Malaria Ethiopia
Transcription
Malaria Ethiopia
MalariaEthiopia General information: predominantly P. falciparum. Extremely high transmission occurs throughout the year below 2,000 m (6,600 ft). Issues for Medical Providers to Consider Factors favoring chemoprophylaxis • • • • • • • Protective recommendations: Chemoprophylaxis is recommended for all travelers: altitudes below 2,000 m (see map), including all cities and towns within these areas except Addis Ababa, even for very short stays. Chemoprophylaxis is recommended for certain travelers (see Issues to Consider inset): altitudes between 2,000 m and 2,500 m (8,200 ft) (see map); all cities and towns within these areas. No protective measures are necessary (no evidence of transmission exists): the cities of Addis Ababa and Goba; altitudes above 2,500 m. Adventure travel Risk-averse and vulnerable travelers Areas subject to infrequent epidemics Immigrants visiting friends and relatives Flexible itineraries Travel longer than 1 month Unreliable medical expertise and/or treatment drugs at destination Factors against chemoprophylaxis Protective measures: Evening and nighttime insect precautions are essential in areas with any level of transmission. Atovaquone/proguanil (Malarone or generic), doxycycline, and mefloquine are protective in this country. Effective antimalarial drugs may not be available in this country. Travelers staying longer than 3 weeks should consider carrying a treatment dose of co-artemether or atovaquone/proguanil in case their protective medicines fail (treatment dose should be administered under the supervision of a qualified local health care provider). • • • • • Air-conditioned hotels only Urban areas only Non-transmission season Minimal nighttime exposure Travel shorter than 3 days See the “Technical Explanation of Malaria Mapping” document for more information. 39°E NUMBERED STATES 1 - YeDebub Biheroch Bihereseboch na Hizboch (Southern Nations, Nationalities and Peoples) 2 - Gambela Hizboch 3 - Binshangul Gumuz 4 - Dire Dawa 5 - Harer Hizb Simien N.P. Gonder " Mekele " 12°N Lalibela Bahir " Dar EBlue Balas hlo Nile Falls Nek'emte " Bir Di Bilate 1 Omo Omo N.P. " Arba Minch Goba " A Awasa Nechisar N.P. ele heb eS b Wa Ter Ge Bale Mountains N.P. W elmel na egen Somali Wabe Sheb e Warder " le G Daw a ale Oromia SOMALIA en Mago N.P. " 5 fen Fa ma " Nazret 4 ta Dake 2 Awash N.P. AbijattaShalla N.P. le na 6°N Jima " Dire Dawa " z en oW st r Ge e be Wa be M Wa SOUTH SUDAN lo h ele Gob Wabe Gambella Baro N.P. Gi Yangudi Rassa N.P. _ ^ o bir Addis Ababa Om 9°N W ile) Moyale " 3°N KM Gulf of Aden DJIBOUTI ch 'it a y (Blue N 600 E en Ab a S Dabus d es 450 Hadar " Dese 3 300 YEMEN Wolo E Highlands " 150 48°E Afar Amhara Ab (Blu ay e Ni le) 75 Red Sea E Aksum " Be s SUDAN Debre Damo is Tigray 45°E 0 ERITREA E Di 42°E Ram 15°N 36°E Awas 33°E # Mountain or volcano E Place of interest National park or reserve UGANDA KENYA Administrative boundary KEY for Malaria Protective Recommendations — Evening and nighttime insect precautions are essential in areas with any level of transmission. Chemoprophylaxis is recommended for all travelers * Chemoprophylaxis is recommended for certain travelers; see Issues to Consider inset above No protective measures are necessary (no evidence of malaria transmission exists) " A City where protective recommendations are the same as the surrounding region City where no protective measures are necessary (no evidence of malaria transmission exists) _ National capital (no protective measures are necessary) * exceptions may apply. see the technical explanation of malaria mapping document for more information. © Shoreland, Inc. Travax malaria maps are color images. Gray-scale printouts may lose clarity. Consult the color PDF version for clearest interpretation. Revision 082313