NEWS: New Changes To Malaria Guidelines

Here at TravelPharm, we are always on the lookout for new guidance to support our customers with their travel plans.

Today has seen the publication of the latest UK malaria prevention guidelines. These guidelines published by the ACMP are just one of many tools we use to help our patients.

The Changes:

“This 2017 update of the guidelines include the following key changes:

1 – Recognition that the world malaria situation has improved significantly in some regions in recent years Guidelines for malaria prevention in travellers from the UK 2017 9

2 – The World Health Organization World Malaria Report 2015 states that 88% of global cases originate in the WHO African region. This pattern is reflected in data from the PHE Malaria Reference Laboratory which show a predominance of imported cases and almost all deaths originating from Africa. Practitioners should engage as much as possible with those planning to visit Africa to emphasize that the malaria situation there remains serious and requires the rigorous application of preventive measures.

3 – ACMP has undertaken an in-depth review of malaria risk for travellers to Southeast Asia, South America, parts of the Caribbean and South Asia, using traveller data, in-country data and surveillance data from the PHE Malaria Reference Laboratory. This resulted in substantial changes to advice where the malaria risk present has been judged now to be below the threshold to advise chemoprophylaxis.

4 – All travellers should be advised to take precautions against mosquito bites, irrespective of whether it is specifically recommended for malaria.

5 – There has been no change to the ACMP’s view that mefloquine (Lariam) remains a valuable option for some travellers, following an appropriate risk assessment.”

6 – Data still suggests that travellers “Visiting Friends and Relatives” or the long-term traveller are at the greatest risk of acquiring malaria whilst away. There are still groups of individuals who will suffer severe malaria and these can include patients with complex health issues, those who are immunocompromised, pregnant travellers and the elderly.

We will shortly update our website country list to include the new information.

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