Skip to Content

Malaria

Find information and FAQ's not related to the parks, like Health & Safety, 4x4 etc.
User avatar
missings.a.!
Junior Virtual Ranger
Junior Virtual Ranger
Posts: 1159
Joined: Tue Jul 21, 2009 2:52 pm
Location: London

Re: Malaria

Unread post by missings.a.! » Wed Sep 05, 2012 3:16 pm

A couple of months back someone suggested that this malaria page is cut down to a few pages and updated.

It was started in 2005 and while I have trust in One With Natures' posts on the latest, it could be a good idea to cut to the most recent year or so with regards to medication and prevention of bites.

For anyone new to the forum it is a lot to read.

Any suggestions?

User avatar
onewithnature
Distinguished Virtual Ranger
Distinguished Virtual Ranger
Posts: 11902
Joined: Tue Dec 23, 2008 5:22 am
Location: Midway between the infinite and the infinitesimal!

Re: Malaria

Unread post by onewithnature » Thu Sep 06, 2012 6:33 am

Thanks Missings.A.! Malaria advice has pretty much remained unchanged since the beginning of this thread, so all researched information would be pertinent. It would be a lot of work to summarise everything, which any good website (but I mean good website!) would have already done. My experience is indeed that people do not go back even a couple of pages to see if their Q has been asked and answered; so, yes, there is a lot of rehashing.

Nevertheless, if one uses the "Search" facility above - and with only a few pertinent words - it usually throws up posts which will give the searcher a lot of information. Beyond that, people are still welcome to post questions, which will be answered as much as needed.

:D
EVERYBODY'S TR!
TR: A NEW DAY IS S-OWN
TR: NECTAREAN NICETIES OF THE NORTH
TR: 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)

User avatar
saraf
Distinguished Virtual Ranger
Distinguished Virtual Ranger
Posts: 7499
Joined: Sun Jan 16, 2005 3:19 pm
Location: Portsmouth, England

Re: Malaria

Unread post by saraf » Thu Sep 06, 2012 11:15 am

Missings.a.!, this post should be able to answer everyone's queries.
Want to say Thank You or Well Done to a fellow 'mite? Why not nominate them for a Kudu?

User avatar
missings.a.!
Junior Virtual Ranger
Junior Virtual Ranger
Posts: 1159
Joined: Tue Jul 21, 2009 2:52 pm
Location: London

Re: Malaria

Unread post by missings.a.! » Thu Sep 06, 2012 1:20 pm

Thanks for the response OWN and Saraf. I have no problem myself with the website. When I come, I will test drive the latest meds beforehand and then do all possible to prevent being bitten, with the latest for the room and with repellent on me.

In the past I have used meds and never had any side effects. Last time I visited it was in the Sabi Sands during February, although as we have read here, some people have pretty unpleasant side effects.

stelliegp123
Posts: 93
Joined: Sat Aug 22, 2009 9:35 pm
Location: Centurion

Re: Malaria risk in August/September

Unread post by stelliegp123 » Mon Sep 10, 2012 1:58 pm

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.

User avatar
onewithnature
Distinguished Virtual Ranger
Distinguished Virtual Ranger
Posts: 11902
Joined: Tue Dec 23, 2008 5:22 am
Location: Midway between the infinite and the infinitesimal!

Re: Malaria risk in August/September

Unread post by onewithnature » Mon Sep 10, 2012 7:44 pm

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.)
EVERYBODY'S TR!
TR: A NEW DAY IS S-OWN
TR: NECTAREAN NICETIES OF THE NORTH
TR: 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)

User avatar
Duke Ellieton
Posts: 4471
Joined: Mon Jun 19, 2006 6:13 pm
Location: Centurion, ZA

Re: Malaria risk in August/September

Unread post by Duke Ellieton » Tue Sep 11, 2012 8:49 pm

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.

Exbrakpanite
Posts: 21
Joined: Mon Mar 19, 2007 3:34 pm
Location: Netherlands

Ultrasound mosquito repellents: Zapping the myth

Unread post by Exbrakpanite » Tue Dec 11, 2012 9:39 am

This important report stating that electronic mozzie repellents dont work has just been published by the BBC news site http://www.bbc.co.uk/news/magazine-20669080

So keep spraying & smearing

User avatar
Meandering Mouse
Legendary Virtual Ranger
Legendary Virtual Ranger
Award: Angel of the Year (2015)
Posts: 12929
Joined: Tue Jun 07, 2005 8:47 pm
Location: meandering between senility and menopause

Re: Ultrasound mosquito repellents: Zapping the myth

Unread post by Meandering Mouse » Wed Dec 12, 2012 6:21 am

Exbrakpanite, what a useful article :thumbs_up:

thanks so much for posting.

