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Equally recommended for The Gambia is Doxycycline unless you're pregnant, I bought some two years ago at just over 2p each so you've wasted your money there perhaps!
I read a thing a while ago that the best way to minimise malaria is to go to bed before dusk and sleep in a net. Many people who had been given a net by the likes of aid agencies weren't told about dusk being the highest risk time, and their culture meant late nights were the social hours. Cooking in their huts meant small sparks put holes in the net, and at the end of the day they just didn't like them. If a £10 net can't be easily implemented I don't think a daily tablet at any cost would work
Jason
______________________________________________________________ Small steps
I have just had the jabs at my local Dr's for 8 days in Gambia. Yellow Fever cost £50 which lasts for 10 years which equates to £5 per year. On the other hand 16 Malaria Tablet (Malarone) cost £50.43 for 16 daily tablets.
Ignoring the £10 private prescription fee this is £3.16 per day or £1150 per year to provide protection. Yes I could probably get it slightly cheaper on the internet, but what do you think about this cost of protection?
Your costs most probably helps to subsidise low cost treatment for the indigenous population.
Think of of as a charity donation.
______________________________________________________________ "On all the oceans white caps flow,
You see no crosses row on row
But those who sleep beneath the sea,
Rest in peace for your country is free".
When we went to Kenya on Safari and a weeks diving in the Indian Ocean we had to have the relevant jabs and Anti malaria treatment which in our Case was "Larium"..
All was fine for the holiday, I and Sandra took the Malaria tablets with no problems, It was a good year after when a problem with me reared it's head I started having panic attacks, they came on at anytime and for no particular reason, I could be driving down the motorway and one would start I could feel it coming on it was like I was thinking it would happen so it did.. I would have to pull over until the episode started to wain enough for me to leave the motorway at the first exit where I could wait it out until I was "Normal" cough. They would even happen as I was lying in bed they just triggered themselves by thinking about one..
I am an hairy arsed 6ft 16stone builder not some soft woosy so all this was totally alien to me and I hadn't got a clue why I should be having them..
Off to the docs who did all the usual stuff then said I will prescribe some ? I can't remember but the stuff they give you that is habit forming that you can't get off.. No way was I taking that so quite by chance I was looking on the Internet about going back to Kenya when I came across and article like this which made me realise it was the bloody Larium that had stuffed me..
It took a good 4 years for it to work through my system and the panic attacks to stop.. Scary place to be in those days, I will not be going anywhere which involves anti malaria drugs.. I will stick to Cleethorpes. .
And the moral to this tale.. DO NOT TAKE LARIUM.
ray.
______________________________________________________________ Damn you Autocorrect. DAMN YOU TO HE’LL.
While I am not defending the costs that drug companies place on items the cost of R & D is immense;
of every 100 "new" products developed, perhaps one MIGHT prove effective, therefore the other 99 have been developed trialed and rejected,
trialing a drug is a VERY expensive procedure; once the drug has been identified and a means of synthesis developed it then has to be tested for effectiveness and for side-effects, all drugs have to be tested away from humans before they can be considered for trials, then they have to be tested on volunteers (who are paid a small sum depending on the risks involved from £50 - £10,000),
many drugs are rejected before these steps are completed.
once literally hundreds of trials are completed the drugs are then submitted for approval and a licence for limited trials may be given, these may be done through consultants in specialised units.
Once that step has been completed the drug then has to be submitted to NICE (National Institute for Health and Clinical Excellence), who have the final say about whether the drug is cost-effective and effective in it's specified role. They reject many drugs at this stage (cancer drugs hit the headlines frequently).
So the R & D that appears so easy is actually very complex and horrendously expensive, think of problems that have arisen in the past;
Thalidomide; first introduced in the late 1950's and withdrawn in the early 1960's after horrendous birth defects were discovered
developed in the late 1930's as a by-product from research into ergot - a naturally occurring material that had been used during some medical procedures, but LSD-25 (totally synthetic) proved to have wide ranging psychological effects (remember the song Lucy in the Sky with Diamonds?);
" Picture yourself in a boat on a river with tangerine trees and marmalade sky,
Somebodycallsyou,youanswerquiteslowly,agirlwithkaleidoscopeeyes.
