- malaria is more common in the wet season.
Before you go
Although risk varies, all travelers to malaria-risk countries should take precautions to prevent malaria.
You should use an effective insect repellent on clothing and any exposed skin 24/7
Because you will definitly need sunscreen also, remember the reprellent comes after sunscreen
For example, back-packing or travelling to rural areas is generally more risky than staying in urban hotels.
Watch out in Humidity Days and Season
Preventing malaria - four steps
There is an ABCD for prevention of malaria. This is:
- Awareness of risk of malaria.
- Bite prevention.
- Antimalarial medication - Chemoprophylaxis (taking antimalarial medication exactly as prescribed).
- Prompt Diagnosis and treatment.
Jane Doe - Another Company, LLC
What you spray
Herbal remedies have not been tested for their ability to prevent or treat malaria and are therefore not recommended. Likewise, there is no scientific proof that homoeopathic remedies are effective in either preventing or treating malaria and they are also not recommended.
if you feel unwell and have recently visited an area in which there is malaria, you should seek prompt medical advice, even if you have taken your antimalarial medication correctly.
Greece has been malaria-free since 1974, but a number of significant factors may lead to the re-establishment of the disease, mainly:
i) the large number of immigrants from malaria-endemic countries, who work mostly in the farming sector combined with
(ii) the circulation of Anopheles mosquitoes, the competent vector of the disease, in many areas of Greece.
Fewer locally-acquired malaria cases were recorded in 2012, compared with 2011 and minimal in 2013
Overall 55% decrease in locally acquired cases was noted in 2012 compared to 2011 and
72% decrease in locally-acquired cases in Evrotas, Lakonia.
Furthermore, active case detection in Evrotas improved significantly the timeliness of diagnosis of malaria in the area.
Malaria in Greece occurs in well-defined agricultural areas which were known receptive areas for the disease, particularly in Evrotas municipality (Regional Unit Lakonia). Likewise, the three cases from 2013 are reported from similar agricultural areas where immigrants from malaria endemic countries reside and work. The occurrence of autochthonous these areas in 2013 is therefore not unexpected
sources: Greek CDC
( KEELPNO), ECDC) Greek to me November25/11/2013
CDC.GOV MALARIA CALL FOR TRAVELERS
Some callers tell a story of becoming ill within two or three days of arrival at their destination and being told by a local healthcare provider they consulted that they have malaria, which is highly improbable given the short period of time between their arrival and when their symptoms occurred.
What happens when the caller to the hotline is a U.S. resident already traveling abroad who becomes ill with what could be malaria?
Each year, the hotline handles dozens of these calls.
My advice to the traveler who becomes ill abroad? See a reputable healthcare provider as soon as possible.It’s important to know whether it really is malaria and if not, to get appropriate diagnostics and treatment for whatever else the illness might be. I tell them to contact the U.S. embassy or consulate in their host countryA U.S. consular officer can assist in locating medical services and informing family or friends .cdc.gov
Alert Links and Numbers
By CDC.gov, Updated 12/21/2012
The Hellenic CDC continues to work with the European CDC and has responded with enhanced surveillance, targeted testing and treating among migrants, and vector control activities. In current- and previously affected- areas healthcare providers have been educated about early malaria diagnosis and treatment, and the public has been informed about the symptoms of malaria and the prevention of mosquito bites.
Malaria Greek CDC 2013 Update
Malaria epidemiologic surveillance data, until 14.10.2013
In 2013 (up to 14/10/2013), a total of 16 laboratory confirmed cases of malaria have been reported to the Hellenic CDC, of which 15 were classified as imported (10 cases in migrants from malaria- endemic countries and 5 in returning travellers). Of the 15 imported cases, 8 cases are confirmed as P. vivax infections (7 migrants from malaria- endemic countries and 1 in returning traveller) and 7 cases are confirmed as P. falciparum (3 migrants from malaria- endemic countries and 4 in returning travellers). The remaining one (1) case refers to a Greek patient with no travel history to a malaria endemic country and evidence of locally acquired infection in the municipality of Alexandroupolis. Symptom onset was in week 39/2013 (23-29/9/2013).
