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BARRA RESORTS MOZAMBIQUE

 


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Barra Resorts Mozambique

Health & Malaria

Malaria occurs throughout Mozambique, right through the year spread by the Anopheles mosquito, so preventing yourself being bitten is of paramount importance. Mosquito nets and repellents are strongly recommended after sundown. Try to avoid being bitten by wearing clothing that covers the arms,legs and ankles and use repellant' - (See DEET below) - on the exposed parts of your body as well as sleeping under treated mosquito nets.

When in malaria areas use effective DEET insect repellents (containing Diethyltoluamide). At all of our lodges, we provide mosquito nets and fans and in some rooms, air-conditioning. Keeping a fan or air-con at night will keep mosquito activity down to a minimum.


Malaria prophylaxis is recommended for all travelers to Mozambique. The three most commonly used ones are:

Mefloquine (Lariam)
Atovaquone/proguanil (Malarone)
Doxycycline

Mefloquine is taken once weekly in a dosage of 250 mg, starting one-to-two weeks before arrival and continuing through the trip and for four weeks after departure. Mefloquine may cause mild neuropsychiatric symptoms, including nausea, vomiting, dizziness, insomnia, and nightmares. Other reactions can occur, including depression,anxiety, psychosis, hallucinations, and seizures. Mefloquine should not be given to anyone with a history of seizures, psychiatric illness, cardiac conduction disorders, or allergy to quinine or quinidine. Those taking mefloquine (Lariam) should read the Lariam Medication Guide and possibly conduct tests before they depart.

Atovaquone/proguanil (Malarone) is a recently approved combination pill taken once daily with food starting two days before arrival and continuing through the trip and for seven days after departure. Side-effects, which are typically mild, may include abdominal pain, nausea, vomiting, headache, diarrhea, or dizziness. Serious adverse reactions are rare.

Doxycycline is effective, but may cause an exaggerated sunburn reaction, which limits its usefulness in the tropics. Travelers who will be visiting remote areas in Mozambique for an extended time and as a result may not have easy access to medical care, should bring along medications for emergency self-treatment should they develop symptoms of malaria. Symptoms such as fever, chills, headaches, and muscle aches, should be considered as an indication of malaria. Malaria symptoms can sometimes not occur for months or even years after exposure.


Diarrhoea is a very common ailment when traveling. Most cases of diarrhoea when traveling are mild and do not require either antibiotics or anti-diarrhoea medicines. Adequate fluid intake is essential for any traveler suffering from diarrhoea, to prevent dehydration. The most important aspect of preventing diarrhoea is treatment and care, as far as food and water intake is concerned. Travelers are advised to carry with them an antibiotic as well as an anti-diarrhoea drug, to be taken as soon as significant diarrhoea starts, (diarrhoea - three or more loose stools in an 8-hour period or five or more loose stools in a 24-hour period).

If diarrhoea is combined with nausea, vomiting, cramps, fever or blood in the stool, an antibiotic should be administered. Ciprofloxacin (Cipro)(PDF) 500 mg twice daily or Levofloxacin (Levaquin) (PDF) 500 mg once daily for a total of three days. Quinolones are generally well-tolerated, but occasionally cause sun sensitivity and should not be given to children, pregnant women, or anyone with a history of quinolone allergy. An alternative treatment could be a three day course of rifaximin (Xifaxan) 200 mg three times daily or azithromycin (Zithromax) 500 mg once daily. Rifaximin should not be used by those with fever or bloody stools and is not recommended for pregnant women or children under the age of 12. Azithromycin should be avoided in those allergic to erythromycin or related antibiotics. An antidiarrhoea medicine such as loperamide (Imodium) or diphenoxylate (Lomotil) should be taken as needed to slow the frequency of stools, but not enough to stop the bowel movements completely. Diphenoxylate (Lomotil) and loperamide (Imodium) should not be given to children under the age of 2.

If diarrhoea is, severe, bloody, or if fever occurs accompanied by shivering and chills, or if abdominal pain becomes severe, or if diarrhoea lasts for more than 72 hours, medical attention should be sought. Although antibiotics are effective, they should not be taken as a prophylactic.

 

Food and water precautions:

Don't drink tap water unless it has been boiled, filtered, or chemically disinfected.
Don't drink un bottled beverages or put ice in your drinks unless you know that the ice is safe to drink.
Don't eat fruit or vegetables unless they have been washed very thoroughly peeled or cooked.
Avoid cooked foods that are no longer hot. because cooked food that has been left at room temperature can be very dangerous.
Avoid un pasteurized milk and any products that might have been made from un pasteurized milk.When using powdered milk make sure the water you mix it with is safe.
Avoid food and beverages obtained from street vendors.
Do not eat raw or undercooked meat or fish.



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