QUESTION I have been working a 4-week rotation between the USA and East Kalimantan (Borneo) for about 2 years. While on Borneo, I am in the jungle much of the time. I have never contracted malaria. I am embarrassed to say I thought I had been inoculated for malaria when I first started working here. I just spent 10 days in a hospital last month fighting a blood degenerating viral infection not … [Read more...]
Malaria in Borneo, Indonesia
QUESTION We fly to Borneo tomorrow and have been very stupid not thinking about Malaria medication. Can someone quickly tell if I should take medication when there and also what type would be best to take? Thank you for your help. ANSWER Yes! Malaria prophylaxis is recommended for trips to Indonesian Borneo, particularly rural areas. Recommended forms of prophylaxis are Malarone … [Read more...]
Paludrine/Avloclor Anti Malaria Travel Pack
QUESTION Is this anti malaria travel pack suitable for Borneo? ANSWER This kit is NOT appropriate for preventing malaria in Borneo. Avloclor contain chloroquine phosphate, and some types of malaria present in Borneo are resistant to chloroquine. The CDC recommends that travelers to Malaysian or Indonesian Borneo should use atovaquone-proguanil (Paludrine contains proguanil, but the … [Read more...]
Post-infection Malaria Medication
QUESTION My daughter has recently returned from a trip to Borneo. Even with aggressive preventive anti-mosquito behaviour (long sleeves/pants, deet applications and mosquito netting) but not anti-malarial medication, she received over 30 bites. She is now exhibiting some symptoms (body aches, headache and severe fatigue). She has an appointment at the doctors in 2 days time. Is there some kind … [Read more...]
Current Status of Malaria
QUESTION: What is the current status on malaria? And does P.knowlesi spp. pose a greater threat compared to the others? Does the number malaria cases increase every year globally? Is P. knowlesi spp. more dangerous than the others and why? ANSWER: I'll answer your question about Plasmodium knowlesi first. So far, it is considered a relatively minor source of malaria in humans, as its … [Read more...]
Of Macaques and Men
Plasmodium knowlesi —a new challenge in the Roll Back Malaria Program? Mention of malaria often conjures images of infants hospitalized in Africa. Although most deaths from malaria are children under 5 in sub-Saharan Africa, there are many different types of malaria that put over half of the world’s population at risk in subtropical and tropical regions worldwide. There have historically … [Read more...]