Summary of recommendations:
All travelers should visit either their personal physician or a travel health clinic 4-8 weeks before departure.Malaria:Â Prophylaxis with Lariam (mefloquine), Malarone (atovaquone/proguanil), or doxycycline is recommended for all areas.Vaccinations:
Hepatitis A
Recommended for all travelers
Typhoid
Recommended for all travelers
Yellow fever
Required for all travelers arriving from a yellow-fever-infected area in Africa or the Americas
Hepatitis B
Recommended for all travelers
Rabies
For travelers spending a lot of time outdoors, or at high risk for animal bites, or involved in any activities that might bring them into direct contact with bats
Measles, mumps, rubella (MMR)
Two doses recommended for all travelers born after 1956, if not previously given
Tetanus-diphtheria
Revaccination recommended every 10 years
Medications
Travelers' diarrhea is the most common travel-related ailment. The cornerstone of prevention is food and water precautions, as outlined below. All travelers should bring along an antibiotic and an antidiarrheal drug to be started promptly if significant diarrhea occurs, defined as three or more loose stools in an 8-hour period or five or more loose stools in a 24-hour period, especially if associated with nausea, vomiting, cramps, fever or blood in the stool. A quinolone antibiotic is usually prescribed: either ciprofloxacin (Cipro)(PDF) 500 mg twice daily or levofloxacin (Levaquin) (PDF) 500 mg once daily for a total of three days. Quinolones are generally well-tolerated, but occasionally cause sun sensitivity and should not be given to children, pregnant women, or anyone with a history of quinolone allergy. Alternative regimens include a three day course of rifaximin (Xifaxan) 200 mg three times daily or azithromycin (Zithromax) 500 mg once daily. Rifaximin should not be used by those with fever or bloody stools and is not approved for pregnant women or those under age 12. Azithromycin should be avoided in those allergic to erythromycin or related antibiotics. An antidiarrheal drug such as loperamide (Imodium) or diphenoxylate (Lomotil) should be taken as needed to slow the frequency of stools, but not enough to stop the bowel movements completely. Diphenoxylate (Lomotil) and loperamide (Imodium) should not be given to children under age two.
Most cases of travelers' diarrhea are mild and do not require either antibiotics or antidiarrheal drugs. Adequate fluid intake is essential.
If diarrhea is severe or bloody, or if fever occurs with shaking chills, or if abdominal pain becomes marked, or if diarrhea persists for more than 72 hours, medical attention should be sought.
Though effective, antibiotics are not recommended prophylactically (i.e. to prevent diarrhea before it occurs) because of the risk of adverse effects, though this approach may be warranted in special situations, such as immunocompromised travelers.
malaria in Malawi: prophylaxis is recommended for all travelers. Either mefloquine (Lariam), atovaquone/proguanil (Malarone)(PDF), or doxycycline may be given. Mefloquine is taken once weekly in a dosage of 250 mg, starting one-to-two weeks before arrival and continuing through the trip and for four weeks after departure. Mefloquine may cause mild neuropsychiatric symptoms, including nausea, vomiting, dizziness, insomnia, and nightmares. Rarely, severe reactions occur, including depression, anxiety, psychosis, hallucinations, and seizures. Mefloquine should not be given to anyone with a history of seizures, psychiatric illness, cardiac conduction disorders, or allergy to quinine or quinidine. Those taking mefloquine (Lariam) should read the Lariam Medication Guide (PDF). Atovaquone/proguanil (Malarone) is a recently approved combination pill taken once daily with food starting two days before arrival and continuing through the trip and for seven days after departure. Side-effects, which are typically mild, may include abdominal pain, nausea, vomiting, headache, diarrhea, or dizziness. Serious adverse reactions are rare. Doxycycline is effective, but may cause an exaggerated sunburn reaction, which limits its usefulness in the tropics.
Long-term travelers who may not have access to medical care should bring along medications for emergency self-treatment should they develop symptoms suggestive of malaria, such as fever, chills, headaches, and muscle aches, and cannot obtain medical care within 24 hours. See malaria for details. Symptoms of malaria sometimes do not occur for months or even years after exposure.
Insect protection measures are essential.
For further information on malaria in Malawi, including a map showing the risk of malaria in different parts of the country, go to the World Health Organization, Roll Back Malaria, and Southern Africa Malaria Control.
I say they need some water... if that is what you are asking!
Iva advice gives excellent advice on how to get yourself out of debt. They have trained specialists that can help you understand what you need to understand and what measures to take to eliminate your problem. You can visit their website for more information.
That depends on what you need advice about. There are suicide hotlines and teenage runaway lines that you might call if you're in one of those situations. Or you could just ask here, or write to a newspaper advice column, if it's something less serious.
Yes. The Natonal Debtline of the UK is a free and confidential hotline for advice seekers who need information and advice about debt relief and strategies for becoming debt-free.
Southern Europe, specifically Italy.
This is not the correct web site for help with this issue, here we answer questions we do not provide advice.
Wow! Central Africa... what trip!Check out the "Related Links" below.The first one for the State Dept. contains a virtual storehouse of current, travel-related information for Malawi. The second link is for the Centers for Disease Control & Prevention, and has specific, current information for any country in the world. Near the top of the page is a purple tab "Destinations" with a drop-down menu to "Select your destination...". Choosing "Malawi" in the menu will produce a page with all the current Health-related information you may need. Bon Voyage!
It depends on what sort of advice you want. Go to an expert for whatever you need, such as financial advice or spiritual advice or health advice.
i am a malawi passport holder do i need a visa to go the America,canada and uk
which other country Malawi passport is visa free to
You can either talk to a doctor or a physician.
That would depend on what citizen you are.
You'll need the professional advice of your veterinarian to determine what the proper procedure for health care is necessary for your ill horse .
I would need more detailed information to give you detailed advice, but at http://www.homeschool.com/new/ you can find plenty of advice.
Yes they do need a visa to enter Italy.
It's not so much permission that you may need as advice and warnings on any health concerns specific to the area you're traveling to. That is, ask your doctor if he or she knows of any frequent illnesses reported by travelers to that region. You may actually need a vaccine or prescription before eating indigenous species of flora or fauna or drinking the water, as natives of the region may have built up immunities by living there that you haven't.
Early signs would include fatigue, swelling and sores. You can receive health advice from your doctor or a licensed clinic. Many clinics offer free walk in services for those without insurance.
to do the walk of Malawi i am uncertain of where to get started you can ask, but if you need to make sure all the places you need to go are a link if you go downtown to access them it counts as interupting it because going downtown isn't in the plan.