that you do everything to prevent the little one being bitten. Remember that it only takes one infected mosquito to induce malaria in a person. The first, and safest recommendation, is not to take the child into the malaria area if possible, but if you choose to, get adequate and good professional advice first. Another consideration is that January is a very hot month in Kruger and some children do not do well in the heat. It is all about weighing up the pros and the cons, the benefits and the risks, and then deciding maturely what is best. Also, there must be a plan in place if the child exhibits signs of malaria.


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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TR: NECTAREAN NICETIES OF THE NORTH
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Re: Malaria

Unread post by missings.a.! » Fri Dec 19, 2014 2:21 pm

Some visitors do take young children and successfully prevent the child being bitten, but if it were me and I should say I don't have children, I would not take the risk of taking a young child into the Kruger at a high risk time.

It is so easy to be bitten by a mosquito and children are so precious, that you would never forgive yourself even they became ill, when it is preventable by not taking them.

Isn't there a granny or aunt or other family member who could look after the little one or, switch to a park that is malaria free?

Just my thoughts and once again thanks to OWN, who year in year out, replies with patience to our questions.

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onewithnature
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Re: Malaria

Unread post by onewithnature » Sun Dec 21, 2014 5:06 pm

Thanks MA. :D :D

By the way, we see millions of mosquitoes in the rainy season, but do most of you know how to identify the female Anopheles mosquito, which is the one that transmits malaria?
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TR: NECTAREAN NICETIES OF THE NORTH
TR: PRIMEVAL PLEASURE

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Re: Malaria

Unread post by cheetahlady » Thu Dec 25, 2014 2:00 am

Leo,

The decision to take a toddler to a Malara risk area is personal. As OWN said, prophylaxis is available for children. We started taking our son at about 15 months, usually during winter, once in the summer. We have always used malaria medication. The biggest problem is to make sure the child takes and swallows the full dose. We crushed the pills and put the entire dose in a single spoon of ice cream.

Talk with your child's doctor. We also use tabard, spray rooms with bug spray (especially under beds, behind curtains and in bathroom) and wear long clothing.

Hope you enjoy your stay.
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Re: Malaria

Unread post by leo21 » Tue Jan 13, 2015 7:56 am

hi all thanks so much for the wonderfull advise. we are back from the Kruger and had a wonderfull trip.

my son was prescirbed Malinil Ped and had no side effects to it whatsoever. we fed it to him in a spoon filled with honey as it tasted awfull.

we also used alot of Tabard candles and peacefull sleep as well as long sleeves and pants tucked into socks between dusk and dawn.....

keep an eye out for our TR.

you guys are wonderfull! thanks :gflower:
December Holiday BOOKED!!!!
25 Decemeber - [b]Skukuza[/b]
26 December - [b]Pretoriuskop[/b]
27 December-30th -[b]Tamboti[/b]
30 December- [b]Letaba[/b]
31 December-[b] Satara[/b]
1 January- 3rd- [b]Pretoriuskop[/b]

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Re: Malaria

Unread post by Meandering Mouse » Tue Jan 13, 2015 11:03 am

I am going to take this opportunity to warn people to be extra careful. We were in Tzendze in early December. We were very good about covering up and using Peaceful Sleep. Despite this, one of our party came down with Malaria.

He actually thinks he was bitten in Phalaborwa in the late afternoon. Do take care.
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Re: Malaria

Unread post by Lepardfan » Fri Mar 13, 2015 3:52 pm

IMHO.

Peace full sleep does not do the trick.

Nor does citronella, I have had mozzies sit on my arm just after I put citronella cream on me. For me Citronella is so overrated.

Just take malaria prophylaxis. Prevention is better than cure, just don't use Mefliam, it poisoned me in 2012, bad batch. :evil:
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