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Fleet Street Clinic
29 Fleet Street
London
EC4Y 1AA

OPENING TIMES
  • Monday 8:45 am - 8:00 pm
  • Tuesday 8:45 am - 8:00 pm
  • Wednesday 8:45 am - 8:00 pm
  • Thursday 8:45 am - 8:00 pm
  • Friday 8:45 am - 5:30 pm
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Malaria

What is Malaria?

Malaria is a serious tropical disease spread by mosquitoes. If not diagnosed and treated quickly, it can be fatal. 

If you’re travelling to the tropics, make sure you are aware of the symptoms of malaria and seek up-to-date malaria advice before you go. At Fleet Street Travel Clinic, we provide personalised consultations to make your trip as healthy as possible.

Symptoms of Malaria

The most common malaria symptoms are:

  • Fever – 38ºC or over (often intermittent)
  • Aching muscles and joints
  • Headache
  • Chills (sweating and shivering)
  • Abdominal pains and diarrhoea
  • Tiredness and fatigue
  • Jaundice (yellowing of the skin & whites of eyes)

Not all of these symptoms may be present, and symptoms may be delayed in some cases for up to a year after your return home – obscuring the link to your travels. Always seek prompt medical advice if you are unwell, and tell carers that you have been abroad – and possibly exposed to malaria.

Malaria is easily misdiagnosed as flu – especially at times of year when flu-like symptoms are common. Fever, even weeks after returning from the tropics, should always be treated as an emergency. Call us on 020 7353 5678 and we can advise you.

How can I prevent Malaria?

First of all find out if you are travelling to a country that has a risk of malaria- visit our country vaccination guide Always seek individual, up-to-date advice.

When visiting an area with significant risk of malaria, anti-malarial medication may be required.  The type of medication given will depend on where you are travelling to, your personal preferences, and your own medical history. We will help you find the anti-malarial medication that best suits your own circumstances and requirements.

  • Malarone: the first new drug for preventing malaria in more than a decade. The Fleet Street Travel Clinic has been using it to protect travellers heading for the world’s worst malaria hotspots since 1997 – well before it became generally available. Our experience with Malarone is among the longest in Europe.
  • Doxycycline: an effective alternative to Malarone, with minor side-effects such as a light-sensitive rash and thrush in a small amount of cases.
  • Lariam (Mefloquine): a highly effective option for many destinations, especially suitable for travellers who have taken it before. Neuropsychiatric side effects are an important concern – Lariam is not suitable for everyone. It is mainly given to people who have previously experience of taking the drug without experiencing side effects. We always discuss the risks and benefits in detail with every traveller.
  • Chloroquine & proguanil (Paludrine): tablets to be started 1 week prior to travel and continued for four weeks on return. Although the risk of side effects is small, this combination is declining in effectiveness in most parts of the world. In our view, Chloroquine & proguanil are no longer suitable for use anywhere in Africa.
  • Chloroquine alone: 2 tablets per week – this regimen is now only suitable for parts of Central America and seldom used. Tablets must be continued for four weeks after return home.

For individuals who are travelling to high risk areas with limited access to health care, we can supply stand-by emergency treatment. This is also increasing in popularity among travellers from German-speaking parts of Europe, travelling to areas of low risk for malaria, as an alternative to taking preventive medication.

Malaria is spread by mosquitoes, so a cornerstone of reducing the risk is to take careful precautions against being bitten in the first place:

  • Covering up, with long sleeves, long trousers, and socks – especially at dusk and during the night
  • Wear insect repellent with a minimum of 50% DEET
  • Sleep under a permethrin-impregnated mosquito net, or in a screened and air-conditioned room
  • Use plug-in insect killers, room sprays or mosquito coils in your room at night

For More Advice and To Book An Appointment

For further information and a consultation with an experienced member of our travel team, you can book an appointment online here, or call our Central London travel clinic on  020 7353 5678 .

OPENING TIMES

020 7353 5678

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