Cellophaneflowersofyellowandgreentoweringoveryourhead.ookforthegirlwiththesuninhereyesandshe'sgone. LucyintheSkywithdiamonds..."
who could have predicted that?
So although the costs MAY SEEM high, they are justifiable, try working through this School Science link on the development of Viagra;
When we went to Kenya on Safari and a weeks diving in the Indian Ocean we had to have the relevant jabs and Anti malaria treatment which in our Case was "Larium"..
All was fine for the holiday, I and Sandra took the Malaria tablets with no problems, It was a good year after when a problem with me reared it's head I started having panic attacks, they came on at anytime and for no particular reason, I could be driving down the motorway and one would start I could feel it coming on it was like I was thinking it would happen so it did.. I would have to pull over until the episode started to wain enough for me to leave the motorway at the first exit where I could wait it out until I was "Normal" cough. They would even happen as I was lying in bed they just triggered themselves by thinking about one..
I am an hairy arsed 6ft 16stone builder not some soft woosy so all this was totally alien to me and I hadn't got a clue why I should be having them..
Off to the docs who did all the usual stuff then said I will prescribe some ? I can't remember but the stuff they give you that is habit forming that you can't get off.. No way was I taking that so quite by chance I was looking on the Internet about going back to Kenya when I came across and article like this which made me realise it was the bloody Larium that had stuffed me..
It took a good 4 years for it to work through my system and the panic attacks to stop.. Scary place to be in those days, I will not be going anywhere which involves anti malaria drugs.. I will stick to Cleethorpes. .
And the moral to this tale.. DO NOT TAKE LARIUM.
ray.
I totally agree with Ray about Larium. The side effects can be weird.
I asked my Doctor for a few before I went overseas as I had read about them. My side effects were mild but deadly. At the time, I used to drive about 10 miles to my Mothers house. While on Larium, I would suddenly realise that I was at her house, with no idea or memory of driving there. There were big gaps in my daily routine which thankfully disappeared when I stopped takinjg them. I only took 3.
______________________________________________________________ Diplomacy is overrated.
"The secret of happiness is freedom. The secret of freedom is courage". Thucydides 460 - 404 BC
Remember anti-malarial tablets, of any variety are only tertiary protection, they don't stop the malaria parasite from getting into your body but (hopefully) stop it from killing you once it is there
.
Primary protection - don't go anywhere there are malaria parasites
Secondary protection - go to malaria areas but don't get bitten by the female anopheles mosquito which carries malaria
Tertiary protection - either have chemicals in your bloodstream which stop the parasite reproducing and making you ill or have an immune system which has built up antibodies that stop the parasite.
If you go to a malaria zone and get bitten by an anopheles mosquito there is a pretty good chance that malaria parasites will get into your bloodstream - a sobering thought.
No anti-malarial is 100% effective so be aware of symptoms and seek medical help immediately if you are unsure but it takes a minimum of 7 days for the parasite to reproduce in your body so illness within 7 days of arriving in a malaria zone is not likely to be malaria.
People born in the Gambia are repeatedly exposed to Malaria and if they survive build up a natural resistance but it takes years - a very harsh form of natural selection
Some doctors will prescribe the tablets for the price of a prescription as the cost of treating the disease is more than providing the tablets.
Don't forget to keep taking the tablets for a time after you return - they kill the parasites in your blood stream, so if you get bitten just before you return but don't finish the tablets you may still get Malaria - my wife is a Practice Nurse who does travel consultations and this is what she tells everyone..
have been to gambia and kenya for the last 6 years repeatedly took all the malaria tablet's malarone on private prescription, first couple of times then found not really necassary ie kenya had a problem in a coastal region about 10 years back because it was a coastal region [very rare} was investigated and found to be an abandoned quarry/cement plant causing the problem this has now been cleaned up and is a wildlife rescue park, with no new cases but it sit's on the world health site as an "at risk" area ,
likewise gambia is reportedly only high risk during the rainy season april/august but if i was going upriver rather than just kolili etc i would definitely take some protection,
our investigation of the risk was because it appeared at one point that several people my wife included had gone down with a severe stomach complaint just cramp's & hallucinations doctor came on site and advised stop taking malarone 100% of the victim's were on it and symptom's cleared up in 2 day's
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