We see so many products on the market claiming to repel mozzies. A false sense of security could lead to death in certain areas.

Very, very pertinent.
The bird doesn't sing because it has answers, it sings because it has a song.

Exbrakpanite
Posts: 21
Joined: Mon Mar 19, 2007 3:34 pm
Location: Netherlands

Re: Ultrasound mosquito repellents: Zapping the myth

Unread post by Exbrakpanite » Wed Dec 12, 2012 11:32 am

Thank you. I spend many hours searching for items on natural history, animal physiology, human health, & photography that I can use on our website & my blog.

But some are of such general importance that I will post directly on these forums, as the one above.

Meandering mouse there are many advance being made in protection against malaria e.g. permanently impregnated clothing from craghoppers & longer lasting Deet lotion from 3M. I have no commercial link to any of these firms. We are just "old age adventurers" who spend 4-6 of our lives in the African bush photographing wild life and trying to solve travel problems. But I do think experts on the forum should update the now very old Malaria prevention advice i.e.last updated 2008.

I did suggest this before & didnt agree with the replies. The above is another reason why revision of the sticky is needed before this post disappears into the mist. Our own approach to prevent malaria, is discussed on our site
http://www.africaraw.com/Triptips/Trip-tips/21666409_Dp9Xv3/

Terblans
Posts: 3
Joined: Wed Oct 27, 2010 5:38 pm
Location: Lichtenburg

Re: Malaria

Unread post by Terblans » Thu May 02, 2013 4:49 pm

Hi, I tried searching and reading, but it is to much to siff.

Going to Mopani in June. Is it a high risk malaria area in winter or should malaria be treated the same all year round?

User avatar
Bush Baptist
Legendary Virtual Ranger
Legendary Virtual Ranger
Posts: 6731
Joined: Wed Mar 16, 2005 12:38 pm
Location: In the shadow of Table Mountain

Re: Malaria

Unread post by Bush Baptist » Thu May 02, 2013 6:12 pm

The risk in winter is lower. The mozzies don't like the cold.
Whatever (according to BB): "You are correct but I don't want to admit it".

User avatar
MarkusF
Junior Virtual Ranger
Junior Virtual Ranger
Posts: 246
Joined: Tue Apr 23, 2013 5:44 pm

Re: Malaria

Unread post by MarkusF » Thu May 02, 2013 6:29 pm

As the saying goes: "prevention are better than the cure". Although it is a low risk time of the year, I would take the necessary precaution.

User avatar
onewithnature
Distinguished Virtual Ranger
Distinguished Virtual Ranger
Posts: 11902
Joined: Tue Dec 23, 2008 5:22 am
Location: Midway between the infinite and the infinitesimal!

Re: Ultrasound mosquito repellents: Zapping the myth

Unread post by onewithnature » Fri May 03, 2013 3:39 am

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. :clap: :clap: :clap: :clap: Perhaps one day we may be lucky enough to "bump" into you both in some remote destination on this most wonderful of continents. :pray: :D :D


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.
EVERYBODY'S TR!
TR: A NEW DAY IS S-OWN
TR: NECTAREAN NICETIES OF THE NORTH
TR: 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)

User avatar
onewithnature
Distinguished Virtual Ranger
Distinguished Virtual Ranger
Posts: 11902
Joined: Tue Dec 23, 2008 5:22 am
Location: Midway between the infinite and the infinitesimal!

Re: Malaria risk in August/September

Unread post by onewithnature » Wed Jun 05, 2013 7:00 pm

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.
EVERYBODY'S TR!
TR: A NEW DAY IS S-OWN
TR: NECTAREAN NICETIES OF THE NORTH
TR: 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)


Return to “Advice needed (Not Park Specific) ”

Who is online

Users browsing this forum: No registered users and 0 guests


Webcam Highlights

Addo
Submitted by stefan9 at 00:14:51
orpen
Submitted by Mischief at 19:14:48
satara
Submitted by Mischief at 17:50:50
nossob
Submitted by Karin Mitton at 14:09:48