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Volume: 23S5 • October 1997
Canadian Recommendations for the Prevention and Treatment
of Malaria Among International Travellers
1997
Notice:
For those viewers who downloaded the Canadian Recommendations for the Prevention
and Treatment of Malaria Among International Travellers, 1997, prior to
November 18, 1997, please note the following change in Appendix I. The malaria
risk information for Brazil should be replaced with the following:
"Rural areas of Acre, Amazonas, Goias, Maranhao, Mato Grosso and Para States;
and territories of Tocantins, Amapa, Rondonia, Roraima. Note: No risk for
travellers to coastal states from the horn to Uruguay border and Iguassu Falls."
Table of Contents
PREFACE
1. INTRODUCTION
2. PREVENTION
- Risk of Acquiring Malaria
- Personal Measures to Prevent Mosquitos
- Chemosuppressive Drugs (where appropriate)
- Early Diagnosis and Treatment
3. CHEMOSUPPRESSIVE REGIMENS
- Introduction
- Chloroquine-Sensitive Zones
- Chloroquine-Resistant Zones
- Chloroquine- and Mefloquine-Resistant Zones
4. SELF TREATMENT OF PRESUMPTIVE MALARIA
5. PREVENTION OF MALARIA IN SPECIAL HOSTS
- Malaria Prevention in Children
- Malaria Prevention in Pregnancy
Recommendations
6. DIAGNOSIS OF MALARIA
7. TREATMENT OF MALARIA
- General Principles of Management
- Management of Falciparum Malaria
- Ancillary Treatment for Severe Malaria
- Management of Non-Falciparum Malaria
- Prevention of Relapses of Malaria Due to P.
vivax or P. ovale
- P. vivax
8. NEW DRUGS FOR PREVENTION AND TREATMENT OF MALARIA
- Halofantrine
Recommendations
- Artemisnin Derivatives (Qinghaosu) for the Treatment
of Drug-Resistant Malaria
Recommendations
- Atovaquone/Proguanil (Malarone®) for Treatment
and Chemosuppression
Recommendations
- Primaquine for Chemoprophylaxis
Recommendations
APPENDIX I: MALARIA RISK BY GEOGRAPHIC AREAS
IN COUNTRIES WITH ENDEMIC MALARIA
APPENDIX II: CATEGORIES FOR STRENGTH AND
QUALITY OF EVIDENCE FOR EACH RECOMMENDATION
APPENDIX III: CHECKLIST FOR TRAVELLERS TO
MALARIOUS AREAS
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