Original post
bonjour! est-il necessaire de prendre de la malarone pour BORNEO. PEUT- ON UTLISER DU DOXYPALLU OU MEME DE LA DOXYCICLINE( MEME MOLLECULE), EN SACHANT QUE NOUS ALLONS ALLER DANS LES PARCS. MERCI.
Nécessité du traitement anti-paludéen à Bornéo?
by Philacase
This discussion is in French, the community’s main language.
Salut
Exact, il faut savoir où tu vas aller et aussi combien de temps. D'une manière générale pas besoin de traitement au Sarawak même jusqu'à Mulu Niah. Dans certaines zones du Sabah un petit risque en particulier en se rapprochant du Sarawak. Attention le traitement n'est pas anodin. Pour certaines personnes les effets secondaires ou séquelles sont importantes et dans ce cas il vaut mieux envisager un traitement curatif en cas de pas de chance. Pour ma part en 5 ans rien et je vais dans les forêts du Sarawak au moins 2 fois par mois. De plus comme je l'ai déjà dit, dans mes relations, je ne connais personne qui est attrapé le palu. La dengue oui.
Michel
Exact, il faut savoir où tu vas aller et aussi combien de temps. D'une manière générale pas besoin de traitement au Sarawak même jusqu'à Mulu Niah. Dans certaines zones du Sabah un petit risque en particulier en se rapprochant du Sarawak. Attention le traitement n'est pas anodin. Pour certaines personnes les effets secondaires ou séquelles sont importantes et dans ce cas il vaut mieux envisager un traitement curatif en cas de pas de chance. Pour ma part en 5 ans rien et je vais dans les forêts du Sarawak au moins 2 fois par mois. De plus comme je l'ai déjà dit, dans mes relations, je ne connais personne qui est attrapé le palu. La dengue oui.
Michel
Bonjour,
Pour ma part, je compte passer 4 jours vers Sandankan (entre le Sepilok Forestedge + Jungle camp sur Kinabatangan) puis enchaîner sur Semporna (Mabul et Sipadan Island) (4 jours presque) avant de repartir sur la péninsule.
Je pars avec 2 enfants de 11 et 8 ans.
On (service voyage hôpital) nous a conseillé la malarone : Nbre de jours dans la région + 7. (En l'occurence, je n'avais prévu alors que la région de Sandankan).
En confirmez-vous la nécessité ?
Merci pour votre réponse.
Salut
Cette zone rete près de la côte et semble être épargnée, mais je n'y suis pas allé. La zone à risque est selon mes informations bien plus à l'intérieur.
Personnellement je m'abstiendrais de traitement.
Ce que tu peux faire serait d'apporter ton traitement et de demander sur place l'avis des rangers avant de le prendre. Une autre possibilité, attendre d'être à Sandakan et acheter sur place si nécessaire et si le coût d'un produit potentiellement inutile est un problème. Dernière chose faire une recherche sur ce forum et demander à ceux qui y sont allés récemment.
Ce qui est absolument certain, c'est qu'il n'y a pas de risque sur la côte et les îles donc seulement 4j pourraient être concernés. Attention ces produits loin d'être inoffensifs pour l'organisme ne garantissent pas non plus une protection absolue.
Michel
Cette zone rete près de la côte et semble être épargnée, mais je n'y suis pas allé. La zone à risque est selon mes informations bien plus à l'intérieur.
Personnellement je m'abstiendrais de traitement.
Ce que tu peux faire serait d'apporter ton traitement et de demander sur place l'avis des rangers avant de le prendre. Une autre possibilité, attendre d'être à Sandakan et acheter sur place si nécessaire et si le coût d'un produit potentiellement inutile est un problème. Dernière chose faire une recherche sur ce forum et demander à ceux qui y sont allés récemment.
Ce qui est absolument certain, c'est qu'il n'y a pas de risque sur la côte et les îles donc seulement 4j pourraient être concernés. Attention ces produits loin d'être inoffensifs pour l'organisme ne garantissent pas non plus une protection absolue.
Michel
Bonjour,
Merci pour ta réponse.
Je vais effectivement essayer d'avoir des infos récentes.
Il est vrai que l'on ne nous a pas prévenu des effets secondaires !... (et que le prix du traitement n'est pas donné. Ceci dit, s'il en va de la santé... ) Mais, ton opinion sur les séquelles me donne à réfléchir.
