Je pense qu'il faudrais vraiment eclaircir certain points concernant... Le PALU (encore, mais le probleme est assez serieux pr que le poste revienne souvent) pour que tout le monde soit d'accord:
1) Les traitements preventifs(savarine, malarone..) protegent-ils contre le virus ou contre la crise? autrement dit meme sous traitement peut l'attraper?
2) Une fois attraper, est ce qu'on le garde toute la vie? (l'idée repandu serait que oui, mais le LP sur l'inde dit le contraire)
Le palu n'est pas provoqué par un virus, mais par un parasite. Un traitement préventif ne garantit pas qu'on ne sera pas contaminé, mais il atténuera la crise.
Oui le palu actuellement se traite très bien et de façon définitive.
Il existe plusieurs formes de paludismes, certaines formes se guérissent comme le dit Trans, d'autres restent dans l'organisme et reviennent périodiquement par crises.
D'autre part, il ne faut pas se polariser sur le paludisme, les moustiques transmettent d'autres maladies dont la dengue hémorragique, qui peut être grave.
Il est donc essentiel de se protéger des piqûres nonobstant l'usage ou non d'un traitement préventif anti-palu.
Voir cette discussion : http://voyageforum.com/v.f?post=262555;search_string=plasmo;#262555
Hello,
Un traitement anti-palu ne protège pas du tout contre les piqûres de moustiques, ni contre le dengue ni contre les autres parasites, virus, etc.
2 millions de personnes meurent du palu chaque année.
Les médicaments préventifs provoquent l'adaptation des parasites qui deviennet peu à peu résistants. Il faudra donc un médic plus puissant. Les autochtones ne peuvent pas se les payer et ils doivent donc faire face à des parasites toujours plus rebels.
Philippe
Si tu pleures parce que tu as perdu le soleil, tes larmes t'empêcheront de voir les étoiles
Les médicaments préventifs provoquent l'adaptation des parasites qui deviennet peu à peu résistants.
Tout à fait d'accord: l'abus de traitements préventifs par des touristes de plus en plus nombreux sur certaines zones, rend le traitement des populations locales de plus en plus difficile.
etant pharmaciennet et biologiste j'en remet aussi une couche
* les traitements preventifs n'empechent pas d'"attraper" le palu mais evite seulemnt de faire une crise
* 1 espece sur 4 de plasmodium (le parasite responsable) survit 2 mois dans l'organisme c'est le plus dangeureux (peut etre mortel: c'est plasmoduim falciparum)
les 3 autres especes ont des formes de resistance dans le foie permettant de survivre de 5 à 30 ans !! donc à l'arret du traitement preventif on peut parfaitement faire une crise .le traitement preventif est calcule pour couvrir la periode de vie du plus dangereux des plasmoduim le falciparum
conclusion il est essentile d'eviter les piqures (moustiquaires repulsif, manches longues etc ...)
le moustique responsable du palu piquant le soir et la nuit( mais celui qui transmet la dengue pique le jour )
PS en cas de fievre au retour d'un pays impalude allez directement à l'hopital dans un service de medecine infectieuse le laboratoire de l'hopital aura plus l'habitude de "voir" un plasmoduim dans un globule rouge que le labo du coin
Merci à vous pour vos réponses ( je sais ca doit commencer a faire lourd sur le sujet, mais de toute facon c'est utile de répeter, surtout pour ca) Pas mal de gens pensent que le traitement preventif empeche d'attraper le parasite.
Bref Je crois que je vais opter pour les manches longues, et répulsif 😉
merci de vos conseil car moi aussi mon medecin ma fait toute une lecon et javais pas du tout envie de prendre des medicament pendant 2 mois pour quelque chose que je nai pas...reston vigilan
a oui joubliait...quand on attrape la malaria on sen rend compte tout de suite...je veux dire les effet secondair se font ressentir pour sur dans les quelque jour ou on peux ne pas sen appercevoir??
Si, ça arrive. En fait, la clim, tout comme un ventilateur dirigé directement sur son corps, rafraîchit l'épiderme et le moustique a donc plus de mal à repérer les points chauds. Le courant d'air le gêne aussi.
