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Malaria in Chang Mai?

Travel Forums Asia Malaria in Chang Mai?

Last Post This thread is marked as being about Thailand
1. Posted by linzwolfe (Budding Member 4 posts) 11y Star this if you like it!

Hi All
I will be travelling to Thailand and Malaysia in a month's time but have not yet got any malaria tablets. I have read a lot of the questions on here about Malaria tablets and whether I will need to take them in the areas I will be going to, however I am still needing a little advice! Most of my time will be spent in Southern Thailand but I will be travelling north to Chang Mai and an organised jungle trek/village homestay there.
Would people reccommend taking Malaria tablets for this area (as some of the time will be spent in the jungle and due to the climate in August/Sept it may be prime mozzie weather?) If I can get away with not taking anything I would prefer not to as I am quite concerned about these side effects I've been reading about (i.e nightmares etc). Can anyone advise?
Thanks a mill!

2. Posted by claireh (Respected Member 318 posts) 11y Star this if you like it!

I would recommend you take them. I'm going to Chang Mai late summer and have read that it is prime mozzie time! Also, if you are trekking, it may be difficult to get quick medical help if you need it. There is a lot of malaria in Malaysia at the moment also. I didn't find anti-malarials too bad. For the first week of taking them (before I went away) I felt slightly hotter than normal and a little nausious, but it didn't last long. Make sure you take the correct ones for the different places you are going as there are different strains of malaria which require different pills.

3. Posted by steffc (Budding Member 14 posts) 11y Star this if you like it!

Yes as far as I am aware you will need to take it in the north as you have not only malaria but dengue fever to be carefull off. You'll need to speak with your doctor about what tablets to take as not all have side effects. I took doxycycline which had no real side effects and as it was an antibiotic I like to think helped me not be ill in the 4 months I wasin asia. You'll need though to speak to your doctor as it depends on the individual.
Hope it helps and enjoy Chang Mai - its amazing. If you get the chance go to Pai as that is also fantastic!!

4. Posted by Laura_B (Respected Member 352 posts) 11y Star this if you like it!

I took doxycycline, but had to stop taking it after a while as it made me very, very photosensitive towards the sun, I couldn't be in it at all, it started spoiling my trip. I think people react to it differently, I would recommend preventative measures, as anti malarial drugs are not 100% effective.

I agree with steffc, Pai is about a 3 hour bus ride away from Chiang Mai, amazing place! Hire a moped & explore.

5. Posted by lodesafun (Budding Member 56 posts) 11y Star this if you like it!

I never worry about it. I know many who have been thru there and a large % don't, some do and some stop using them as they do suffer side affects . If you use common sense an apply repellent when appropriate I don't see a problem with it in Thailand. sleeping with mossy net is always a good ideal.
I've been in thailand for 3 months a year for the last 10 yrs and never used them.

6. Posted by linzwolfe (Budding Member 4 posts) 11y Star this if you like it!

That's great, thanks for your advice everyone. I am still a bit unsure but am leaning more towards not taking them now and just covering self in repellent!

7. Posted by k8rox21 (Budding Member 5 posts) 11y Star this if you like it!

Im travelling to Thailand and Malaysia in 2 weeks and goin to Chang Mai but not gonna take malaria tablets. My doctor said u dont really need to unless you go very close to the northern thai border. have fun!

8. Posted by buzzard (Respected Member 187 posts) 11y Star this if you like it!

If you are sticking to the Chiangmai vicinity, and not going trekking into the deep jungle further north, you should be fine. No real need to take malaria tablets, etc. Chiangmai is becoming more and more polluted and I think that's killing off the skeeters!

9. Posted by CanadaGuy (Respected Member 199 posts) 11y Star this if you like it!

OK- please take this little advice-- If you are planning on sticking to the cities and major tourist resorts (Bangkok, Chiang Mai, Chiang Rai, Pattaya, Phuket Island, and Ko Samui) then your risk of malaria is low in Thailand. If you plan to go into rural areas, or trekking outside of Chiang Mai I would definitely recommend taking anti-malarials. Anyone else who posts here that they didn't take them-- great for them, but they got lucky.

Malaria is a serious potentially fatal disease in people who have never been exposed before. This is not where you want to take a risk. I say this as an experienced physician and would have major concerns about any recommendations to the contrary.