Bonjour a toutes et a tous,
Je pars fin Aout en Namibie (Etosha, Caprivi), Botswana (Kasane, Chobe) et Zimbabwe (Victoria Falls), le tout
pour une durée de 3 semaines, donc jusqu'au 20 Septembre.
Dois-je veritablement prendre un traitement anti-paludéen ? Malarone ou autres ?
En 2007 j'ai passé 15 jours au Kruger National Park à la meme saison et très très peu de moustiques, mais je m'étais "malaronisé"
pour ce voyage.
Tous vos avis me seront utiles pour me faire une idée bien précise laquelle est en ce moment : pas de traitement.
Merci d'avance à vous tous.
Je joins quelques photos de mon dernier voyage en Afrique du Sud (Kruger).
A bientot.
On est parti l'année dernière en juillet en Namibie et au Botswana, aucune pluie donc a priori pas de moustiques !
Même le delta de l'Okavango est complètement à sec. Il n'y aucune raison pour prendre le médicament. Les pluies sont de novembre à février/mars, période donc infestée.
Donc pas d'inquiétude à avoir.
Bon voyage
"Un voyageur est une espèce d'historien; son devoir est de raconter fidèlement ce qu'il a vu ou ce qu'il a entendu dire; il ne doit rien inventer, mais aussi il ne doit rien omettre."
(Chateaubriand)
Effectivement en hiver (austral), le nombre de moustiques est plus que limité ! Mais la bande de Caprivi est classée en zone 3. Le risque est probablement infinitésimal, mais non strictement nul !
J'ai fait les mêmes destinations que toi en aout 2008. Les seuls moustiques que j'ai vu étaient dans les douches du Zambeizi Waterfront à Livingstone. Nous avions emmené le nécessaire à répulsif : lotion pour tissus sur les entrées des tentes, 2 répulsifs différents à se mettre sur la peau le soir, des bracelets "anti-moustiques" et nous prenions des comprimés de vitamines D réputés pour donner à la peau une "odeur" qui déplait à ces bébètes. De plus peu avant de se coucher, nous mettions un coup de bombe insecticide au cas où.
Résultats : Pas une piqure.
Nous avions pris un avis médical avant de partir d'un médecin ayant une spécialité tropicale. Il nous a fortement déconseillé le traitement anti paludéen préventif, d'une part eu égard à notre destination et d'autre part parce que ce type de traitement peut poser certains effets secondaires génants, qu'il n'est pas une barrière absolue et de toute façon c'est toujours une épreuve pour le foie.
La seule obligation impérative est qu'au retour et pendant 6 semaines, en cas de forte fièvre, il faut bien expliquer que l'on revient d'Afrique et demander un test du palu.
Nous avions pris un avis médical avant de partir d'un médecin ayant une spécialité tropicale. Il nous a fortement déconseillé le traitement anti paludéen préventif, d'une part eu égard à notre destination et d'autre part parce que ce type de traitement peut poser certains effets secondaires génants, qu'il n'est pas une barrière absolue et de toute façon c'est toujours une épreuve pour le foie.
Très bon avis médical concernant la destination; en effet risque de palu très faible et surtout au nord; prophylaxie ne semblant pas nécessaire en namibie si on suit l'OMS. Par contre je ne suis pas d'accord avec la seconde partie; certes les traitements préventifs ne sont pas efficaces à 100 pour cent, certes il peut y avoir qq effets secondaires (mais assez rare avec malarone) mais, ayant eu le palu je vais encore répeter;
que le paludisme est extremement grave; que certaines formes sont fulgurantes et mortelles (la prophylaxie te préserve mieux de ces palu sévères qui sont foudroyants c'est déjà bien), que le paludisme a des effets aussi sur le foie (j'ai eu le foie touché pendant de longs mois et un traitement à suivre); donc ne vous protégez pas, chacun fait ce qu'il veut mais chaque année des touristes décèdent du paludisme (surtout afrique subsaharienne), des millions de locaux en meurrent. Donc l'avis médical sur les qq effets secondaires génants des prophylaxie (d'ailleurs de plus en plus rare depuis la malarone) ça me fait bien rire.
