Thailand, Laos and Cambodia

Travelling Thailand - Bangkok, Chiang Rai,then Laos down Mekong to Luang Prabang, Vientiane, south through Laos to Cambodia -Phnom Penh, Siem Reap, Sianhoukville then back to Bangkok. Is it best to take malaria tablets (Malorone) for all of these places or if not where are the risk areas?

The risk of malaria is really only in Laos and Cambodia. In Laos outside Vientiane and Luang Prabang and in cambodia outside Phnom Penh. Malarone will cover you in all these areas.



Cruising from Singapore to Vietnam

We are cruising for 21 days from Singapore stopping 1 day excursions to Sabah,Gaunzhou Hong Kong, Vietnam. Could you please advise on vaccinations required

We only recommend vaccination aganst infectious hepatitis.



Vaccinations for Hong Kong and Australia

Can you tell me if we require vaccines when travelling to Hong Kong and Perth, Australia. We will be there for a period of 3 weeks in all. Departure date is planned for beginning of March 2005

We only recommend vaccination against hepatitis A.



Malaria in Laos, Cambodia and India

We are two adults travelling in Asia. Right now we are in Chiang Mai (Thailand). We want to travel to the north area of Thailand (Tha Ton, Chiang Rai, Chiang Khong, the Golden Triangle) and then to Laos (Vientiane and Louang Phabang), Cambodia (Siem Reap - Ankor Wat), back to Thailand (Bangkok) and finally India (New Delhi, Mombay, Goa). We expect to be in these areas for at least two months. What anti malaria prophilaxis do you recomend us to take in this areas (Laos, Cambodia, India) and how long (how many months) should we take it before it can make us sick.

In Laos you can chose between Malarone, Lariam and Doxycycline in Cambodia only between Doxycycline and Malarone. In India chloroquine and paludrine is still considered effective. Malarone is the obvious choice in Laos and Cambodia as it is effective, with few side effects and you only need to take it one week after departure. We would not recommend malaria prophylaxis to New Delhi, Mumbai (the city) and Goa. The risk is very low. Malaria may be seen up to three years after return (Plasmodium vivax variety).



Malaria tablets in Southeast asia

I will be travelling to the following regions in Indonesia, and wish to know where I would need to take anti-malaria tablets: Manado in Sulawesi Borobudur Temple complex near Jogjakarta Lake Toba, Gunung Leuser National Park I will also travel to Indonesia for about 1 month and wish to know whether the following places have a risk of malaria: Perhentian Islands Taman Negara National Park, Melaka In Thailand, is there risk in the north in the following ethnic village areas near the border of Myanmar: Mae Hong Son Pai Chiang Mai

The only areas in Indonesia where malaria prophylaxis is not neeed is Jakarta and Bali. In Thailand we we recommend malaria tablets (Malarone) to Pai and Mae Hong Song, but only if you are trekking the the area sleeping in villages on the way. Chaing Mai is too far north, and we do not recommend malaria tablets here.