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Malaria

Travel Forums General Talk Malaria

1. Posted by Pardus (Respected Member 2356 posts) 9y

I just found an interesting article in the Guardian about Malaria:

Malaria

2. Posted by GregW (Travel Guru 2635 posts) 9y

When Jo called her local GP to say that Harry had just returned from Ghana and she was worried about his symptoms, she was told it was "unlikely he had malaria" and to monitor him overnight. When his condition deteriorated the following day and she took him to her local accident and emergency department, they said, "Come back tomorrow."

What the... ?

I do recall reading when I was going to Africa that you actually were probably better off getting sick in Africa rather than once back home, because doctors in North America (and, apparently, the UK) aren't good at diagnoising or treating malaria.

Greg

3. Posted by Isadora (Travel Guru 13926 posts) 9y

This web page from the CDC may be of interest as it is related to the article.

The gist of the information states:

Following the infective bite by the Anopheles mosquito, a period of time (the "incubation period") goes by before the first symptoms appear. The incubation period in most cases varies from 7 to 30 days. The shorter periods are observed most frequently with P. falciparum and the longer ones with P. malariae.

Antimalarial drugs taken for prophylaxis by travelers can delay the appearance of malaria symptoms by weeks or months, long after the traveler has left the malaria-endemic area. (This can happen particularly with P. vivax and P. ovale, both of which can produce dormant liver stage parasites; the liver stages may reactivate and cause the disease months after the infective mosquito bite.)

Such long delays between exposure and development of symptoms can result in misdiagnosis or delayed diagnosis because of reduced clinical suspicion by the health-care provider. Returned travelers should always remind their health-care providers of any travel in malaria-risk areas during the past 12 months.

Most nations that do not have a medium to high incidence of malaria cases are not looking for malaria as a cause of illness. Unless the patient, or the admitting person, states the patient has recently been to a malarial area, it won't be the first disease state to be considered as a cause.