Lorsque tu ne sais pas où tu vas, regarde d'où tu viens (proverbe Africain)
Ni aujourd'hui ni jamais, la richesse ne suffit à classer un homme, mais aujourd'hui plus que jamais la pauvreté le déclasse (Charles Maurras)
Peut être mais qui a eu le paludisme ici et qui s'est réellement intéressé à la question? Au vu des réponses je semble être le seul.
Vas dans un centre de vaccination internationale; on te dira prophylaxie pour les zones 3
Consultes un médecin spécialisé en maladie tropicale; on te dira prophylaxie pour zone 3
Consultes le site de l'OMS, de l'institut pasteur, des différents instituts spécialisés des autres pays européens; on te dira prophylaxie zone 3
Consultes un médécin compétent en Afrique même; il te dira pareil (j'ai été suivi 1 semaine par un médecin burkinabé, opérant dans l'une des meilleure clinique de ouaga).
Demande à la majorité des habitués de l'afrique et surtout aux expats; la majorité te conseillera une prophylaxie pour un court séjour.
Je parle en général car la namibie est une des rares exception en Af subsaharienne ou le risque semble faible et très localisé.
Faîtes ce que vous voulez c'est votre santé pas la mienne; mais ne pas venir se plaindre après.
a++
Lorsque tu ne sais pas où tu vas, regarde d'où tu viens (proverbe Africain)
Ni aujourd'hui ni jamais, la richesse ne suffit à classer un homme, mais aujourd'hui plus que jamais la pauvreté le déclasse (Charles Maurras)
Je ne viendrai pas me plaindre, ça non 😏
Partout ou je suis allé en Afrique (Cameroun, Togo, Centrafrique, Kenya, Tanzanie, Afrique de Sud, Namibie) j'ai pris le
traitement.
Mais lors de mon dernier voyage au Kruger National Park pas de mosquitos, et c'était en Septembre également, donc je me suis
posé logiquement la question du pour ou du contre...
Et sur le site www.mara.org.za pas de transmission a cette époque !!!
Bonjour,
Pas de pb en Namibie en particulier à Etosha pour le palu. Se protéger dans les zones plus marécageuses mais peu vraisemblable en cette saison sèche.
Bon voyage.
perso, je pars en Namibie en septembre JE NE PRENDRAI PAS DE TRAITEMENT mais je ne passe pas par CAPRIVI ? chacun fait se qu'il lui plait mais attention , ou allez vous ????
Je réagis car je rentre de Namibie et j'avais lu avec bcp d'attention ce message avant de partir.
J'ai donc consulté à l'hôpital le service spécialisé en médecine du voyage et le médecin spécialisé dans les maladies tropicales nous a fortement conseillé le traitement qui est le suivant : dioxylis gé qui n'a semble-t-il pas autant d'effet secondaires que celui que vous citez.
J'ai croisé de nombreux moustiques surtout vers Palmwag, j'ai même été piqué deux fois et était bien contente d'avoir pris un traitement.
Certes il ne devait pas il y avoir de moustiques mais j'en ai croisé 2 malgré répulsifs et spray pour le corps donc un peu de prévention ne fait pas de mal.
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I have two American cousins. The older one was born in Paris, and his sister was born in California. The latter is planning a trip to Paris this summer, but she recently fell ill, and American doctors don’t know what’s wrong. I had the idea of letting her take advantage of her trip to get treated here, avoiding the high healthcare costs of the American system in the process. The problem is, I can’t find anything online about this—just testimonials from French people who used to be American, but nothing for a simple tourist.
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Hi there,
Does anyone know if there’s travel insurance for someone who’s had a heart attack?
I can’t find an insurer that covers a pre-existing condition, even if it’s stable.
Thanks so much!
Hi everyone, next month my wife, our 6-year-old daughter, and I are flying to Thailand. It’ll be a great chance to soak up some sun—something we’ve been missing lately here in France! But speaking of sun, I burn easily, and our daughter even more so. I was wondering what SPF to get for sunscreen and whether it’s better to buy it there or before we leave? Thanks for your tips!
Hello,
We’re planning to spend 3 months in Madagascar starting in mid-February.
Areas: Mahajanga, Tulear, Diego Suarez, and Sainte Marie—the order isn’t set yet. We’ll either drive for part of the trip or take flights.
We’ve heard all sorts of things about required vaccines and medications (is anti-malarial mandatory?). What’s the exact situation for travelers?
