THE TRAVEL DOCTOR
----www.traveldoctor.co.uk
 
 

Do you know which medicines you should take with you on your travels?

By accessing the interactive part of this web site you can obtain a list of all the medicines necessary for your trip.

Whether you are going on a holiday to a beach resort or a full blown expedition to some remote location.

However long you will be away or however many people will be in your group, wherever you are going and whatever you are doing, you can obtain your own customised list.

To access this special service:-

 
Member of the
British Travel Health
Association

 
 
 
 
 
 

Do you know which medicines you should take with you on your travels?

By accessing the interactive part of this web site you can obtain a list of all the medicines necessary for your trip.

Whether you are going on a holiday to a beach resort or a full blown expedition to some remote location.

However long you will be away or however many people will be in your group, wherever you are going and whatever you are doing, you can obtain your own customised list.

To access this special service:-

 
Member of the
British Travel Health
Association

 
 
 

Do you know which medicines you should take with you on your travels?

By accessing the interactive part of this web site you can obtain a list of all the medicines necessary for your trip.

Whether you are going on a holiday to a beach resort or a full blown expedition to some remote location.

However long you will be away or however many people will be in your group, wherever you are going and whatever you are doing, you can obtain your own customised list.

To access this special service:-

 
Member of the
British Travel Health
Association

 
 
 

Do you know which medicines you should take with you on your travels?

By accessing the interactive part of this web site you can obtain a list of all the medicines necessary for your trip.

Whether you are going on a holiday to a beach resort or a full blown expedition to some remote location.

However long you will be away or however many people will be in your group, wherever you are going and whatever you are doing, you can obtain your own customised list.

To access this special service:-

 
Member of the
British Travel Health
Association

 
Home Introduction Information Main Page About Us Links
Vaccinations and Malaria Prophylaxis
for travellers to Australasia & the Pacific Islands
---
Click on the name of the required country or scroll down for the relevant information
American Samoa
Australia
Cook Islands
Easter Islands
Fiji
Guam
Kiribati
Marshall Islands
Micronesia
Nauru
New Caledonia
New Zealand
Niue
Palau
Papua New Guinea
Pitcairn Island
Polynesia (French)
Samoa
Solomon Islands
Tokelau
Tonga
Tuvalu
Vanuatu
 
A key to the abbreviations used and information on the different
anti-malarial drug regimens can be found below the main tables

Malaria Risk in the Pacific Islands

Disease Risks in Australia and New Zealand

Australia and New Zealand.


Disease Risks in the Pacific Islands

American Samoa, Cook Islands, Easter Island, Fiji, French Polynesia (Tahiti), Guam, Kiribati, Marshall Islands, Micronesia (Federated States of), Nauru, New Caledonia, Niue, Palau, Papua New Guinea, Samoa, Solomon Islands, Tokelau, Tonga, Trust Territory of the Pacific Islands, Tuvalu, Vanuatu and the Wallis and Futuna Islands.


YEL

Yellow Fever

HEP A

Hepatitis A

TYP

Typhoid

TET

Tetanus

POL

Polio

MEN

Meningitis

ENC

Jap. B Encephalitis

DIP
Diphtheria
RAB

Rabies

HEP B

Hepatitis B

 
M

Vaccination is mandatory and a certificate of vaccination is required for entry.

C
A certificate of vaccination may be required if entering from an endemic country, (except for children <1 year old).
R

Vaccination is recommended for the country but no evidence is required for entry.

L

Long Term. Vaccination recommended for travellers staying in endemic areas for 3 months or more. Except Japanese B Encephalitis if longer than 1 month.

COUNTRY
MALARIA
REGIMEN
YEL
HEP
A
TYP
TET
POL
MEN
ENC
DIP
RAB
HEP
B
American Samoa
No malaria risk
- C R R R R - - L - L
Australia
No malaria risk
- C - - R - - - - - -
Cook Islands
No malaria risk
- - R R R R - - L - L
Easter Island
No malaria risk
- - R R R R - - L - L
Fiji
No malaria risk
- C R R R R - - L - L
Guam
No malaria risk
- - R R R R - - L - L
Kiribati
No malaria risk
- C R R R R - - L - L
Marshall Islands
No malaria risk
- - R R R R - - L - L
COUNTRY
MALARIA
REGIMEN
YEL
HEP
A
TYP
TET
POL
MEN
ENC
DIP
RAB
HEP
B
Micronesia (Federated States)
No malaria risk
- - R R R R - - L - L
Nauru
No malaria risk
- C R R R R - - L - L
New Caledonia
No malaria risk
- C R R R R - - L - L
New Zealand
No malaria risk
- - - - R - - - - - -
Niue
No malaria risk
- C R R R R - - L - L
Palau
No malaria risk
- C R R R R - - L - L
Papua New Guinea
The risk is substantial throughout the country in areas below 1800m all year round. The risk is less but still present in Port Moresby.
1 C R R R R - - L - L
Pitcairn Island
No malaria risk
- C R R R R - - L - L
COUNTRY
MALARIA
REGIMEN
YEL
HEP
A
TYP
TET
POL
MEN
ENC
DIP
RAB
HEP
B
Polynesia (French, including Tahiti)
No malaria risk
- C R R R R - - L - L
Samoa (western)
No malaria risk
- C R R R R - - L - L
Solomon Islands
malaria risk in all areas all year round except outlying eastern and southern islets,
1 C R R R R - - L - L
Tokelau
No malaria risk
- - R R R R - - L - L
Tonga
No malaria risk
- C R R R R - - L - L
Tuvalu
No malaria risk
- - R R R R - - L - L
Vanuatu
malaria risk in all areas below 1800m,
all year round
1 - R R R R - - L - L
 
YEL

Yellow Fever

HEP A

Hepatitis A

TYP

Typhoid

TET

Tetanus

POL

Polio

MEN

Meningitis

ENC

Jap. B Encephalitis

DIP
Diphtheria
RAB

Rabies

HEP B

Hepatitis B

 
M

Vaccination is mandatory and a certificate of vaccination is required for entry.

