Upload & Sell: Off
Robert, I really appreciate your extensive and informative response to my posting. And not to mention youíre impressive credentials PhD no less.
First of all, I agree with you 100%. You canít follow to the letter ďallĒ the
Recommendations made by the CDC. Its like those travel warnings made by the State Department. They are very broad and almost like a boilerplate.
I usually do my research from several sources then make my own conclusion, except my final decision as to the type of prophylaxis to take for malaria.
I am not the type of person that pops meds at a drop of a hat. As a matter of fact, I have even stopped taking all vitamins and minerals, since I done some research and based on my healthy life style I donít see any need, except my daily low dosage of aspirin period. Besides, I donít want to enhance the scent of flavor of my blood to attract mosquitoes by taking any vitamins before my trip.
You said that you donít like to take any anti-malaria drugs. So what do you do to protect yourself? I couldnít do as you do, heck Iím one of those lucky or unlucky people that attract mosquitoes no matter where I go. I got a bad case while in MN big time.
I started taking Acidophilus for about a week and will continue until my return. I donít think that I would not take any type of anti-malaria meds before or during my trip. But I feel that docyclyine would be the lesser of all evils, with the exception of the side effects that can cause extreme sunburn.
I am only concerned while traveling in Zanzibar, not during the safari trips. Iím also planning to go snorkeling for at least a day, and I will be wearing a diverís shirt with 50 SPF, but canít take any chances.
I am also aware that Eastern Africa, SP Tanzania you need to protect yourself against malaria with more potent prevention because the type of malaria that its common in the region.
Interesting enough I was watching a Nat. Geography DVD the other night about re-tracing Henry Morgan Stanleyís journey, and they showed one of the local man got early symptoms of Malaria, not a pretty sight.
Definitely, I will be asking the local guides how they cope with it, but Iím sure they would have a different type of immune system since they live there. I met a Kenyan the other day and he told me that he has to take meds when he comes to the US, not when he goes to Kenya.
But the cost of the meds he told me they are very inexpensive compared to what we pay. I was not surprised.
I am going on a Camping safari, not permanent, or tented. But according to the research and my extensive exchange of emails, they will provide mosquito nets. Today when I was at REI saw one of those mosquitoesí suits, but I thought that would be overkill. I will be wearing long sleeve, and long pants at night. And I might even bring a hat with a net that I took to Alaska.
I think Iíll be ok if I take some precaution, i.e., taking anti-malaria meds, spraying my bags and clothes with permethrin, and applying DEET. I canít or wonít take the kitchen sink. As it stands, it sure feels like it to me, albeit Iím a light packer. The heaviest stuff is my electronic and photography gear.
Iím still not too thrilled about DEET. The guy at REI told me to apply it sparingly and to wash my hands as soon as Iím done. But I know it will run off. I need to keep an eye on my camera. Iím going to take my cheap watch just in case.
Travel clinics are a huge business. They operate from the fear factor. If you read my previous postings how I feel about wasting my $$$$ going to a travel clinic to get the same information that they get from the same source.
I kind like the option we have here to go to a pharmacy that specializes and is licensed to administer vaccines for traveling. The pharmacist told me ďyou need to do research before you come here but itís totally customized and you do your own shopping, not getting a fits-for-all prevention strategy.
The local doctors are not too thrill about patients going to the travel clinics at the pharmacy, because they can loose some revenue.
You sound like this is your field or contagious disease or similar thereof. I can see that you have spent a lot of time researching about this field.
I think I have changed my mind about getting a vaccine to prevent Hepatitis B. I am not too worried getting from the places Iím planning to visit, but the fact that I would need a blood transfusion, that is something that Iíve been thinking about it. And after you mentioned it, I have seen the pros would far exceed the cons. Yes, I already had TT shots, and pneumonia, but not Measles vaccines.
I agree with you, as I already told Robert, I couldnít go on this trip without taking any type of preventive malaria prophylaxis. This is a case where ďdo as the Romans doĒ would apply.
I couldnít travel to Eastern Africa like a native; my immune system knows that and would react accordingly.