I’ll come back to you for other topics (like finding a reliable driver, among others).
Thank you.
Best wishes to you all,
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We're about to go on an organized trip to South Africa, including Kruger Park. We were told that Malarone should preferably be taken in the evening at the same time during a meal. But it's hard to know what time we'll have dinner, especially since I've read that in South Africa, dinner is usually around 6 PM.
I'd love to hear from people who've been on organized trips to this destination and could share their experience. We were thinking of taking Malarone around 7:30 PM, assuming dinner would be closer to 7 PM than 6 PM. Also, if the meal ends up being earlier or later than when we take the pill, would a cookie or a piece of bread be enough to take with Malarone?
I’m planning to set off on a "round-the-world" trip/long journey at the start of next year, lasting between 4.5 and 6 months. For now, the itinerary looks like this: South Korea (2 weeks) -> Japan (1 month) -> New Zealand (1 month) -> Argentina (1 month) -> United States (1 month).
I’m on medication (paroxetine 20 mg/day) and was hoping to bring enough for the entire trip so I wouldn’t have to find a doctor on the spot, deal with a molecule that might be slightly different from what’s available in France, or wonder if that’s even a possibility. Basically, it seemed simpler on paper...
But after looking into the regulations for each country, it’s suddenly way less simple . Many seem to only allow the amount corresponding to the length of your "stay" in the country... Which is a problem if I arrive in Korea with 4.5 months’ worth of medication, for example.
After all that, and even though I’ll obviously contact the relevant authorities in each country (fingers crossed for a response 😛), here’s my question:
Has anyone here had any experience with this? (Even if it’s a different medication or different countries, any input would be helpful!)
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I’m starting a new discussion on this topic since there doesn’t seem to be a recent one.
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Have any of you been in this situation before? How does it work at customs—do I need to declare everything that exceeds the 3-month limit? Do I need a letter from my doctors?
I'm currently in Bangkok: How can I find a good doctor for a consultation? It's for a friend who'd like a second medical opinion compared to what they got in their country of residence.
Any professionals you'd recommend? How much does it cost?
I’ve already visited quite a few countries across several continents, but I’m pretty new to Asia.
I’m planning a trip to Thailand in October or November, and I wanted to check about health precautions: malaria treatment, vaccinations (hepatitis A or others...).
I’ll mostly be in the northern region, around Chiang Mai, where I’ll spend a lot of time in nature and the mountains. Then I’ll head south to Phuket or Krabi and visit Khao Sok National Park. I’ll finish up in Bangkok, with a likely detour to Kanchanaburi.
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Hi there,
I was wondering if anyone is heading to Cuba soon and could bring me some over-the-counter Sildenafil (viagra) tablets—available at Varadero Airport, among other places.
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For several years now, increased aggression has been observed in Cape fur seals.
At least 70 unprovoked attacks on humans.
It was recently confirmed that this is due to rabies.
The suspected origin is contamination in Namibia by jackals.
The contagion seems to be spreading.
Preventive vaccination (of the animals) is being considered.
Just a reminder:
Rabies affects all mammals.
Once symptoms appear—sometimes weeks or even months later—death is inevitable.
It’s the bite that transmits the disease.
There are so-called "furious" forms with aggression, but also forms without aggression.
In case of a bite, in addition to standard wound care, tetanus prevention… rabies prevention is essential.
Stay careful out there…
Seeing seals from a boat along the coast isn’t rare in these parts…
I need 2 dental implants and I'd like to get them done abroad (it's a question of price).
Thanks for helping me with my search (Turkey, Spain, Romania???)
Can you tell me if you're satisfied with the services provided by Dentist Miguel at Club Amigo in Holguin? I'd like to go there in mid-December. Is it worth the trip to get dental prosthetics done?
Thanks for getting back to me... Michelle from Quebec
Hello,
I’m looking for a dentist who can do a full lower-arch implant with a complete prosthesis. I’m in Quebec and available to travel to Cuba. Need full contact details. Thanks everyone!
My current plan is to get my teeth treated in Cuba, especially for dental implants.
Has anyone here had experience and could refer me to a good, affordable dentist?
I’d really appreciate it if you could give me an idea of the price for one implant, since I need at least 6 done.
Thanks so much!