C
A certificate of vaccination may be required if entering from an endemic country, (except for children <1 year old).
R

Vaccination is recommended for the country but no evidence is required for entry.

L

Long Term. Vaccination recommended for travellers staying in endemic areas for 3 months or more. Except Japanese B Encephalitis if longer than 1 month.

 

The information supplied is derived from a number of reliable sources and is compared and compiled into the alphabetical lists found on this web site.

Countries requiring malaria prophylaxis
should be regarded as being at risk all year round and you should also assume that the whole country is at risk unless otherwise indicated. The malaria regimen is the recommended regimen for a country. Use of the incorrect regimen may not provide adequate cover.

When there are two different regimens for the same country, they are area specific. Read the text to find out which regimen is suitable for the area you require.

Where regimen 1 is indicated there is Chloroquine resistance in that region and it is very likely to be the Falciparum malaria which is the most serious form of the disease. In this instance it is vitally important that travellers take adequate prophylaxis.

Remember:- No prophylaxis is 100% effective but not taking anti-malarials where they are indicated will put you at greater risk should you get the disease. Remember - Malaria is a killer!

 
The Different Drug Regimens
Regimen 1 Mefloquine one 250mg tablet weekly. OR
Doxycycline
one 100mg capsule
daily. OR
Malarone
one tablet daily.
Regimen 2 Chloroquine 300mg weekly (2x150mg tablets). PLUS
Proguanil 200mg daily (2x100mg tablets).
Regimen 3 Chloroquine 300mg weekly (2x150mg tablets) OR
Proguanil 200mg daily (2x100mg tablets).
Regimen 4 No prophylactic tablets required but anti mosquito measures should be strictly observed: Avoid mosquito bites by covering up with clothing such as long sleeves and long trousers especially after sunset, using insect repellents on exposed skin and, when necessary, sleeping under a mosquito net.
.
 
Proguanil 100mg tablets are supplied as Paludrine Tablets
Chloroquine 150mg tablets are supplied as Nivaquine or Avloclor Tablets
Mefloquine 250mg tablets are supplied as Lariam Tablets  
Malarone is a combination of Atovaquone 250mg and Proguanil 100mg
 
Length of Prophylaxis
Chloroquine, Proguanil & Maloprim Start one week before travel, throughout your stay in an endemic area and continue for four weeks after return.
Mefloquine (Lariam) Start two and a half weeks before travel, throughout your stay in an endemic area and continue for four weeks after return.
Doxycycline Start two days before travel, throughout your stay in an endemic area and continue for four weeks after return.
Malarone Start two days before travel, throughout your stay in an endemic area and continue for one week after return.
IMPORTANT!
Take the tablets absolutely regularly, preferably with or after a meal.
 

Long Term Use of Anti-Malaria Drugs
Chloroquine May be taken for periods exceeding five years.
Paludrine May be taken for periods exceeding five years.
Maloprim Can be taken for periods up to one year.
Mefloquine Can be taken for periods up to one year.
Doxycycline Can be taken for periods up to six months.
Malarone Can be used for travel periods up to one year.
 

Compatibility of Anti-Malaria Drugs
 

Pregnancy

Breast Feeding

Epilepsy

Psoriasis

Altitude

Scuba Diving
Chloroquine

OK

OK

NO

NO

OK

OK
Paludrine

OK

OK

OK

OK

OK

OK
Mefloquine

OK*

NO

NO

OK

NO

NO
Doxycycline

NO

NO

OK

OK

OK

OK
Malarone
NO
NO
OK
OK
OK
OK
* These drugs are not suitable during the first trimester of pregnancy.
 
Childrens' Dosages:
Calculate the dose by weight rather than by age if possible
Age/Weight
Chloroquine
(once weekly)
Proguanil
(once daily)
Mefloquine
(once weekly)
Doxycycline
(once daily)
Malarone
(once daily)
0 - 12 weeks
under 6kg
1/4 tablet
1/4 tablet
-
-
-
3 - 12 months
6 - 10kg
1/2 tablet
1/2 tablet
1/4 tablet
-
-
1 - 3 years
10 - 16kg
3/4 tablet
3/4 tablet
1/4 tablet
-
1 child's
tablet
4 - 7 years
16 - 25kg
1 tablet
1 tablet
1/2 tablet
-
1 child's
tablet
8 - 12 years
25 - 45 Kg
11/2 tablets
11/2 tablets
3/4 tablet
-
2 child's
tablets
13 years and over
45kg and over
2 tablets
2 tablets
1 tablet
1 capsule
1 adult
tablet
The above dosages are based upon the guidelines issued by
the Advisory Committee on Malaria Prevention.
 
Adult Dosages
Regimen

Dose for
Chemoprophylaxis

Usual amount
per tablet (mg)
Areas without drug resistance:

Chloroquine

Proguanil

2 tablets weekly

2 tablets daily

150mg (base)

100mg

Areas of little chloroquine resistance (poorly effective where marked resistance):
Chloroquine plus
Proguanil
2 tablets weekly
2 tablets daily
150mg (base)
100mg
Areas of chloroquine resistant P. falciparum:

Mefloquine

Doxycycline

Malarone
(atovaquone & proguanil)

1 tablet weekly

1 tablet/capsule daily

1 tablet daily

250mg (228 in USA)

100mg

250mg atovaquone &
100mg proguanil

 
Please read the Malaria Page for more information
 

     
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