For returning traveler, must think about:
- Geography - where they went and what is endemic there
- Incubation period
- What vaccinations they have had
- Exposures while there - including water, mosquitos, etc.
Posted 08/31/16 10:18:24 AM by Anna Krigel
- All routine vaccinations
- Yellow fever
- Hepatitis A
- Malaria prophylaxis
- Meningitis - Ghana is part of the "meningitis belt" and requires vaccination in dry season (December - June)
Posted 08/31/16 10:22:19 AM by Anna Krigel
Diagnosis of malaria:
- Detection of parasites by light microscopy on Giemsa-stained blood smears (prepared thick and thin)
- Parasite density is determined and monitored on smear, can correlate with disease severity
- Parasite species is identified on smear (P. falciparum, P. vivax, O. ovale, P. malariae)
- Rapid diagnostic tests - detect one or more malaria parasite antigens (histidine-rich protein 2, Plasmodium LDH, or aldolase)
Posted 08/31/16 10:32:36 AM by Anna Krigel
Malaria prophylaxis in P. falciparum-resistant areas:
- atovaquone-proguanil - daily, more expensive than mefloquine, more desirable side effect profile
- mefloquine - weekly, less expensive but can cause vivid dreams
- doxycycline - daily, can cause sun sensitization, least expensive
Posted 08/31/16 11:02:01 AM by Anna Krigel
For further reading...
Posted 08/31/16 11:04:36 AM by Anna Krigel
Created by Christopher Kelly
Know a hypochondriac? Get them the best-selling book 'AM I DYING?!: A Complete Guide to Your Symptoms, and What to Do Next'
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It is not meant to replace the advice of a health professional.