special subjects
Problems at the Destination
Malaria in Travelers
 Malaria is common throughout the tropics. Malaria is prevented by avoiding mosquito bites and taking an antimalarial drug. Mosquito bites are preventedby the following measures: Wearing long-sleeved shirts and long trousers (especially at dawn and dusk, when mosquitoes are most active) Sleeping under a mosquito net Applying the insecticidepermethrinto clothing or purchasing clothing that has been impregnated withpermethrin Using insect repellants that contain diethyltoluamide (DEET) or picaridin Insect repellants can also help prevent other mosquito-borne diseases such as Dengue , Even when people take measures to avoid mosquito bites, it is still necessary to take a Medications to prevent malaria (such as Pregnant women should consider delaying travel to areas where malaria is common because malaria is more likely to be serious and life threatening among pregnant women than among women who are not pregnant, even when preventive drugs are used. Pregnant women who cannot postpone travel must weigh the risks of taking protective drugs, the effects of which on pregnancy are not well known, against the risks of traveling without protection. Although the new RTS,S/AS01 (RTS,S) malaria vaccine is recommended for children living in regions with moderate to highPlasmodium falciparummalaria transmission, this vaccine is not recommended for travelers to those regions. 