The case classification by place of residence/exposure of all the malaria cases reported to the Hellenic CDC in 2013 is presented in Table 1.
view the official Greek CDC source
Greek CDC on Malaria
Epidemiologic data, 2011
In 2011, a total of 96 laboratory confirmed cases of malaria were recorded in Greece, of which 54 imported (9 in returning travelers and 45 cases in migrants from malaria-endemic countries, classified based on their arrival date in Greece and/or past history of malaria) and 42 without reported travel history to malariaendemic areas (34 Greeks and 8 immigrants from non-endemic countries). A cluster of 36 P. vivax malaria cases with no travel history to malaria-endemic areas was reported in the Municipality of Evrotas (Lakonia District) along with 6 P. vivax sporadic cases in 4 other Regional Units (Evia, Larissa, East Attiki and Viotia)
More specifically in Evrotas, Lakonia 28 cases of P. vivax malaria were recorded in Greek citizens and 8 in migrant farm workers from non-endemic countries (Morocco (2), Poland (1) and Romania (5, 2 of which were diagnosed in Romania). In addition, 23 P. vivax cases were reported from the same area in migrant farm workers from malaria-endemic countries (Pakistan (21), Afghanistan (2)) with unclear travel history.
go to full report by cases and regions of malaria transmissions in Greece, at the official Greek CDC website
Epidemiologic data, 2012
In 2012, a total of 92 laboratory confirmed cases of malaria were reported in Greece, of which 73 have been classified as imported (9 in returning travelers and 64 in migrants from malaria-endemic countries based on their arrival date in Greece and/or past history of malaria). Of the 70 imported cases with known Plasmodium species, 54 cases are confirmed P.vivax infections, 15 P.falciparum (8 in migrants from malariaendemic countries and 7 in returning travelers) and 1 case is a P. vivax and P. falciparum co-infection. For the immigrants from endemic countries, P. vivax infections most likely represent relapses of past malaria infection from their country of origin.
The remaining nineteen (19) cases refer to patients with no history of travel to a malaria endemic country (13 Greek, 2 Moroccan, 3 Romanian, 1 Albanian) with evidence that they have acquired the infection locally during transmission period 2012. All locally acquired cases were confirmed with Plasmodium vivax infection.
Four additional malaria cases reported in 2012 were attributed to previous transmission periods and are not included in the analysis of this report. Specifically, 2 P. vivax cases were attributed to the 2011 transmission periods: one case referred to a Moroccan migrant (diagnosed in April 2012), resident of the Municipality of Evrotas (Lakonia District), and the other referred to a 7 year old Greek girl with onset of symptoms in August 2012 and a history of 4-week stay in Evrotas, Lakonia during the transmission period 2011.
Moreover, 2 P. malariae cases were also reported in elderly patients, attributed to exposure many years ago.
Greek CDC advise to Travellers
to areas in Greece with reported locally-acquired malaria cases:
The Hellenic CDC, based on the surveillance data available until now and the implemented control measures in the areas where locally-acquired malaria cases have been reported, maintains that the risk to travelers for malaria infection in Greece is very low.
For this reason, chemoprophylaxis for malaria is not recommended for visitors to areas where locally acquired malaria cases have occurred until today.
However, personal protective measures against mosquitoes are strongly encouraged.September 2013, Greek CDC Announcement
where malaria transmission occurs should take precautions
against contracting malaria. This includes
immigrants returning to their home countries to visit friends and relatives.
Why not, Plus it's Sexy!
some of the protective tools travelers can use for malaria
(Not shown, but also protective: air conditioned or screened doors)
What are the symptoms and what should I do if I have them?
Symptoms of malaria include
Malaria is potentially life-threatening if it is not immediately treated. Untreated malaria can cause mental confusion,
seizures, coma, kidney failure, and death.
Malaria symptoms occur at least 7 to 9 days after infection.
Fever in the first week of travel is unlikely to be malaria, but any illness should be promptly evaluated.
It is critical to get immediate treatment of malaria.
Any traveler who becomes ill with a fever or flu-like illness while traveling, or up to 1 year after returning home, should immediately seek professional medical care.
Inform your health care provider
that you have been in a malaria-endemic area and should be tested for malaria infection.
When Buying Drugs, Take the Following Precautions
NEW ! Novartis AG : New malaria target identified with potential to prevent, block, and treat multiple stages of the malaria life cycle
- Novartis scientists have discovered a new drug target for treating malaria. The discovery, which is published online in the journal Nature, identifies phosphatidylinositol-4 kinase (PfPI4K) as the target of the imidazopyrazines, a novel experimental antimalarial compound class that inhibits the development of multiple malaria-causing Plasmodium species at each stage of infection in the human host.
The on-going research to develop imidazopyrazines as a new treatment for malaria is supported by the Welcome Trust and Medicines for Malaria Venture.
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