Malaria is transmitted by the night-time – nightfall to daybreak – biting feminine Anopheles mosquito.
Risk is current all through the nation, together with city areas, threat current in any respect altitudes.
Persons visiting Victoria Falls should take malaria suppressive treatment (see under).
High threat months for Malaria are: January to December
Malaria transmission vector(s): A.funestus, A.gambiae
Incidence of Plasmodium falciparum Malaria: > 90%
Of the 5 species of human malaria parasites, Plasmodium falciparum is probably the most harmful. The remaining share represents malaria infections which may be brought on by a number of of the next parasites: Plasmodium vivax, Plasmodium ovale, Plasmodium malariae, and Plasmodium knowlesi.
Areas with drug resistant Malaria: Multidrug resistant P. falciparum malaria is current in all malarious areas of Zambia. The antimalarial medicines listed under are efficient for this nation.
Suppressive Medication Guide
All malaria infections are critical sicknesses and have to be handled as a medical emergency. In providing steerage on the selection of antimalarial medicine, the primary concern is to supply safety in opposition to Plasmodium falciparum malaria, probably the most harmful and sometimes deadly type of the sickness.
Regardless of the treatment which has been taken, it’s of utmost significance for travellers and their doctor to think about fever and flu-like signs showing 7 days as much as a number of months after leaving a malarious space as a malaria breakthrough. Early prognosis is crucial for profitable therapy.
In addition to the instructed antimalarial treatment, use a mosquito mattress internet and efficient repellents to keep away from the chunk of the nocturnal Anopheles mosquito.
The medicines listed under are efficient in opposition to malaria on this nation. Discuss along with your healthcare supplier which antimalarial routine is greatest suited to your wants. Take ONE of the next:
Brand names: Malarone, Malanil and others; generics accessible.
TAKE 1 TABLET DAILY (ATOVAQUONE 250 mg + PROGUANIL 100 mg).
START 1-2 DAYS BEFORE ENTERING THE MALARIOUS AREA, CONTINUE DAILY DURING YOUR STAY AND CONTINUE FOR 7 DAYS AFTER LEAVING.
Note: Take on the identical time day by day with meals or milk.
Brand names: Vibramycin and others; generics accessible.
TAKE 1 TABLET DAILY OF 100 mg.
START 1 DAY BEFORE ENTERING MALARIOUS AREA, CONTINUE DAILY DURING YOUR STAY AND CONTINUE FOR four WEEKS AFTER LEAVING.
Note: When taking this drug, keep away from publicity to direct daylight and use sunscreen with safety in opposition to lengthy vary ultraviolet radiation (UVA) to attenuate threat of photosensitive response. Take with massive quantities of water to forestall esophageal and abdomen irritation.
Brand names: Lariam, Mephaquin, Mefliam and others; generics accessible.
TAKE 1 TABLET OF 250 mg (228 mg base) ONCE A WEEK.
START 1-2 WEEKS BEFORE ENTERING THE MALARIOUS AREA, CONTINUE WEEKLY DURING YOUR STAY AND CONTINUE FOR four WEEKS AFTER LEAVING.
Note: Side results embody nausea and headache, together with neurological unwanted side effects similar to dizziness, ringing of the ears, and lack of steadiness. Psychiatric unwanted side effects embody nervousness, despair, mistrustfulness, and hallucinations. Neurological unwanted side effects can happen any time throughout use and might final for lengthy durations of time or develop into everlasting even after the drug is stopped. Seek medical recommendation if any neurological or psychiatric unwanted side effects happen.
For additional particulars, cautions, contraindications, or alternate options, together with tips for pediatric dosages and Emergency Self Treatment, obtain our whitepaper How to Protect Yourself Against Malaria.
The suggestions for malaria prophylaxis outlined listed here are meant as tips solely and will differ in keeping with the place you reside, your well being standing, age, vacation spot, journey itinerary, kind of journey, and size of keep. Seek additional recommendation out of your doctor or journey well being clinic for the malaria prophylactic routine most acceptable to your wants.