Green Light Pharmacy - Travel Health Service
The UK is one of the biggest importers of malaria amongst industrialised countries. There are on average 2000 cases of malaria annually, of which nine cases are fatal - all potentially avoidable. It is due to the infection of red blood cells with a parasite.
It Only Takes One Bite.
British travellers are travelling more (150% increase over last 10 years) to malarious destinations. The mosquito doesn't differentiate between say hostels and 5-star hotels. Even if you born or lived previously in the malarial country, on return from living in the UK, you will not be immune.
It's as simple as
A - Awareness and Advice
B - Bite Prevention
C - Chemoprophylaxis (malaria tablets)
D - Diagnosis (go to see doctor on return if any concerns)
Malaria is transmitted by mosquito bite, and as there is no vaccination available - prevention is achieved through malaria prophylaxis tablets and bite avoidance. Do NOT rely on homeopathic or natural antimalarial treatments.
Bite avoidance can be achieved by -
- Using a good quality insect repellant - like one containing DEET
- Covering up - especially after dusk until dawn
- Sleep under a mosquito net
- Wearing light, loose clothing that covers as much as possible eg arms and legs
- use plug-in vapourisers or burning coils to keep insects away
- Consider taking Vitamin B1 - 1g per day starting two weeks before - as the smell in your sweat discourages insects biting (not strong evidence)
On your return from a malaria area, continue taking the malarial medication as advised to ensure you have cover, and if you experience any high fever in the next two years, go and see your doctor and mention you have traveled to malarial areas.
|Regimen||Usual Adult Dose|
|Areas of Chloroquine resistant P. falciparum|
|Mefloquine||1 X 250mg weekly|
|Doxycycline||1 X 100mg daily|
|Atovaquone-Proguanil||1 X daily combined 250mg/100mg tab|
|Areas of little chloroquine resistance; poorly effective where extensive resistance.|
|Chloroquine plus proguanil||2 X 150mg base weekly plus 2 X 100mg daily|
|Areas without drug resistance|
|Chloroquine||2 X 150mg base weekly|
|Proguanil||2 X 100mg daily|
Malaria Prophylaxis tablet Prices***
Lariam (Mefloquine), 250mg Tabs UKP2.73/tablet/weekly
Malarone (Atovaquone and Proguanil), Tablets UKP2.87/tablet/daily
Doxycycline, 100mg caps 30p/capsule/daily
Paludrine/Avloclor (Chloroquine and Proguanil) UKP17.70 per 7 weeks supply or UKP2.53/week.
For malaria tablets if the total cost is more than 30UKP, then there is a 10% discount on the malaria tablet prices.
*** we reserve the right to change prices without notice, due to increased manufacturers costs etc. Please ring to confirm price/availability.