Nous dormons toutes les nuits avec la clim., mais avec en plus un diffuseur d'insecticide dans la prise électrique.
la clim n' etait peu etre pas assez puissante mais ils volaient et piquaient parfaitement bien
l'incubation du paludisme est d'environ 7 jours
les signes cliniques ne sont pas francs il faut penser paludisme devant un "embarras gastrique febrile" ou une "grippe"
en cas de paludisme ces symptomes banaux s'aggravent
Dans certain pays, le paludisme est tout aussi présent en ville et non seulement en campagne.
Les antipaludéens n'empêchent en aucun cas de choper un palu... ils diminuent seulement les symptômes de la crise.
Comme le dit Philippe2003, les antipaludéens augmentent considérablement la résistance du parasite ce qui fait que d'année en année, des médicaments préventifs de plus en plus puissants sont mis sur le marché pour les voyageurs et le traitement pour les polupulation locales devient très difficile.
Le moustique femelle responsable de la transmission du palu pique surtout entre le moment ou le soleil se couche et celui ou il se lève. Le moustiquaire, les manches longues et un répulsif a moustiques sont les meilleurs moyens de prévenir un palu.
Les symptômes sont visibles et surtout variables selon le type de palu. Ils peuvent s'apparenter a plusieurs autres maladies tropicales. D'ou l'importance de passer le test de la goutte épaisse. Mais plusieurs facteurs peuvent venir fausser ce test. Si vous avez déja commencé a prendre un médic curatif, il y a de fortes chances que le test soit négatif alors que le palu vit bien en vous.
Il est préférable de consulter un médecin des l'apparition de symptômes(souvent la fièvre), plutôt que de tenter de se soigner soi-même.
Hi there,
Do you know of any good travel insurance? Usually, I go with the one from the agency. But this time, I want to travel independently, and I'm a bit lost.
Some people told me that when you pay with a credit card, you get the bank's insurance. But after checking with the bank, that's not true. Or else, you have to add an extra option and pay for it monthly.
So, I'm looking for insurance that covers cancellation, repatriation, lost luggage, etc.
Thanks for your tips!
Hi there,
A friend has osteoarthritis in the knee and a meniscus problem, treated with regular injections.
Do you know of any insurance companies that cover pre-existing conditions in case their knee locks up in Africa?
Thanks a bunch!
A one-month trip to Australia and New Zealand.
We’re bringing our current medications (for blood pressure, cholesterol, diabetes, and antibiotics if needed) along with the corresponding prescription.
Do we need to have it translated into English, or do translations only apply to medications we’d need to refill locally during a long stay?
Hi,
I’m planning a trip to Namibia for 3 weeks in November: should I take malaria prophylaxis, which medication, when to take it, and are there any side effects?
At the end of my trip, I’ll spend 5 days up north near the Angolan border and in Etosha National Park.
Thanks for sharing your travel tips and advice!
Martine
I’m planning a trip to Japan next year and I have asthma...
I wanted to know about the regulations regarding Ventolin (Salbutamol) in Japan—is it considered a drug? Can I bring my inhaler with me, or do I need to buy a similar product in Japan?
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.
I’m traveling to Portugal with my family and I have a treatment that requires injections. How can I take a flight with these? They look like injectable pens.
Thanks
We’re planning a trip to the Philippines from April 22 to May 8, 2026. Flight from Geneva with a layover in Turkey and Manila. Our itinerary: Angeles – Busuanga – Palawan…
The Philippines are a dream destination, but is it possible to travel there safely? I’ve heard that checked luggage often gets lost, tap water isn’t safe to drink, and mosquitoes are everywhere.
For water, what’s the best solution to carry in a backpack? Is a filtering water bottle 100% reliable?
For mosquitoes, should we treat our clothes with repellent? Are you vaccinated against hepatitis A, malaria, or dengue? Or is there an oral treatment to take?
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,
Nicole
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!)
I’m trying to plan a trip to Dubai with my mom. I’ve seen that some of our medications require prior authorization (sleeping pills, codeine, anti-anxiety meds, etc.).
I’d love to hear from anyone who’s been in our situation. A friend of mine applied to bring her tramadol, but it was denied—though she needed high doses!
Has anyone here gone through this process? Do we *really* need a prescription in English?