Est-ce possible et aisé d'acquérir à Kuching un traitement similaire à la malarone (qui nous a été prescrite pour l'est du Sabah) car nous arriverions le soir à Sandankan pour rejoindre le sepilok forestedge direct puis camp jungle le lendemain). L'ordonnance de France est-elle nécessaire - acceptée ? Le prix est-il vraiment moins onéreux qu'en France ? (il faut compter 120 euro pour 3 pour 11 ou 12 jours de traitement).
Merci encore.
Pascale.
Salut
Le problème à Kuching qui est une ville très étalée est qu'il n'y a pour ainsi dire pas de pharmacie en centre ville. Il y a bien un Guardian mais la pharmacienne de service est souvent "off duty" je trouve. Pour les prix je ne peux pas te dire car je n'utilise pas de traitement de ce type. Par contre pour la plupart des autres médocs on trouve des génériques qui sont 20 fois moins chers et on te vend les comprimés à l'unité. Le mieux pour trouver une pharma à Kuching est de prendre un taxi. Le problème est que les pharmaciens du coin ne seront pas au courant de la situation de Sandakan qui est à plus de 1000 km. A Kuching je vais généralement à la pharmacie de Batu Kawa ou à une des 2 qui se trouvent à côté du super marché "Choice Daily" au centre Setia Raja sortie direction Kota Samaran. En général pas d'ordonnance
Pour Sandakan si vous arrivez avant 6h (heure normale de fermeture à Bornéo) tu peux demander au chauffeur un détour par une vraie pharma pas un drug store comme Guardian. Ou à un des 2 hôpitaux qui ont une pharma intégrée et eux au moins ils sauront te dire s'ils ont des patients avec malaria.
Désolé de ne pouvoir t'aider d'avantage.
Michel
Le problème à Kuching qui est une ville très étalée est qu'il n'y a pour ainsi dire pas de pharmacie en centre ville. Il y a bien un Guardian mais la pharmacienne de service est souvent "off duty" je trouve. Pour les prix je ne peux pas te dire car je n'utilise pas de traitement de ce type. Par contre pour la plupart des autres médocs on trouve des génériques qui sont 20 fois moins chers et on te vend les comprimés à l'unité. Le mieux pour trouver une pharma à Kuching est de prendre un taxi. Le problème est que les pharmaciens du coin ne seront pas au courant de la situation de Sandakan qui est à plus de 1000 km. A Kuching je vais généralement à la pharmacie de Batu Kawa ou à une des 2 qui se trouvent à côté du super marché "Choice Daily" au centre Setia Raja sortie direction Kota Samaran. En général pas d'ordonnance
Pour Sandakan si vous arrivez avant 6h (heure normale de fermeture à Bornéo) tu peux demander au chauffeur un détour par une vraie pharma pas un drug store comme Guardian. Ou à un des 2 hôpitaux qui ont une pharma intégrée et eux au moins ils sauront te dire s'ils ont des patients avec malaria.
Désolé de ne pouvoir t'aider d'avantage.
Michel
Bonjour,
je ne connais pas Bornéo de Malaisie
je suis allé à Kalimantan (borneo indonesien)
Il y a du palu dans la forêt J'en suis sur, j'ai fait des prélèvements et traité des gens. Pour ce qui est de la doxycycline. c'est à mon avis le traitement préventif de choix. Doxycycline est moins chèr que doxypalu et c'est la même chose dosage à 100 Mg pare joir pour un adulte. Il faut commencer le tt dès l'arrivée dans la zone impaludée, prendre un cp par jour et continuer 28 jours après ête sorti de la zone. Attention prendre le cp avec un verre d'eau au cours d'un repas (jamais à sec) et si possible bien avant d'aller se coucher. par ailleurs il peut y avoir pour certaines personnes une sensibilité au soleil mais c'est quand meêm rare.
je ne connais pas Bornéo de Malaisie
je suis allé à Kalimantan (borneo indonesien)
Il y a du palu dans la forêt J'en suis sur, j'ai fait des prélèvements et traité des gens. Pour ce qui est de la doxycycline. c'est à mon avis le traitement préventif de choix. Doxycycline est moins chèr que doxypalu et c'est la même chose dosage à 100 Mg pare joir pour un adulte. Il faut commencer le tt dès l'arrivée dans la zone impaludée, prendre un cp par jour et continuer 28 jours après ête sorti de la zone. Attention prendre le cp avec un verre d'eau au cours d'un repas (jamais à sec) et si possible bien avant d'aller se coucher. par ailleurs il peut y avoir pour certaines personnes une sensibilité au soleil mais c'est quand meêm rare.
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