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

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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