We just found out my wife is pregnant, and we’ve planned a trip to the Barlavento Islands in Cape Verde this November.
We’d like to know if there’s a real risk of Zika contamination on those islands, because from what we’ve found online, the recorded cases are old and come from the Sotavento Islands.
We’re thinking about canceling our trip.
If you’ve recently traveled to Cape Verde or live there, do you have any thoughts on this?
hi, I’m looking for information about the possibility of returning to Thailand with a portable liquid oxygen system and whether it’s possible to recharge it in Thailand, especially in Chiang Mai. thanks
I’m starting a new discussion on this topic since there doesn’t seem to be a recent one.
I have several chronic conditions (including asthma and related ones), and I’m planning to travel for a year across different countries.
Generally, I understand it’s possible to travel with approved medications (which should be my case), but often with a limit of 3 months’ worth of treatment.
Since I’m going for 12 months, that means for three-quarters of my trip, I’d have more than 3 months’ worth of medication.
I plan to bring my prescriptions with the INN (International Nonproprietary Name), as well as the original packaging (even though it’s a nightmare, but from what I understand, it’s necessary). But I’m not sure if that’s enough...
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.
From what I understand, for a stay of less than 60 days, I don’t need a visa (I’m a French national)? I just need to fill out the TDAC form 3 to 5 days before arrival?
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.
Hi there! So, I'm hesitating about taking a long trip. I'd like to go away for 2 to 3 months and travel across several continents. I’d love some advice. I often have unexplained allergies and need to follow a daily treatment for my diabetes (insulin). I think I can get authorization from my doctor to travel for 6 months with the treatment—is that correct? After those 6 months, is it possible (instead of bothering a relative to send the medication) to see a foreign doctor to get another 6-month travel authorization? How does it work at the airport? Do I need just one medication transport authorization, or do I have to request a new one in each country (once the treatment runs out) for both the flight and a DCI? Also, travel insurance doesn’t cover chronic illnesses, so will I have to pay for foreign consultations out of pocket? I’m not sure if I explained myself clearly. Oh, and just to repeat—travel insurance doesn’t cover chronic illnesses, so foreign consultations will be at my own expense? Thanks in advance for your help!
Hi everyone.
After years of traveling to the USA without any medical insurance subscriptions—and luckily never having any major health issues (though I did get a scorpion sting buried in the sand at CBSouth, 😇)—life has caught up with us, and we’re now being forced into "wisdom" and leaving our carefree days behind.
So, I’m looking for the best compromise for a 2-month health insurance plan.
I’ve read the discussions on this topic, but the most recent one is from last year, and I’d love your take on the current situation.
I’m familiar with the usual options like Europ Assistance and AXA, but I’ve just discovered Chapka and Heymondo (the latter seems interesting in terms of both price and coverage).
What do you think of these last two? How do they compare in terms of value for money against the bigger companies?
Hi,
We’ve planned a 3-week trip to Bali this summer with our 7-year-old daughter. The itinerary includes Sanur, Nusa Lembongan, Sidemen, Amed, and Ubud. The more time passes, the more we read about people getting sick—some with mild to severe traveler’s diarrhea, and many ending up in the hospital. We, as parents, have been through it in Egypt with pretty bad cases, but we’d really like to avoid that for our daughter. Even though there’s no zero risk, and we’ll be careful, can any of you reassure me? Not everyone got sick, right? I’d love to hear positive feedback from parents, but not just them 😊. Thanks in advance!
Hi there...
I’m traveling with a friend for a month in November.
We booked our round-trip tickets from Paris to Phnom Penh, and yes, I know—it was a mistake. We should’ve flown out of Laos, but here we are.
But is it doable to backpack through both countries in a relaxed way?
I’ve seen that the transport takes a while...
Thanks so much for your replies.
Hi there,
I’ve started looking into getting dental implants, possibly in Costa Rica or Mexico.
Do you have any clinics to recommend or ones I should avoid?
For the next steps, I need to choose between Cuba Medika or Medigo—these are agencies that help with medical procedures. Do you have any info on either of them?
Hi everyone, a question for those who’ve been lucky enough to visit Raja Ampat—should you consider preventive malaria treatment given its proximity to Papua? And how was the food hygiene situation?
Thanks for your feedback! !
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…
