Page 3 of 4 FirstFirst 1 2 3 4 LastLast
Results 41 to 60 of 74

Thread: Malaria meds

  1. #41
    Join Date
    Jul 2009
    Location
    Johannesburg
    Age
    63
    Posts
    221
    Thanked: 84

    Default Re: Malaria meds

    It is really amazes me that there is this perpetual cycle of malaria prophylaxis threads. Stan, as a medical professional, has given the soundest advice and information for many years now and yet there are still so many individuals who feel that they need to dilute his advice with their own anecdotes and war stories.

    There are two groups of people who travel in malaria endemic areas, those who have had malaria and those who are still going to going to get it. As a commercial pilot I have had malaria twice; the first time after a few days in northern Mozambique and the second time after a single night stop in Lubumbashi. It is not a pleasant experience!

    There is effective prophylaxis for malaria, unfortunately the same cannot be said for stupidity.
    Phil
    '10 Hilux D-4D AT - Land Cruiser Lite
    Summit Everest

    Wise men speak because they have something to say; fools because they have to say something - Plato

  2. The Following 9 Users Say Thank You to philth For This Useful Post:


  3. #42
    Join Date
    Aug 2012
    Location
    Okahandja, Windhoek
    Age
    69
    Posts
    4,887
    Thanked: 1158

    Default Re: Malaria meds

    There is definitely a different approach from the people in the malaria areas and those only visit it for a short period, right or wrong!?, and one should maybe recognize that. Stan also touched on that.
    Last edited by JLK; 2021/06/03 at 11:20 AM.
    Johan Kriel

  4. The Following User Says Thank You to JLK For This Useful Post:


  5. #43
    Join Date
    Jun 2013
    Location
    Alberton
    Age
    60
    Posts
    6,307
    Thanked: 2974

    Default Re: Malaria meds

    Quote Originally Posted by philth View Post
    It is really amazes me that there is this perpetual cycle of malaria prophylaxis threads.
    I think this is a good thing, let's keep bringing it up, lets keep Stan's sage advice going. It might just change some one's view.
    Stranger

    Lusted for a Landy but the Pajero was sexier and bigger in the right departments, just like my Missus.

    2004 Gen 3. 3.8i petrol V6 (PAJTU)
    X Factor Bundutop trailer (designed by me)
    1998 Blister Fender Pajero 3500 24V (PAJ) (Sold)
    BMW R1200R

  6. The Following 2 Users Say Thank You to Stranger For This Useful Post:


  7. #44
    Join Date
    Jul 2009
    Location
    Johannesburg
    Age
    63
    Posts
    221
    Thanked: 84

    Default Re: Malaria meds

    Quote Originally Posted by JLK View Post
    There is definitely a different approach from the people in the malaria areas and those only visit it for a short period, right or wrong!?, and one should maybe recognize that. Stan also touched on that.
    Absolutely, I concur unreservedly.

    My issue is that whenever these threads come around there are always the Kaptein Kaprivi's (who, in all likelihood, have not yet had malaria) who feel that they have to pooh-pooh recognized science and regale the forum with their very dangerous mitigation measures.
    Phil
    '10 Hilux D-4D AT - Land Cruiser Lite
    Summit Everest

    Wise men speak because they have something to say; fools because they have to say something - Plato

  8. The Following User Says Thank You to philth For This Useful Post:


  9. #45
    Join Date
    Jan 2010
    Location
    Pretoria
    Age
    52
    Posts
    9,404
    Thanked: 6487

    Default Re: Malaria meds

    Quote Originally Posted by Stranger View Post
    ..... lets keep Stan's sage advice going. It might just change some one's view.
    Agreed!

    Stan, and other medical professionals, should be supported and encouraged to keep on commenting and disputing ill conceived advice being masqueraded as 'my opinion' and 'my choice'.

    The forum and the collectively knowledge is an extremely privileged position not to only have experienced medical professionals in our midst, but many of these doctors happen to be very well travelled and seasoned overlanders to boot. They comment first from medical facts and secondly from hard earned personal experience.

    Yes everyone has an opinion and everyone certainly has the choice of what drugs they put in their bodies or not. I fully support and understand it. There are drugs that I also absolutely refuse to take.

    Where lives, including children's lives, become at stake we need to check our opinions and look at the bigger picture.

