What malaria prevention should be advised for travellers going on cruises?
A. Cruises are a growing part of the holiday market. Most travellers on cruises are only ashore during daylight hours when the Anopheles vector of malaria is not feeding, and therefore do not require malaria chemoprophylaxis. Occasionally this is not the case and therefore the cruise itinerary must be reviewed to determine if there will be exposure to malaria. As examples, cruises in the Caribbean may include several days travelling along the Amazon in Brazil, or Orinoco River in Venezuela. Cruises along the East African coast may include a stop for a night or more in the port of Mombasa, Kenya and passengers may be ashore or on deck after dusk. These itineraries will require malaria chemoprophylaxis. In addition cruises that have an overnight stay in any other malaria endemic region of the world require malaria chemoprophylaxis. Risks in specific destinations can be determined by referring to ACMP guidelines. Based on the destination, duration of exposure, and health of the traveller,
A. Cruises are a growing part of the holiday market. Most travellers on cruises are only ashore during daylight hours when the Anopheles mosquito vector of malaria is not feeding, and therefore do not require malaria prevention tablets. Occasionally this is not the case and therefore the cruise itinerary must be reviewed to determine if there will be exposure to malaria. As examples, cruises in the Caribbean may include several days travelling along the Amazon in Brazil, or the Orinoco River in Venezuela. Cruises along the East African coast may include a stop for a night or more in the port of Mombasa, Kenya and passengers may be ashore or on deck after dusk. These itineraries will require malaria prevention tablets. In addition cruises that have an overnight stay in any other malaria endemic region of the world require malaria chemoprophylaxis. Risks in specific destinations can be determined by referring to Chapter 4 of the malaria guidelines. Based on the destination, duration of e
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- What malaria prevention should be advised for travellers going on cruises?
