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Malaria

You've read all the horror stories of Jellyfish, Scorpions and Snakes. Now lets talk about something that really does pose a major health risk around the World. There are many myths and poor quality information about Malaria in Thailand. It is certainly present and there is a risk, which varies in different parts of the country.

In big cities like Bangkok, the risk is considered to be very low, as it the risk along coast roads, the main North/South train route and central Thailand. Major tourist areas, such as Pattaya, Phuket and Koh Samui pose little risk from Malaria.

However, there is an greater risk in border regions, particularly with Burma, Laos and Cambodia, especially forested areas.

It's is vital you practice good prevention measures at all times. When the Sun goes down every evening, Mosquitoes begin their attack on exposed skin, so always wear long sleeves and trousers after dusk. There is no vaccination against Malaria and your best chance of avoiding it is to reduce the number of Mosquito bites you receive. Always sleep under a Mosquito net, unless you are in a city hotel with closed windows and air conditioning.

Anti-malarial drugs are a good prevention measure in the short term and you should certainly consider their use but always seek up to date advice on the latest situation from experts for your destination, as drug resistance is now becoming common. Long term use of anti-malarial drugs can have significant side effects however and they are not generally recommended in Thailand due to the relatively low risk.

Malaria can develop quickly, or it can develop up to a year after exposure. If you have traveled to an area affected and you subsequently develop symptoms, such as a fever, headache, joint and muscle pains, seek medical advice promptly. Thailand is well served by medical facilities, even in the countryside and all have the ability to diagnose and treat Malaria.

Prophylaxis is no guarantee of prevention and often causes side effects. Remember the golden rule... prevent Mosquito bites.

See also: Vaccinations

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