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| 2. quick answear please תגובה ל - 1 |
02/07/2008 19:56  |
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 דוקטור אנט - הנהלת הפורום |
 2007 הודעות עד כה |
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Risk (predominantly P. falciparum) exists throughout the year in many rural areas. Highest risk areas are in the north along the border with China, highland and forested areas below 4,900 feet (1,500 meters) south of 18°N (notably the central highlands provinces of Dac Lak, Dac Nong, Gia Lai, and Kon Tum), Binh Phuoc province, and the western parts of the coastal provinces Quang Tri, Quang Nam, Ninh Thuan, and Khanh Hoa. No risk exists in the Red River delta region, the coastal plain north of Nha Trang, the area from Ho Chi Minh City (Saigon) southwest to Rach Gla, or in the cities of Hanoi, Ho Chi Minh (including manufacturing zones that extend into southern Binh Phuoc province), Da Nang, Nha Trang, Qui Nhon, and Hai Phong
it is best to ask local clinics
http://www.vietnammedicalpractice.com/
Malaria
Travelling to the larger cities in Vietnam such as Ho Chi Minh City (Saigon) and Hanoi poses very little risk of malaria, therefore antimalarial drug prophylaxis is only indicated for travellers staying overnight in (remote) rural areas of Vietnam:
CENTRAL HIGHLANDS: This includes highland areas of Kon Tum, Gia Lai, Dac Lac, Phu Yen, Khanh Hoa, Ninh Thuan and LamDong provinces (below 1200m).
SOUTH VIETNAM: Ngoc Hien district in Minh Hai province, the southern tip of the country.
The drugs of choice for prophylaxis in Vietnam are Malarone and Doxycycline (better tolerated).
In other rural areas, the risk of malaria is low, but cannot be excluded. So if fever develops within the first year of visiting these areas, malaria should be suspected.
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