    It is not just about me, myself and I. It is not just about one or two people's luck with russian roulette....... Luck runs out with malaria. For some it is on try 10, for others it is on try 1.

    Chat to anyone who has had malaria and they will tell you that first, they don't want it ever again and secondly, they don't wish it on their worst enemies.
    Last edited by lekhubu943; 2021/06/03 at 11:52 AM.
    Christa
    2018 Toyota Fortuner 2.8 GD-6 4x4 AT

    BushLapa 78 Now a Boskruier but with the same Zambia and CKGR bush stripes


  10. The Following 3 Users Say Thank You to lekhubu943 For This Useful Post:


  11. #46
    Join Date
    Jun 2014
    Location
    Overlanding Southern Africa
    Age
    43
    Posts
    240
    Thanked: 106

    Default Re: Malaria meds

    WHO World Malaria Report 2020
    Read here: https://apps.who.int/iris/rest/bitst...21872/retrieve

    Specifically 3.2 & 3.3 the number of cases & deaths of Malaria in WHO African Region in the LAST 10 YEARS.

    Pic of graph attached.

    Notice where South Africa, Namibia, Botswana, Eswatini are (right) vs Congo, Mozambique, Angola are (left)?

    So… your risk of Malaria is dependant on where you are travelling too. Obviously.

    ---
    Dale
    WhatsApp: +64-21832765 (Currently in New Zealand)

    2006 Suzuki Grand Vitara V6 2.7
    2006 Toyota Hilux DC V6 4.0
    2007 Nissan Pathfinder V6 4.0

  12. #47
    Join Date
    Aug 2013
    Location
    Helderkruin
    Age
    55
    Posts
    2,169
    Thanked: 602

    Default Re: Malaria meds

    Baie dankie vir die info waardeur.

  13. The Following User Says Thank You to Leon Venter For This Useful Post:


  14. #48
    Join Date
    Aug 2018
    Location
    Manhattan Beach
    Posts
    43
    Thanked: 5

    Default Re: Malaria meds

    I anticipate that most of us will be on Malarone but everyone will talk with their physician. Sure wish there were no side effects but it is what it is. The side effects are better than the illness!! We will be traveling on planes for a couple days so I am hoping that starting the malarone when we arrive in Maun on July 11 will be o.k. We will have a night in Maun and one night on the pans before heading to Khwai, Savuti, Moremi, Chobe, and ZIM. Experiencing any side effects on an aircraft or a layover in IST does not appeal to me. Again, thank you to everyone who has contributed your knowledge and opinions, it has definitely convinced me that we will take malaria meds on this trip. Cherie

  15. #49
    Join Date
    Aug 2009
    Location
    East London
    Age
    67
    Posts
    5,193
    Thanked: 6414

    Default Re: Malaria meds

    Cherie, the side effects from Malarone are not all that common and certainly very seldom severe. This does depend on background medical conditions, chronic medications and pre-existing illnesses. If complex be checked a specialist in tropical medicine

    Remember that up to 50% of patients in trials using placebos (dummy tablets containing no medications) can have side effects on the chemically neutral tablets. Autosuggestion is a very strong, deeply subconscious factor, as proven in myriads of trials. These are so-called double blinded trials where neither the researcher or the trial patient know whether they are receiving the drug or the neutral placebo (which should have no side effects) but almost always have a significant number reported and recorded for validity of the trial.

    In the paper pamphlet in the drug box, you will find all reported side effects listed, whether they have a significant effect or not and to the lay person these can be quite scary and auto-suggestive. Viagra's common side effect is now its main use.
    Stanley Weakley.
    Toyota Landcruiser 76SW 4,2L diesel.

    “Great journeys are memorable not so much for what you saw, but for where you camped”.

    Trans East Africa 2015/2016 Trip report https://www.4x4community.co.za/forum...-6-SLOW-DONKEY
    OR
    http://www.4x4community.co.za/forum/...e16?highlight= from post 315.

