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An exotic journey, in contact with nature, enriches the experience and the pleasure. But to take advantage of it, you have to start preparing and knowing how to manage the risks. " The more you are informed, the less you run risks and more dangers are avoided ", word of Mbadimo Galli, president of the Italian Society of Infectious and Tropical Diseases offering the The opinion of the infecting Italians who leave.
Mosquitoes
The decision to take malaria prophylaxis should be made with the help of a doctor, malaria can indeed have a very serious course, especially for the unfortunate tourist who has never encountered any parasite of this type before. Data from the Ministry of Health for the period 2010-2015 indicate that imported malaria cases were 3,633, of which 20% were diagnosed among Italian citizens who, for 22%, had visited Malaria zones for tourism. The risks are not the same everywhere. So do not do it yourself – says Galli – but feel the opinion of an expert, especially if you plan on trekking, aiming at nature, river cruises. Drugs Prophylaxis should always be taken regularly one week before departure and for the duration of the stay in a risk zone. The doses and methods of ingestion change from one drug to another. All antimalarial drugs should be taken on a full stomach and with a good glbad of water. Malaria prophylaxis does not exempt other precautions: use of insect repellents and mosquito nets
Other diseases of mosquitoes
Precautions play a key role in everything that is not malaria and that is transmitted by mosquito bites, for example for dengue, zika, chikungunya, yellow fever and more. For yellow fever there is a vaccine, the international certificate must be exhibited for entry into some countries. Due to the ongoing yellow fever outbreak, WHO recommends vaccination for travelers to Brazil. With regard to general precautions, it should be remembered that while malaria mosquitoes prefer to eat at sunset or at dawn, others are active even in broad daylight. This is the case of the tiger mosquito, responsible for the spread of the Chikungunya virus in 2007 in Romagna and in 2017 in Lazio and Calabria. It is best to avoid brightly colored clothing and use mosquito repellents even during the day. In Italy, especially in coastal areas, pappataci can transmit leishmaniasis, a disease that considers the dog as the main reservoir. Infections transmitted by ticks In Austria and the Czech Republic, vaccination against tick-borne encephalitis is recommended, as it is also reported in Trentino-Alto Adige and the Belluno mountains. Tick-borne infections include Lyme disease.
Food and Drink
Avoid mania, but when traveling in unsafe areas, it is recommended not to add ice to sealed drinks. Raw molluscs still pose a risk of infection, as raw fish that has not been subjected to a -30 ° reduction may be a source of multicellular parasites. Attention also to salads. If you visit countries where abdominal typhus is still endemic, oral vaccination is recommended.
Stay in the water
It is best to avoid bathing in the fresh domestic waters of tropical countries, especially in areas where the presence of schistosomiasis, a disease caused by flatworms, is known. The larvae of species that infest birds can not pbad on the skin and the risk that runs is limited to what is called the "itching swimmers". Reported by the 90s in the Swiss lakes and Lake Garda, itching swimmers were then reported in the Verbano, Lake Castel Gandolfo and Lake Vico.
Tuesday, July 3, 2018, 22:03
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