Wednesday, November 3, 2010

cases: malaria in siem riep/angkor wat Camodia

fitfortravel website:
Malaria risk is present throughout the country. Risk is minimal in the capital city Phnom Penh, Siem Reap, the famous temple of Angkor Wat, the nearby Mekong river delta and in the rice growing areas around the large inland lake of Tonle Sap.(http://www.fitfortravel.nhs.uk/destinations/asia-%28east%29/cambodia.aspx#MalariaContentHeading)
 yellow book

Malaria

Angkor is often visited at sunrise and sunset when mosquitoes are likely to bite, putting travelers at risk for mosquito-borne diseases such as malaria and dengue. Malaria chemoprophylaxis and mosquito avoidance are both recommended.
Atovaquone/proguanil or doxycycline should be taken to prevent malaria. Chloroquine and mefloquine are not recommended because P. falciparum may be resistant to these drugs in this area. Purchase malaria prophylaxis drugs in the United States before travel, because counterfeit malaria drugs have been found in Southeast Asia.
Avoid mosquito bites by using a recommended repellent, sleeping under a mosquito net if not in an air conditioned room, and wearing protective clothing. Mosquito bites can transmit not only malaria but other diseases such as dengue and Japanese encephalitis.(http://wwwnc.cdc.gov/travel/yellowbook/2010/chapter-3/angkor-wat-cambodia.aspx)

WHO

Malaria
  Malaria risk Malaria: Malaria risk due predominantly to P. falciparum exists throughout the year in the whole country except in Phnom Penh and close to Tonle Sap. Risk within the tourist area of Angkor Wat is negligible. P. falciparum resistant to chloroquine and sulfadoxine-pyrimethamine reported. Resistance to mefloquine and tolerance to artesunate reported in south-western provinces.
  Malaria prevention Recommended prevention: Mosquito bite prevention plus mefloquine, doxycycline or atovaquone+proguanil chemopro-phylaxis (select according to reported resistance pattern) 
http://apps.who.int/tools/geoserver/www/ith/index.html

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