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

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