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Page Background

H

ea

l

th

BOS-

P

RD-0

3

04.900001

‘B’

for

B

ites

P

revent

i

ng mos

q

u

i

to

b

i

tes

i

s

t

h

e most

i

mportant

and

e

ff

e

c

t

i

ve

w

a

y

to

prevent ma

l

ar

i

a

. I

f

y

o

u

are

not

b

i

tten

,

Ma

l

ar

i

a

and

ot

h

er

ve

c

tor

borne

trop

ic

a

l

d

i

seases

are not

transm

i

tted

.

Ma

l

ar

i

a

ve

c

tor mos

q

u

i

toes

espe

ci

a

ll

y

f

eed

bet

w

een

d

u

s

k

and

da

w

n

. Bi

te

prevent

i

on

i

s

based

on

ver

y

s

i

mp

l

e

r

u

l

es

wh

ic

h

shall

be

str

ic

t

l

y

ad

h

ered

to

:

x

I

f

not

i

nvo

l

ved

i

n

operat

i

ons

o

u

ts

i

de

,

rema

i

n

i

ndoors

bet

w

een

d

u

s

k

and

da

w

n

,

s

l

eep

u

nder

an

i

mpregnated mos

q

u

i

to net

and

/

or

u

se

i

nse

c

t

ici

des

;

x

W

ear

l

ong

-

s

l

eeved

cl

ot

h

i

ng

, l

ong

tro

u

sers

and

so

ck

s

,

treated

w

i

t

h

an

i

nse

c

t

ici

de

adapted

f

or

t

h

i

s

p

u

rpose

,

e

.

g

.

permet

h

r

i

n

be

f

ore

y

o

u

r

tr

i

p

or

e

x

patr

i

at

i

on

(

y

o

u

c

an

w

as

h

y

o

u

r

cl

ot

h

es

severa

l

t

i

mes

be

f

ore

t

h

e

repe

ll

ent

i

s

not e

ff

e

c

t

i

ve

an

y

more

);

x

R

eg

u

l

ar

l

y

app

l

y

c

ream

or

spra

y

based

i

nse

c

t

repe

ll

ent

to

e

x

posed

s

ki

n

(D

EE

T>

3

5

%

or

IC

A

RIDIN

E

>

2

0%).

‘

C

’

Che

m

o

p

ro

p

h

yl

axis

A

n

add

i

t

i

ona

l

meas

u

re

i

s

to

prote

c

t

y

o

u

rse

l

f

b

y

ta

ki

ng

ant

i-

ma

l

ar

i

a

l

med

ic

at

i

on

. S

ome

C

h

arterers

re

q

u

i

re

an

y

i

nd

i

v

i

d

u

a

l

wh

o

w

ants

to

w

or

k i

n

S

u

b

-S

a

h

aran

Af

r

ic

a to

ta

k

e ma

l

ar

i

a med

ic

at

i

on

.

S

ee

k

med

ic

a

l

adv

ic

e

f

rom

y

o

u

r

o

cc

u

pat

i

ona

l

Phy

s

ici

an

or

y

o

u

r

G

enera

l

P

ra

c

t

i

t

i

oner

to

determ

i

ne

wh

ic

h

med

ic

at

i

on

shall

be

t

h

e most

s

u

i

tab

l

e

f

or

y

o

u

.

Sc

r

u

p

u

l

o

u

s

l

y

f

o

ll

o

w

t

h

e

d

i

re

c

t

i

ons

o

f

u

se

f

or

y

o

u

r

ant

i-

ma

l

ar

i

a

med

ic

at

i

on

(

be

f

ore

,

d

u

r

i

ng

and

a

f

ter

be

i

ng

e

x

posed

to

t

h

e Ma

l

ar

i

a

r

i

s

k)

to ens

u

re

a

sa

f

e and e

ff

ici

ent prote

c

t

i

on

aga

i

nst Ma

l

ar

i

a

.

T

h

e

re

l

evant

c

h

emoprop

hy

l

a

xi

s

f

or

s

u

b

-S

a

h

aran

Af

r

ic

a

i

s Ma

l

arone

, D

o

x

y

c

y

cli

ne

or

L

ar

i

am

. Y

o

u

should

b

uy

i

t be

f

ore

y

o

u

r

tr

i

p

,

not

i

n

s

u

b

-S

a

h

aran

Af

r

ic

a

.

‘D’

for

D

ia

g

nosis

C

onse

q

u

ent

l

y

,

an

y

i

nd

i

v

i

d

u

a

l

wh

o be

c

omes

ill

w

i

t

h

a

f

ever

,

even

s

li

g

h

t

,

or

a

f

l

u

-lik

e

ill

ness

wh

il

e

trave

lli

ng

i

n

a

ma

l

ar

i

a

-

r

i

s

k

area

and

u

p

to

1

y

ear

a

f

ter

ret

u

rn

i

ng

h

ome

should

see

k

prompt med

ic

a

l

attent

i

on

and

should

te

ll

t

h

e p

hy

s

ici

an

h

i

s

/h

er trave

l

h

i

stor

y

.

