Malaria prevention

But for some reason, it doesn't worry me for there

Its all in the mind...travel in peace.

One obviously also has a fever with Dengue. Is that a steady fever as opposed to a fluctuating fever with Malaria?

I KNOW I won't get Yellow Fever or Cholera - although the Dukoral I took was my friend's leftover dose and a bit outdated :-)

The very funny thing about this is that I am going to Guatemala in February - and according to that posted map site, Guatemala if rife with Malaria. But for some reason, it doesn't worry me for there, even though I do agree with the above comment about good doctors in India and maybe not so good in Guatemala.

I had to have the Yellow Fever shot because I was re-entering Costa Rica from areas of Panama that have Yellow Fever. As it turned out, they didn't ask to see the proof of vaccination, but they could have, and they could have denied me entry.

I am going to India next month and I will be taking Doxcylline against malaria.

Previously, I have had Dengue Fever. There is no medicine against it, but I will use a rollon repellent.

I took anti-malarials on my first trip to India. On the next four trips (now almost three years in India) I didn't. Most of my time has been spent in the Ganges Valley and further north, so the risk was less; though I did spend six months in Varanasi on my last trip - during monsoon, with no adverse effects of not taking them. And though I realize that it only takes one mosquito to get you, in general, mosquitoes don't like me, and the feeling is mutual :)

"I KNOW I won't get Yellow Fever or Cholera - although the Dukoral I took "

You have no serious risk from either in India at this time. However, the Cholera vaccines are far from perfect coverage. Its like Japanese E which only offers partial protection. Other vaccines are far more effective.

"Previously, I have had Dengue Fever"

Please take all possible precautions Gary. With Dengue its the second time that is a bear..

I would never go to india without having all my shots (hep A and B, tetanus, typhoid, polio booster,) and I would also take doxycycline for Malaria prophylaxis. I also use deet and cover exposed areas with light clothing and take a regimen of cipro for TD that persists for 2 days. Despite the incredible sights, sounds, color and variety of everything, India is just too filthy.

Other than the latter regimine of broadscale use of antibiotics I would be completely on board..

OK - so this is interesting.

I went to the Travel Clinic - one has to pay, but this is the best travel advice I have ever had. She thought I should have a typhoid shot but did not really see the need for Malarone in the areas I am going too. Even Goa was just a step up from "totally clear." The main bad area was Rajastan. Rural pockets around Mysore (not Mysore itself) were the same as Goa. I did not look at the rest of the country, but it was a bit different form the one posted above.

So I have a prescription for starting in Goa -- she felt that anything else was a waste.

Explained about day time mosquitos being the source of Dengue and night time mosquitos being the cause of Malaria. Has anyone else heard this?

Anyway, she seemed far more concerned about Dengue than anything else, and it appears that one of the Canadian athletes who returned from the Commonwealth Games develped Dengue. One out of several hundred - them's pretty good odds.