I know this question has been asked before and have looked back at old threads but would really appreciate some new opinions as it's a big one. In January I will go to Laos, Cambodia and Vietnam for total 3 months, some of the visit volunteer working on garden projects. I plan to take preventative precautions like Deet spray, wrist/ankle bands, impregnated clothes, plug in tablet things) but opinions on malaria tablets are mixed...Malarone? Doxycycline? None? I've done loads of research and know lots of answers (including ask a doctor), just looking for opinions of fellow travellers please. And mosquito net? I will mostly be staying in hotels...take pop-up net which doesn't need ceiling fittings? Thank you in advance for any answers.
In those destinations you're probably more at risk of Dengue fever than malaria - also a mosquito-borne disease. Unfortunately there's no vaccine or preventative medicine for DF. The only option is to avoid mosquito bite in the first place - which you seem to have covered with your anti-malaria plan. Stick to that plan and you'll be giving yourself the best chance of avoiding both illnesses. Prevention is better than cure.
This article will give you more information on DF.
Phil at the safety hub. over 4 years ago
Agree with Phil. Mosquito repellant and a pop up mosquito net. Mosquitos especially seek your body heat, so try to stay as hydrated as possible and maybe a mist spray to cool your skin surface whenever possible, followed by a fresh repellant coat.
Also, in addition, be cautious for F&B poisoning. Drink as much bottled mineral or R.O. water wherever possible. Ensure the bottles are sealed properly and not simply refills upon purchase. Take care with the ice cubes at some places. A few family members caught a bad stomach ache for a few days. My stomach was more resistant, or perhaps it was because of the strong local rice wine I drank (think antiseptic).
Overall, have a great trip. Have not been to Laos, but Cambodia & Vietnam are fantastic. over 4 years ago
I help lead humanitarian tours in Cambodia and in the major cities, like Phnom Penh and Siem Reap, my doctor believes that the risk of getting malaria is unlikely, though recommended I use DEET at dawn and dusk if I'm outside. In rural places, such as Battambang, and remote places, such as villages in places like Kampong Speu and Takeo, DEET and long impregnated clothing was strongly recommended at all times.
He also prescribed anti-malarials (doxycycline), but I have been told that they are ineffective in SE Asia as that strain of malaria is resistant to current medications. I find due to the heat and tablets, I get sick from dehydration so I now don't take the doxy anymore. However, if you do choose to take tablets, they are very cheap to purchase in Cambodia (50c-$1US per tablet).
As for the mosquito net, we buy $4-5US mosquito nets from the markets which have done the job, but do check them before purchase as one hole makes them worse than useless.
My one pro tip is to take lots SPF 50+ sunscreen from home (Banana Boat is my favourite) as the locals do not need it, so it is generally not available. over 4 years ago
Yes - preventative maintainence is the best option - I use doxycycline and have been bitten a few times over many visits to cambodia. Either non transmitting Mosquitos or it works. On the whole, repellant and a pill is recommended. I returned from Cambodia on December 1, and was informed of the death of a friends husband who'd passed away because of dengue contracted while in Cambodia. Be diligent with applying it (but don't get paranoid), also carry a little 'travel bottle' that you can fit in a bum bag - definitely PREVENTATIVE MAINTAINENCE is the go. You can get sun screen/repellent combos which are a good option as well. Enjoy your time - been going over regularly for 5 years now and love it! Ps a little travel bottle with hand sanitizer has saved me from Bali belly many times. over 4 years agoAnswered by Matt via WorldNomads.com