Introduction
Precautions
Drugs
Advice
Patient
Environment
Comments
Standby
Diagnosis
References
Table1
Table2
Table3
DoH Guidelines: Prophylaxis
[Treatment] [Prophylaxis]

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INTRODUCTION
DISTRIBUTION  OF MALARIA
  
GLOBAL DISTRIBUTION
   DISTRIBUTION IN SOUTH AFRICA
PARASITES
PROPHYLAXIS AGAINST MALARIA
  
PRECAUTIONARY MEASURES AGAINST MOSQUITO BITES

         Residents of malaria areas
   
TAKING  OF ANTIMALARIAL DRUGS
         Chloroquine resistant areas
RECOMMENDATIONS FOR SOUTH AFRICA
  
RESIDENTS OF MALARIA AREAS
RECOMMENDATIONS FOR  OTHER COUNTRIES IN THE WORLD
FACTORS INFLUENCING THE SELECTION OF  ANIMALARIAL DRUGS:
  
PATIENT FACTORS
         Infants and young children
             Breast-feeding  infants
        
Pregnancy and lactation
         Porphyria
         Epilepsy
         Chronic illness
         Sensitivity to suplha drugs
         Exposure to sunlight
  
ENVIRONMENTAL FACTORS
         Duration of stay
         Type of accommodation
         Time of year
COMMENTS ON DRUGS USED FOR CHEMOPROPHYLAXIS
  
CHLOROQUINE
   PROGUANIL
   MEFLOQUINE
   DOXYCYCLINE
STANDBY EMERGENCY TREATMENT OF MALARIA
 
DRUGS  FOR STANDBY TREATMENT

         Sulfadoxine-pyrimethamine
         Quinine
         Halofantrine
DIAGNOSIS AND TREATMENT OF MALARIA
REFERENCES
TABLE 1 : Antimalarial drugs  used for prophylaxis
TABLE 2 : Countries affected by malaria
TABLE 3 :Choice of drug(s) according to  patient factors
FIGURE  1: Malaria  risk areas in the world 1996/7
FIGURE  2:Malaria  risk areas in South Africa 1996/7

Compiled by the Department of Health in  collaboration with the Subcommittee for Chemoprophylaxis and Therapy of the National  Malaria Advisory Group.

October 1996