  16. The Following 3 Users Say Thank You to Stan Weakley For This Useful Post:


  17. #50
    Join Date
    Aug 2009
    Location
    East London
    Age
    67
    Posts
    5,193
    Thanked: 6414

    Default Re: Malaria meds

    Quote Originally Posted by Stan Weakley View Post
    Cherie, the side effects from Malarone are not all that common and certainly very seldom severe. This does depend on background medical conditions, chronic medications and pre-existing illnesses. If complex be checked a specialist in tropical medicine

    Remember that up to 50% of patients in trials using placebos (dummy tablets containing no medications) can even report side effects on the chemically neutral placebo tablets. Autosuggestion is a very strong, deeply subconscious factor, as proven in myriads of trials. These are so-called double blinded trials where neither the researcher or the trial patient know whether they are receiving the drug or the neutral placebo (which should have very few side effects) but almost always have a significant number reported and recorded for validity of the trial.

    In the paper pamphlet in the drug box, you will find all reported side effects listed, whether they have a significant effect or not, and to the lay person these can be quite scary and auto-suggestive. Viagra's common side effect is now its main use.
    Stanley Weakley.
    Toyota Landcruiser 76SW 4,2L diesel.

    “Great journeys are memorable not so much for what you saw, but for where you camped”.

    Trans East Africa 2015/2016 Trip report https://www.4x4community.co.za/forum...-6-SLOW-DONKEY
    OR
    http://www.4x4community.co.za/forum/...e16?highlight= from post 315.

  18. The Following User Says Thank You to Stan Weakley For This Useful Post:


  19. #51
    Join Date
    Aug 2018
    Location
    Manhattan Beach
    Posts
    43
    Thanked: 5

    Default Re: Malaria meds

    Stan, Dr. Weakley, Thank you for this info. Malarone seems pretty safe. I am surprised that any prescription drugs are used when I watch T.V. and the side effects are verbalized. Yikes...every drug can cause death. But rational people know that meds can prevent serious illness. Physicians in the U.S. will prescribe starting before we arrive in JNB. Is there any chance that beginning meds once in Maun is o.k.? Thanks so much for your knowledge and experience, Cherie

  20. #52
    Join Date
    Aug 2009
    Location
    East London
    Age
    67
    Posts
    5,193
    Thanked: 6414

    Default Re: Malaria meds

    Malarone needs to be started a full 24hrs before arriving in a malaria area. Maun is not particularly high risk but why dice with malaria for the sake of starting 1 day early?
    Stanley Weakley.
    Toyota Landcruiser 76SW 4,2L diesel.

    “Great journeys are memorable not so much for what you saw, but for where you camped”.

    Trans East Africa 2015/2016 Trip report https://www.4x4community.co.za/forum...-6-SLOW-DONKEY
    OR
    http://www.4x4community.co.za/forum/...e16?highlight= from post 315.

  21. The Following 3 Users Say Thank You to Stan Weakley For This Useful Post:


  22. #53
    Join Date
    Aug 2018
    Location
    Manhattan Beach
    Posts
    43
    Thanked: 5

    Default Re: Malaria meds

    The risk for us is that we will be entering 3 international airports, IST, JNB, and MUB and if any side effects show up as possible covid symptoms we could be denied entry, even though most of us will be vaccinated. I might rather risk the 24 hours in Maun than being denied entry. Thank you for your input. Cherie

  23. #54
    Join Date
    Oct 2019
    Location
    Windhoek
    Age
    70
    Posts
    4
    Thanked: 2

    Default Re: Malaria meds

    In my opinion people play around with candles and stuff until they had severe malaria.
    I had it 25 years ago. From then I never entered a Malaria Area without using prophylaxis.
    We always use doxycycline 100 gm and never had malaria case again. It is cheap and can be bought anywhere in Africa without a prescription

  24. The Following 2 Users Say Thank You to Bennie1 For This Useful Post:


  25. #55
    Join Date
    Sep 2019
    Location
    Standerton
    Age
    64
    Posts
    5
    Thanked: 2

    Default Re: Malaria meds

    Not using malaria meds prophylactic is a serious decision. Malaria kills easily. One should be able to find prophylaxis that does not cause serious side effects , but use the drugs before your trip to make sure there are no problems.

  26. The Following User Says Thank You to Deltadaan For This Useful Post:


  27. #56
    Join Date
    Feb 2009
    Location
    Durban
    Age
    62
    Posts
    9
    Thanked: 5

    Default Re: Malaria meds

    Having visited to Botswana, Zambia, Malawi, Namibia, and a regular to Moz without taking any prophylactics, just using spray, candles etc... I thought I was clever .... then I got cerebral malaria at Beline, resulted in a stroke, not a very pleasant experience .... but fortunately I made it. Something like 50% dont survive cerebral malaria. My local GP, also a traveller, prescribed doxycycline and now we dont travel without it. Very useful for bites and other issues too...

