Chemoprophylaxis is indicated for local non-immune travelers from malaria-free to malarious areas and foreign visitors planning to visit malaria risk areas. The recommended chemoprophylaxis regimen for non-immune travelers and pregnant women is Mefloquine starting two weeks before departure, during the whole stay in the malarious area, and for four weeks after returning to malaria free-area and should not exceed two months. Some drugs may not be available locally and foreign visitors are advised to get them from other sources. Travelers from abroad visiting only Addis Ababa are not advised to take prophylaxis as the capital is free from malaria.
The risk of malaria infection highly varies from season to season and from place to place. In most epidemic areas, the risk of contraction peaks after the long rainy season, September to December, while the western lowlands, from Gambella in the South- West to Humera in the North West, are generally high risk areas for non immune travelers. It has to be clear that no prophylaxis or prevention method would provide complete protection against malaria infection. Hence, non immune travelers or people living in malaria risk area are strongly advised to seek medical attention should any symptoms of malaria develop.
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Last updated: Oct. 28 2007
Copyright © 2007 CNHDE.
|Malaria Diagnosis and Treatment Guidelines for Health Workers in Ethiopia, 2nd Edition