Important considerations in malaria prophylaxis

1. Minimise exposure to mosquitoes and avoid bites.

2. Know areas of risk:

o tropical South America (southern Mexico to northern half South America) o tropical Africa (sub-Sahara to northern South Africa) o Nile region including Egypt o Southern Asia especially tropical areas

3. Know areas of widespread chloroquine resistance:

o Asia, tropical South America (rare north of Panama Canal), sub-Sahara, East Africa

4. Consider several factors:

o intensity of transmission o season and length of stay o itinerary

■ rural—backpacking o resistance patterns o host factors

Dealing With Back Pain

Dealing With Back Pain

Deal With Your Pain, Lead A Wonderful Life An Live Like A 'Normal' Person. Before I really start telling you anything about me or finding out anything about you, I want you to know that I sympathize with you. Not only is it one of the most painful experiences to have backpain. Not only is it the number one excuse for employees not coming into work. But perhaps just as significantly, it is something that I suffered from for years.

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