What should I do if I have fever, am I having malaria or dengue?

Everyone enjoys traveling; falling ill while traveling is unpleasant and can be worrying not to know what is happening or what to do next, especially being away from home.

It is not uncommon to wake up with a fever, a bit of nausea after being bitten by a few mosquitoes a week or two ago. You recall having been informed about malaria, dengue and other tropical diseases transmitted by mosquito on your visit to the travel clinic. Now it seems that you have fever, what should you do?

First of all, don’t panic. Let’s discuss about malaria first. In Thailand . . . → Read More: What should I do if I have fever, am I having malaria or dengue?

Common misconceptions about malaria

Giving malaria advices is our everyday duty in travel clinic. Thanks to the Internet, many travelers are very well-informed already. Unfortunately, information from the Internet is not always reliable. Here are some common misconceptions about malaria;

Myth 1 Malaria exists everywhere in Southeast Asia

FACT: Malaria in Southeast Asia exist mainly in the jungle or forested area. There is no malaria in the urban area. Main tourist destinations particular in Thailand is free from malaria including Bangkok, Pattaya, Phuket, Chiangmai city, etc

Myth 2 Once you get malaria, it will stay in your body for years or even . . . → Read More: Common misconceptions about malaria

Where can I buy antimalarial tablet in Thailand?

Many travelers may wonder why it is so difficult to find antimalarial tablet in Thailand. Some may visit many pharmacists, many hospitals but without success. Until finally they could find us after someone tell them to visit Hospital for Tropical Diseases to buy antimalarial tablets.

There are several issues that need to be discussed here;

1. First of all; our government and our FDA have strict rules and regulations to control the use and distribution of antimalarial in Thailand. Since we face with multi-drugs (chloroquine, mefloquine) resistant malaria and this problem will be much worse if we could not control . . . → Read More: Where can I buy antimalarial tablet in Thailand?

SBET regimen in Thailand and Southeast Asia

The concept of SBET is a life-saving treatment kit of malaria. So we have to use the medication that effective against P. falciparum malaria which is the most dangerous malaria. Howover all other malaria species will be killed by those medication also. (except the liver stage of P.vivax, we have to add primaquine to eradiacate them)

Since malaria in Southeast Asis is multi-drug resistance strain. Our standard treatment for P. falciparum is artemisinin combination therapy, normally we use artesunate plus mefloquine.

So our recommended SBET regimens are

1 Artesunate plus Mefloquine Dosage 1. Artesunate (50mg) 4 tab at once on . . . → Read More: SBET regimen in Thailand and Southeast Asia

Standby Emergency Treatment for Malaria (SBET) – A good alternative (2)

Nowadays the concept of SBET is gaining more acceptance from many authorities especially in the use of low risk area such as in Southeast Asia. Some nataional guideline such as in German and Swiss guideline prefer SBET to chemoprophylaxis in low risk area. World health organization (WHO) also mention about the use of SBET in Southeast Asia as attached below;

Furthermore, SBET – combined with protection against mosquito bites – may be indicated for those who travel for 1 week or more to remote rural areas where there is multidrug-resistant malaria but a very low risk of infection, and . . . → Read More: Standby Emergency Treatment for Malaria (SBET) – A good alternative (2)