  28. The Following 4 Users Say Thank You to Eddie-Kzn For This Useful Post:


  29. #57
    Join Date
    Apr 2009
    Location
    East London
    Age
    67
    Posts
    1,068
    Thanked: 198

    Default Re: Malaria meds

    I grew up in mozambique and we used to take malaria prophylactics (quinine based?) at school during periods of bad malaria bouts in town (LM); but caught malaria twice ; from young age we lived in the alto limpopo next to the rice irrigation scheme where my father worked for and there they used to spray the streets and buildings with ddt in the early evenings when the mozzies come out ; I took larium once in a sodwana diving holiday trip and got vertigo ; on a trip to gorongosa got melaquin? ( not sure of the name )- and could not sleep well - lots of flashing /lightning in vivid dreams ); from 2009 to 2013 i travelled to angola , kenya; ssudan , moz, zim and swaziland on work assignment trips and started taking "artemisia afra" tablets , then i changed to taking "artemisia annua" drops and "olivea afra" drops as well ; that is all i take now on a regular basis whenever i travel into africa ;no problems thus far ! coincidence ...? or luck ...? I cannot prove but currently I am taking these same drops as well but as preventive against covid 19 ;maybe it works .....; my last working trips earlier in the year were to botswana ; i took the same drops but also complemented my FA kit with ivermectin ; Rgds
    Last edited by Jayefe; 2021/06/07 at 03:31 PM. Reason: add info

  30. #58
    Join Date
    Feb 2008
    Location
    Cape Town
    Age
    64
    Posts
    10,418
    Thanked: 3540

    Default Re: Malaria meds

    Quote Originally Posted by Jayefe View Post
    then i changed to taking "artemisia annua" drops and "olivea afra" drops as well ; that is all i take now on a regular basis whenever i travel into africa ;no problems thus far ! coincidence ...? or luck ...?
    I'm very glad that you are still alive, Jayefe! Your powers of auto-suggestion must be strong.
    Cherie, please stick to mainstream prophylaxis.
    Tony Weaver

    1991 Land Rover 110 Hi-Line S/W 3.5l V8 carburettor
    Cooper Discoverer STT tyres, four sleeper Echo rooftop tent
    2012 Mitsubishi Outlander.

    Previously Land Rover 1968 SII, 1969 SIIA, 1973 SIII, 1983 Toyota HiLux 2litre, 2006 Land Rover Freelander TD4 HSE.

  31. The Following User Says Thank You to Tony Weaver For This Useful Post:


  32. #59
    Join Date
    Feb 2015
    Location
    Vermont
    Age
    80
    Posts
    3
    Thanked: 1

    Default Re: Malaria meds

    On several trips into Africa we followed medical advice that was given to us as individuals.
    But I think the most effective action was using dettol. A very weak solution of say 10% in a house hold spray bottle. Every morning when getting out of the tent fully dressed everybody gets sprayd from head to shoes with a very thin spray. And every evening when getting out of the vehicle the same.
    You may smell like a hospital for a few
    get near you. We have been fortunate enough that not of us ever got malaria.
    Mozzies Tsetse fly etc also love to hide under the seats and the dash. Some spray there will also help.
    Pyrethrin insecticide is also non toxic to warm blooded species and is very effective and long lasting when sprayd on tents under car seats etc. It is widely used so enquire locally what you can use.
    Enjoy your trip

  33. #60
    Join Date
    Aug 2018
    Location
    Manhattan Beach
    Posts
    43
    Thanked: 5

    Default Re: Malaria meds

    Quote Originally Posted by Tony Weaver View Post
    I'm very glad that you are still alive, Jayefe! Your powers of auto-suggestion must be strong.
    Cherie, please stick to mainstream prophylaxis.
    We will definitely use mainstream prophylaxis. I was putting together a first aid kit and came across my unused malarone. Too bad it expired in 2015. We will also have repellent and use permethrin on some clothing. Thank you, Cherie

  34. The Following User Says Thank You to cccole For This Useful Post:


Page 3 of 4 FirstFirst 1 2 3 4 LastLast

Bookmarks

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •