Africa: Insect repellant and anti malaria tablets

Pretty sure those prices for generic Malarone are higher than I paid at Asda a few months ago.
Although it appears an entirely genuine website, I'm really not sure about buying medicines on line.

Cheers

Bruce
 
Last edited:
I work down in West Africa and I'll tell you prevention is much better than cure.

Take the f**kin tablets - it's a lot better than any form of malaria

What he says and what he says. And have enough in case your return flight is delayed plus the two days after getting home.

The wife never bothers with any medication but she's a born and bred Benin City girl and has had malaria since she was a kid. But we don't have that near immunity through exposure (literally you die or you don't die and so become immune) from early years. So anyone who says don't take the medication and just chance it is a ruddy fool. And if you follow their advice and get malaria you'll know why. It isn't the laugh that Corporal Jones on Dad's Army makes it appear to be. It can and does kill.

Malarone is the best stuff. It works. Side effects are minimal. Used it for four weeks in Nigeria in 2015 and three weeks in 2012. Bitten like a bloomin pin cushion one night in 2015 and not a touch of malaria.

Lariem is the cheap stuff that, with another "cheapo" anti-malarial the Government of Blair/Brown and the Government of Cameron gave to Brit troops. As it was cheaper. Disgraceful! It can give severe psychotic reaction. Leave it alone. Use malarone.

Ignore all the stuff about gun and tonic and quinine. The malaria parasite is now immune to quinine it won't work and hasn't worked for many years.

The only "shot" that you need on a mandatory basis entering some countries is Yellow Fever. Indeed if you land in some African countries you may be refused admission if you don't have the booklet that you get when you get the injection. And there's a scam that some airports operate connected with that issue...even if you've arrived from Europe on a direct flight. Fortunately the booklet you get with it is of a size to fit inside today's modern passports.

All the rest aren't really needed but an advance anti-tetanus isn't a bad idea. Hepatitis? Anti-rabies? See what your GP says. Some say yes, others no. It isn't just about sex or getting bitten by dogs either...you can get hepatitis and rabies without any of that sort of fun so if the GP advises it have it.

From recall I think I may have had an anti-rabies but didn't bother with the hepatitis as I had had that injection free when working in the NHS. This US guide is useful...lists all countries:

Yellow Fever Health | CDC
 
Last edited:
As I said before, I use malarone and it does work. However you can only take it for a maximum of 28 days and then you have to lay off it for the next 28 days other wise there is a significant risk of liver disease.
So for short trips and holidays it's the best solution.
For people working on rotations longer than 4 weeks things become more difficult and many people I've met when working in places where malaria is endemic simply don't use any drugs resulting in most, if not all of them getting malaria and it recurring on a more or less frequent basis and some of them dying with it.
So, once again, take the f**kin tablets !!!!

Cheers

Bruce
 
Does it not depend on where yer goning in S.A. I've been invited hunting to the drakensburg mountain's area in June and July and been told it' a maleria free area so no need to take any meds
 
I took it the first time and was bitten quite bad one evening in Mozambique, we made over night stops in Sarbe park and place close by visit people who I had helped out (fixed a truck ) also took there friends kids diving as there boat was broken.

Got back to the farm 5 days before I came home and woke up shaking, sweating no strength.

They took me for a blood test with the doc saying you have a virus! test said negative for malaria however the nurse said it can hide in the back ground....!

Came home 4 days later same thing, my doctor said the same thing...

Just what happened to me....never took it the second time.

But best to follow advice from your Doc.

Tim.243
 
To reinforce previous posters: Take the tablets and injections recommended by your Doctor!. Stay away from Larium, the side effects can be nasty and long lasting. Malarone is the way to go.
WRT DEET - it's not for clothing, it's for skin. I have found that the best effective strength is 30 to 50%. The usual stuff is DEET and some sort of a carrier such as ethanol and I have noticed that repellency is slowly lost, presumably by evaporation and perspiration, during the day and it needs to be reapplied regular intervals. However, Boots, among others, sell an oil based Deet emulsified product which lasts much longer and needs reapplication much less frequently.
On the subject of skin applications, don't forget your factor 50 sunscreen.
For clothing, I recommend Permethrin. Spray your clothing thoroughly, inc hats, before your trip, in a well ventilated area and allow to dry. The application lasts a long time even through a number of washes. It's available in small pump spray bottles which is enough for several sets of clothing. As for clothing materials, forget all that fancy synthetic stuff, good old cotton is the best.
Couple of other tips: Immodium, in case the change of diet gets you. Small medical kit is handy and a blister kit if lots of walking is involved.
Lots more information: Shakari Connection | The insider guide to African hunting safaris
Peter
 
I have hunted all over SA. Zululand, Transval and Cape. I took both my mother and my partner Sandra 5 years ago and stayed in the kruger. I have also hunted Zimbabwe near Lake Kariba, and also Botswana.

Take the tablets prescribed by your doctor, much depends on what area you are in and the time of year. Some areas are malaria free and prevention is better than cure. Use repellent especially in the evening, don't wear shorts. I always wear light army type trousers sprayed with deet. If you are staying in a tented camp spray the tent before you go to dinner. That way everything that buzzes should be dead when you return.