W

h

en

l

eav

i

ng

t

h

e

vesse

l,

a

c

ard or

l

etter

shall

be prov

i

ded

. T

h

i

s

i

s

to

prov

i

de

i

n

f

ormat

i

on

o

f

y

o

u

r

trave

l

h

i

stor

y

. K

eep

i

t

i

n

y

o

u

r

w

a

ll

et

u

p

to

one

y

ear

a

f

ter

y

o

u

r

ret

u

rn

. I

n

c

ase

o

f

ill

ness

, i

t

shall

be

h

anded

over

to

t

h

e

D

o

c

tor

.

T

h

e most

c

ommon

s

y

mptoms

o

f

Ma

l

ar

i

a

are

f

ever

, c

h

ill

s

,

h

eada

c

h

e

,

vom

i

t

i

ng and d

i

arr

h

oea

. I

f

y

o

u

f

ee

l

an

y

o

f

t

h

ose

s

y

mptoms

d

u

r

i

ng

or

a

f

ter

y

o

u

r

tr

i

p

i

n

s

u

b

-S

a

h

aran

Af

r

ic

a

,

y

o

u

m

u

st go and

see a

D

o

c

tor

.

A

n

y

f

ever

shall

be

c

ons

i

dered as

a Ma

l

ar

i

a

c

ase

u

nt

il

proven ot

h

er

w

i

se

.

T

reated

on t

i

me

, i

mpa

c

t

on

h

ea

l

t

h

i

s

li

m

i

ted

w

i

t

h

no

l

ong

-

term

e

ff

e

c

ts

.

Ma

l

ar

i

a

i

s

a

c

ommon

and

li

f

e

t

h

reaten

i

ng

d

i

sease

i

n man

y

trop

ic

a

l

and

s

u

btrop

ic

a

l

areas

. I

t

i

s

c

u

rrent

l

y

endem

ic i

n over

100 c

o

u

ntr

i

es

.

D

o not wait unti

l y

ou

return ho

m

e before see

k

in

g m

edica

l

treat

m

ent

.

4.

7

E

bo

l

a Virus

D

isease

4.

7

.1

Genera

l

T

h

e

E

bo

l

a

V

i

r

u

s

Di

sease

(

EV

D) i

s

a

v

i

r

u

s

t

h

at

c

an

be

q

u

ickl

y

transm

i

tted

.

25

%

to

90%

o

f

t

h

ose

i

n

f

e

c

ted

are

kill

ed

.

I

t

c

an

be

transm

i

tted b

y

d

i

re

c

t

p

hy

s

ic

a

l c

onta

c

t

w

i

t

h

i

n

f

e

c

ted

dead

or

a

li

ve

peop

l

e

or

an

i

ma

l

s

,

t

h

ro

u

g

h

t

h

e

b

l

ood

,

u

r

i

ne

,

f

ae

c

es

,

vom

i

t

,

s

w

eat

,

sa

li

va

,

sperm

,

organs

or

an

y

ot

h

er

bod

il

y

f

l

u

i

ds

. I

t

c

an

a

l

so

be

transm

i

tted

b

y

eat

i

ng

i

n

f

e

c

ted

bats

and

b

u

s

h

meat

.

T

h

e

i

n

c

u

bat

i

on

per

i

od

i

s

bet

w

een

2

and 2

1

da

y

s

a

f

ter

e

x

pos

u

re

. T

h

e

i

n

f

e

c

ted

person

i

s

not

c

ontag

i

o

u

s

d

u

r

i

ng

t

h

e

i

n

c

u

bat

i

on per

i

od

. T

h

ere

i

s

no

c

u

re and

no

va

cci

ne

at present

.

P

revent

i

on

i

s

k

e

y

to

f

i

g

h

t

EV

D.

V

ers

i

on

0

5

. O

r

i

g

i

na

l

date

:

25

/

0

5

/

2

01

2

.

V

ers

i

on date

:

3

1

/

1

2

/

2

01

5

.

V

a

li

d

vers

i

on

on

l

y

on

Q

M

S

s

i

te

.

U

n

c

ontro

ll

ed do

c

u

ment

wh

en

pr

i

nted

.

P

ro

c

ed

u

re prepared b

y:

BOS

QH

S

E

C

oord

i

nator

.

A

pproved

b

y:

BOS

QH

S

E

Manager

.

V

a

li

dated

b

y:

BOS

Qu

a

li

t

y

R

epresentat

i

ve

.

9

/

1

6

799