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Yes
Correct
answer. Even to visit friends and relatives, preventive
measures must be taken. Malaria risk is present also in cities in
Pakistan. Chloroquine-resistant Plasmodium falciparum occurs in
Pakistan, and thus the drugs recommended would be atovaquone-proguanil
(Malarone®), doxycycline or mefloquine; "terminal prophylaxis"
with primaquine is not necessary unless the traveler has heavy, prolonged
exposure to P. vivax. Other preventive measures against mosquito
bites also apply. Even though the patient was born in Pakistan, whatever
acquired immunity he has developed would most likely have waned; negligence
of preventive measures often occurs in individuals
visiting friends and relatives, a situation that needs to be remedied.
Page last modified : April 23, 2004
Content source: Division of Parasitic Diseases
National Center for Zoonotic, Vector-Borne, and Enteric Diseases (ZVED)
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