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
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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).
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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