I have never had malaria, but I know a few Ph's that have had it, and there is more than one type. So take sensible precautions and you will be fine.
 
Have spent 12 years in Africa, all over the continent. I know all about malaria. I was a cock and stopped taking my pills and paid the price in Uganda in 1996. It took me 3 years to get rid of it, though the attacks lessened in severity over the months after the first attack, but I wasn’t quite right for a long time after. Last positive test was late 1999.

In 2000 my wife and I struggled for 3 days to save a mate on a remote island in the Quirimba Archipelago off the northern Mozambique coast. He was weakened from successive bouts of malaria, not giving a toss about his health and drinking a 750ml bottle of J&B every day for years. We had the training and the meds but he died in the middle of the second day of fevers, *poof* gone, just like that. Nothing more we could have done, we were stuck on the island with an ancient dhow, no comms and the wind blowing very hard in the wrong direction, the sick bloke being the only one who knew how to sail the bloody thing. Quite sobering.

Do what sikamalc says above re clothing and tents except I wouldn’t recommend spraying your clothes with Deet, see below. Take a mozzie net at night plus a few threaded hooks, don’t be shy to put the hook in the ceiling if there isn’t one there already. Sounds like you’ve already got the pills from the quack. Never take anything other than what’s been prescribed by an experienced travel doctor, the prophylaxis differs by region and strain. Lots of G&T on holiday won’t hurt :D

The larium advice is spot on. It nearly sent me to the loony bin that stuff. Its rarely prescribed these days. I take doxycycline.

You aren’t going to a malaria hotspot. Its a lower risk in the Kruger than much of Africa, but its still a risk. So always take the precautions anyway.

Be aware that 40% Deet will melt plastic safety glasses, I’ve gone through countless pairs of sunglasses because of that stuff. Kinda makes you wonder what its doing to you. I don’t spray my clothes with it. It doesn’t taste nice at all. If you’re bearded like me and enjoy frothy beer, you’ll work that out the first time you wipe your moustache with the back of your hand.

I only wear longs now in the bush, day and night, no matter where I am or how hot it is. I’ll accept sweaty bollox over bites and malaria any day. Fed up being bitten by insects. Take antihistamines, to control the itch and swelling of bites. Anthisan is the best cream for bites.

Discipline and common sense is what stops you catching malaria.
 
Last edited:
Agree all that another useful device if you get bites to stop scratching is the pietzer electric clicker - press on bite and click away giving it an electric spark shock bliss Sell them in Boots About £5 I think And def keep the deet away from your Binos and camera I carry baby wipes to keep hands clean after applying it And if you ever use it while hunting it will destroy your stock

S
 
I have 9 atovaquone/proguanilhydrochloride 250mg / 100mg I think Malarone but without the trade name left from my trip, I had to take the 2 days before going the time I was in SA and a week after.
Can I pass these on or is that not allowed? If so free to anyone going to the region you just need to get the correct number for the rest of your trip.
 
Last edited:
Don't p**s about with malaria - it aint funny

Lariam - cheap & gives you weird dreams
Malarone - not cheap but I'm not aware of any side affects
Doxi '' - Never used it it so can't comment
Tonic - ?? OK for the 19nth Century

The DEET Expedition series ....

DEET 50% I use on the skin
DEET 100% is apparently not recommended for skin (applied to clothes) but I've also worn it on skin

there are probably new / better prophylactics on the market now - I'm out of date by 10 years
 
I. Ain’t being funny either......I’m never going to Africa.

You and me, both.

My uncle got Malaria in Egypt in WW1, and had recurring bouts of it off and on for most of the rest of his life.

My sister used to fly off all over the World. I've just found the remains of a tube of Anthisan in the bathroom.
 
I wasn’t being funny or pi##ing about it’s a genuine offer!

My comment wasn't aimed at you Dickie - I could have been a bit more specific with my comments, - in my mind was a young dutch couple that traveled with me through much of N Africa a few years ago.

They refused to take anything believing that Malaria was a low risk and easily cured so why bother.

They were also concerned about the possible effects on fertility as they had been told that there could be a drop in fertility from most of the main prophylactics

They both went down with malaria !
 
Tabard is a good local repellent or peaceful sleep.
Larium is bad. Doxycycline can mask symptoms.
Chloroquine doesn’t work anymore and hasn’t for years.

Not all of the Kruger is malaria, more the east side and June July is low season for mozzies anyway.
Maps are available online.
 
Some very useful information here, as I'll be heading for South Africa in 08/19.
Thanks to all who contributed.
 
Malaria is a summer problem in the Kruger. No need to worry in winter. Doxycycline is very good as minimal side effects and little resistance seen. If you contract cerebral malaria you can die within 24hrs so not something you want to risk. Wearing long sleeve shirts and trousers after dark, good repellent: Avon Skin Care very good (SAS apparently use it) as is Smidge. Smidge is effective against ticks as well. In the room use electric mossie pads-diffusers and don't leave doors open with the lights on. Go an enjoy.
 
Back
Top