Abstract
An estimated 80–90 million travellers visit malaria-endemic areas annually. Not all travellers have a similar risk. The risk of acquiring malaria will depend on many factors including the type and intensity of malaria transmission at the destination, the duration and style of travel, prevention measures used and individual characteristics. Primary prevention strategies are mosquito bite prevention measures (such as insecticide impregnated bednets, repellents and insecticides) and chemoprophylaxis. The three priority antimalaria chemoprophylactic regimens for travellers to areas with a high risk of Plasmodium falciparum malaria are: atovaquone/proguanil, doxycycline and mefloquine. In some countries, the strategy of stand-by emergency self-treatment is recommended for travellers to areas with a low risk of malaria. Malaria prevention advice and strategies should as far as possible be evidence based using sound epidemiological data when these are available. This chapter focuses on the chemoprevention and self-treatment of malaria in travellers.
Motto/Epigraph
Travellers to malaria-endemic areas need:
Information on malaria risk, mode of transmission of the disease, incubation period and symptoms
Advice on measures against mosquito bites
Chemoprophylaxis for high-risk areas such as sub-Saharan Africa
Advice regarding prompt diagnosis and self-treatment of malaria if appropriate
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Schlagenhauf, P., Petersen, E. (2011). Prevention of Malaria. In: Staines, H., Krishna, S. (eds) Treatment and Prevention of Malaria. Milestones in Drug Therapy. Springer, Basel. https://doi.org/10.1007/978-3-0346-0480-2_14
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DOI: https://doi.org/10.1007/978-3-0346-0480-2_14
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