Malaria in Iraq, Afgh, and Horn of Africa

[SeanBaker]

Originally Posted by Doczilla

I'd heard about this several years ago as well. This was evaluated in a study from the NEJM in 2002. There is SOME protection from the Skin-So-Soft, but not for long. The mean duration of protection was about 22 min, with range from 10-60 min in this "arm in a cage" study. A field study found them about equal (except with a certain mosquito species), and not enough study has been done to sort out this discrepancy. Citronella oils also have been examined in other studies, with even worse results. The fact is that for what's commercially available, DEET is the best you can get. Concentrations greater than 26% didn't yield any better results and led to greater skin irritation. Products such as Deep Woods Off! and variations of Cutter, as well as myriad other brands, have the 26% concentration. This is what I would send.

'zilla

Doczilla,

Can you provide a reference for the study showing no improvement > 26% DEET? In no way do I mean to question your numbers, sir, just looking for something to show the 100% lovers at my current location.

Sean

[Doczilla]

Absolutely.
Fradin MS, Day JF. Comparative efficacy of insect repellents against mosquito bites. N Engl J Med. 2002 Jul 4;347(1):13-8
Pubmed ID: 12097535

Fradin MS. Mosquitoes and Mosquito Repellents: A Clinician's Guide. Ann Intern Med. 1998 Jun 1;128(11):931-40.
PMID: 9634433

Buescher MD, Rutledge LC, Wirtz RA, Nelson JH. The dose-persistence relationship of deet against Aedes aegypti. Mosquito News. 1983; 43:364-6.

Buescher MD, Rutledge LC, Wirtz RA. Tests of commercial repellents on human skin against Aedes aegypti. Mosquito News. 1982; 42:428-33.

Rutledge LC, Wirtz RA, Buescher MD, Mehr ZA. Mathematical models of the effectiveness and persistence of mosquito repellents. J Am Mosq Control Assoc. 1985; 1:56-61.

PM me and I can send you the full text of the NEJM and AIM articles.


'zilla

[SeanBaker]

Originally Posted by Doczilla

PM me and I can send you the full text of the NEJM and AIM articles.


'zilla

Inbound, sir.

[hoot72]

A good friend of mine who is an adventure racing director passed away today from Dengue fever (similar in how its spread i.e. mosquitoes) in Singapore of all places after being in hospital for two days..

Its also quite bad in West Malaysia at the moment..

[CoLawman]

Originally Posted by hoot72

A good friend of mine who is an adventure racing director passed away today from Dengue fever (similar in how its spread i.e. mosquitoes) in Singapore of all places after being in hospital for two days..

Its also quite bad in West Malaysia at the moment..

My condolensces Hoot on your loss.

[hoot72]

Originally Posted by CoLawman

My condolensces Hoot on your loss.

Txs for that Colawman...I am still trying to understand how it can happen, especially in a country like Singapore which probably has one of the best medical systems in the region but apparently there is a percentage of patients who do die from it no matter if they recieve appropriate or timely treatment for it:

Malaysia 32,950 patients, 83 deaths
Singapore 12,700 patients 19 deaths

2005 statistics
Link: http://en.wikipedia.org/wiki/Dengue

But, in my line of work, we are very aware of the risks whenever we do go in the bush especially from malaria and other diseases which are still prevelant in borneo and a large portion of West Malaysia. I guess I need to add Singapore to the list.

[Avienda]

I am sorry if this have already been covered.

When treated with chlorochinephosphate and hydroxichlorochine for Malaria, part from the side effects already mentioned, have anyone felt or know of any effects on your vision during or after treatment?

One of the warnings they send you out with here is that the drugs might cause temporary effects on your eyes and in worst scenario, permanent damage on your retina?