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a mosquito imageNovember 14 2017

Public Health England has changed a number of recommendations in the guidance on reducing the risk of catching malaria.

The latest issue of the Health Protection Report (November 10 2017) summarises the updates, which includes substantial revisions on prevention recommendations for some countries in Central and South America and Southeast Asia, and for Pakistan. Changes include reclassification of risk and routine chemoprophylaxis no longer being recommended. “The focus is now on bite avoidance and risk awareness,” it says.

However, it notes that “much of sub-Saharan Africa remains at high risk for malaria and the advice has not changed.”

For individual countries, recommendations now include additional maps provided by the National Travel Health Network and Centre (NaTHNaC) in collaboration with the PHE Advisory Committee on Malaria Prevention (ACMP). These now show areas and level of risk, and appropriate preventative measures against malaria.

PHE is also asking health professionals to stick to using one resource when advising travellers about malaria. “While acknowledging other sources of advice and guidance on malaria prevention are available, health professionals working in England, Wales or Northern Ireland are advised to use the ACMP guidelines as their preferred resource,” says the HPR.

In addition: “While the focus of these guidelines is on malaria prevention, it should be emphasised that malaria prevention is only one aspect of pre-travel advice. A comprehensive risk assessment-based package of travel health advice should be provided to the traveller.”

Links:
PHE: HPR volume 11 issue 40: news (10 November)        
PHE Guidance ‘Malaria prevention guidelines for travellers from the UK’
NaTHNaC website            

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