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This brief section is only to be used as a guide and a source of information, because it is such a complex and rapidly changing issue, it should be investigated thoroughly and it is a good idea to contact your doctor and a good Travel Health Clinic. Below are a few sources of information
Some of the Telephone numbers below are charged at a premium rate (Approx 60p a minute)

Liverpool School of Tropical Medicine Travel Clinic 0151-708 9393 Travel Health Advice Line 0906-7088807

For an up to date Malaria and health itinerary of your trip, Calls last about 4-5 mins and a report is posted to you Information supplied by the Scottish Centre for Infection and Environmental Health Health Line 09068 44 45 49 calls cost 60p a min

Hospital for Tropical Diseases Travel Clinic 020-73889600 Travel Health Advice Line 0839-337733

Nomad Medical Centre Health Line 09068- 633414

Malaria Health line 0891- 600 350 Recorded information on malaria risks and avoidance

Other sources of information

www.cdc.gov
www.masta.org
www.who.ch

Good Books
The Travellers Health Book M Haines and S Thorowgood
Healthy Travel - Bugs, Bites & Bowels Dr Jane Howarth
Healthy Abroad - Lonely Planet Rob Ryan
Healthy Travel-Africa Isabelle Young
Travel Health - Rough Guides Dr Nick Jones


To be considered
To avoid this serious health risk when entering a malaria area precautions must be taken and expert advice should be sort, approximately 500 million cases and one million deaths occur every year, 90% are in Africa.
illness from malaria has become more complicated in recent times due to the rise in resistance to antimalarials like chloroquine, maloprim etc, there are several new drugs on the market which are now being used.

There are several factors to be considered when choosing the type of medication,
The area to be visited,
Your medical condition,
Age,
Pregnancy status,
also keep in mind the side effects of some drugs, once you have the right medication take care to follow the instructions and be sure to take the correct dosage.

Prevention
The best prevention is not to get bitten!!!!!!!
You should understand that no single method of prevention can be considered 100% effective, it is best to employ several methods ie The correct medication, Sleeping under treated mosquito nets, reduce the amount of exposed skin, especially after sunset and around dawn, on exposed skin a good repellent will be needed, preferably one that contains DEET (Diethyltoluamide) beware Deet dissolves plastic, be careful around the eyes.
There are several reason why it is possible to contract malaria even though you are taking the malaria pills, as directed.
Resistance to the drug you are taking, not taking the tablets consistently, not being absorbed in the body properly through diarrhoea or vomiting, but if you do get malaria it is likely that it will be less severe.

How it is contracted
The Malaria parasite depends on both humans and Mosquitoes to carry out its deadly cycle of life.
1 Infected Mosquito bites a human
2 Parasite rapidly goes to the liver within 30 minutes
3 The parasite then starts to reproduce in the liver. Some parasites lie dormant in the liver and become activated years after initial infection.
4 Gets into the blood stream, attaches and enters red blood cells. further reproduction occurs.
5 Infected red blood cells burst, infecting other blood cells.
6 This repeating cycle depletes the body of oxygen and also causes fever. The cycle coincides with malaria's fever and chills.
7 After release a dormant version of malaria travels through the host's blood stream waiting to be ingested by another mosquito to carry it to a new host.
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