I'm in the middle of sorting out my Malaria tablet prescription and there is a bit of a grey area with the land between Phuket and BKK, it borders with Myanmar and shows up as high risk however, I will be travelling this part by train....More than likely!
If I don't have to start the tablets here then I wont have to start until I go to Cambodia ages after, I don't fancy taking any risks though.
What are your thoughts? Does the train offer any protection or do I need to start the course as early as Phuket?
if you can give us abit more info about your itinery it'll help e.g. how long is your train ride, will you just be on the train or getting down to travel, where exactly is the high risk area and will the train stop here, how long is 'ages' between BKK and Cambodia, when are you going etc.
On the other hand even if you don't get off the train but the train is non-airconditioned or if it stops within the high risk area, there's always the chance mosquitoes can fly in. I know, sounds like some dumbo scenario created by my overactive imagination! But who knows..
Also depends on how susceptible to mosquito bites you are. They generally don't bite me unless desparate, like when I'm the only one in the jungle. Maybe those who bite me are the retarded ones
When I went over a year ago they only prescribed me malaria tablets because I was going to Chiang Mai and north Thailand, rather than anywhere else
I don't know about this area and i stopped taking them before i took a train from Bangkok to Surathani and I'm still alive :P
Might want to get air conditioning and if all else fails just use some aeroguard/bushmans gel.
I'd say you'd be fine but I don't wanna give you a 100% confirmation just incase :P