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HughR 08-29-2013 12:43 PM

Malaria
 
To anyone: Do you use malarial prophylaxes in Central America?

gamayun 08-29-2013 01:48 PM

Re: Malaria
 
This will probably depending on which country you're going to and how far off the beaten path (urban versus jungle). It might be best to check with a travel clinic. Most cities in the US have them, presuming you're in this US...if not, they might be able to give you this info over the phone. The CDC has a table on malaria by country: CDC - Malaria - Travelers - Malaria Information and Prophylaxis, by Country.

Frogwatch 08-29-2013 02:58 PM

Re: Malaria
 
If there is an possibility of encountering mosquitoes, take the anti-malaria meds in all countries below Mexico. Even if they tell you that you do not need it you should consider it. I got malaria in Belize in 1987 and it was no fun. Got back to the states and nobody knew why I was getting 105 degree fevers every other day. My bed would be soaked with sweat so I had to sleep on towels every night. A friend called one afternoon and was so shocked at my incoherence she called my wife and told her to get me to emergency room. Docs had no idea what i had and tried to send me home. Wife refused to leave hospital with me (I do not remember any of this, I was out of it). Apparently an army doctor (this was in Huntsville Alabama) happened to walk by, saw my symptoms, he had been in Panama and declared "He has malaria". He told them to stain the blood to see the parasite.
During this two week period, I went from being already very thin to looking like death itself losing 20 lbs.
Once on the synthetic quinine, I recovered quickly but had two relapses.
Fortunately, the CA version is normally not the really bad strain and I am probably free of it. I get conflicting opinions on whether or not I can donate blood so I do not.
Take the meds.

MarkofSeaLife 08-29-2013 03:09 PM

Re: Malaria
 
I have been in Panama and also (different years) Brazil, Argentina; Venezuela and didnt have or need malaria or yellow fever vaccine. But I dont 'know'.


Mark

aeventyr60 08-29-2013 06:38 PM

Re: Malaria
 
The equation differs if your spending most of your time on a boat, where exposure is going to be a lot less. We have taken anti malaria pills but did not like the side affects.

For us defensive measures have seemed to work. Mosquito netting in the V Berth, mosquito coils in the cockpit and salon. Long sleeve shirts and pants while ashore. Liberal use of DEET. Try to avoid being outside just a before and after dark when they seem to come out in droves.

If I was going to spend significant time inland then I'd consider taking something. Malaria can and will have long term consequences on your health, especially your liver.

MarkofSeaLife 08-29-2013 07:13 PM

Re: Malaria
 
Quote:

Originally Posted by aeventyr60 (Post 1081513)
mosquito coils in the cockpit and salon.

No mosquito coils inside... nup nothing to do with gassing yourself, its the brown goo that sticks to the ceiling! Yuk! And hard to get off.



Mark

aeventyr60 08-29-2013 07:17 PM

Re: Malaria
 
Quote:

Originally Posted by MarkofSeaLife (Post 1081522)
No mosquito coils inside... nup nothing to do with gassing yourself, its the brown goo that sticks to the ceiling! Yuk! And hard to get off.



Mark

No ours are green...no goo yet. Another hazard of cruising the Caribe?

glymroff 08-29-2013 07:25 PM

Re: Malaria
 
No I haven't, but when I go I will.

I will do whatever is the prevailing medical prevention technique at the time.

Malaria is not the flu. I think you should look at it as a risk vs reward problem. I sail w/ a gal who gets motion sickness in a car. She loves to sail. She takes the prescription level med, plus bands. Sure it makes her a little tired sometimes. Yep, sometimes she isn't 100%. But she once didn't take it and hurled for 8 hrs straight.

This maybe is a bad analogy, but I think appropriate. If the side effects are minimal, and allow you to have a cruise through an area w/ out the potential on set of a serious problem, then I think it's worth it. JMHO.

zeehag 08-29-2013 07:27 PM

Re: Malaria
 
these days the actuality of dengue i s more probable than the possibility of malaria.
i know of no one taking prophylactic antimalarial drugs other than gin and tonic

JimMcGee 08-29-2013 08:34 PM

Re: Malaria
 
Quote:

Originally Posted by zeehag (Post 1081527)
i know of no one taking prophylactic antimalarial drugs other than gin and tonic

But only for medicinal purposes :D


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