Flugmedizin · Tropenmedizin · Reisemedizin - FTR 2024; 31(04): 165-206 DOI: 10.1055/a-2351-8414

Die Weltgesundheitsorganisation (WHO) empfiehlt Reisenden in bestimmten Malariagebieten eine medikamentöse Vorsorgebehandlung und / oder die Mitnahme eines Notfallmedikamentes zur Einnahme bei Erkrankung Ihr Reiseziel.

The document “Malaria Prophylaxis for Travellers: Guideline for Healthcare Workers” (2019) from Sri Lanka provides guidance for healthcare providers on preventing malaria among travelers to endemic areas. It explains that since Sri Lanka was certified malaria-free in 2016, the main risk comes f...rom imported cases, mostly Sri Lankan travelers. The document emphasizes assessing travelers’ risk, advising on mosquito bite prevention, and prescribing appropriate chemoprophylaxis like chloroquine, mefloquine, atovaquone-proguanil, or doxycycline depending on destination and traveler profile. It highlights that children, pregnant women, and immunocompromised individuals are particularly at risk, and stresses adherence to medications and protective measures. Special instructions are given on handling missed doses, long-term prophylaxis, and managing side effects. Overall, the guideline aims to maintain Sri Lanka’s malaria-free status by preventing reintroduction through well-informed traveler care. more