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Southeast Asia

Southeast Asia forum

travel health

Posted by broy on 18/10/2015 at 10:21

My wife and I traveled Southeast Asia quite a bit in the 70s and 80s. Since then my wife had her spleen removed and as a result has to deal with a compromised immune system. Malaria is a particular risk. We thought about traveling to Malaysia in January/February but recently read that the incidence of dengue has doubled in the past year. Not deadly but certainly not a lot of fun. I realize that there is no such thing as "risk free" in the tropics but wanted to get travelers opinions of relatively safe places.

#1 broy has been a member since 18/10/2015. Posts: 4

Posted by somtam2000 on 18/10/2015 at 16:45 admin

Dengue is a problem, especially in urban areas, pretty much across the region -- not just Malaysia. Malaria far less so, and for a typical holiday trip, is barely worth considering.

For dengue though, typical preventative methods (use a mozzie net when provided, wear repellant etc) are quite helpful -- though not 100% - I'm quite careful and have still caught dengue twice.

My advice would be to go to wherever you want, but pay enough for a good standard of accommodation and follow general preventative practises to keep the blighters at bay. Unfortunately, Malaysia doesn't have areas that you could specifically consider to be "dengue free".

Cheers

#2 somtam2000 has been a member since 21/1/2004. Location: Indonesia. Posts: 8,093

Posted by amnicoll on 19/10/2015 at 06:09

If you have not already done so speak with a doctor and also check out travel insurance implications

otherwise as Somtam says nowhere is really Dengue free although I am guessing i do not think that many tourists catch it

Malaria risk in limited pockets of deep hinterland areas of Sabah and Sarawak and a central area in Peninsular Malaysia all year round. There is low to no risk in Kuala Lumpur, other urban/suburban areas and coastal areas.

#3 amnicoll has been a member since 10/1/2005. Location: United Kingdom. Posts: 976

Posted by broy on 20/10/2015 at 10:46

Thanks for your help. So urban areas are low risk or high risk?

#4 broy has been a member since 18/10/2015. Posts: 4

Posted by somtam2000 on 20/10/2015 at 17:05 admin

Generally speaking, urban areas are higher risk for dengue, lower risk for malaria.

Cheers

#5 somtam2000 has been a member since 21/1/2004. Location: Indonesia. Posts: 8,093

Posted by goonistik on 21/10/2015 at 05:49

Bear in mind that dengue cases go up during the rainy season. Jan and Feb are fairly dry so the risk of dengue should be lower, plus there is an El Niño in the Pacific. El Niño is associated with dryer weather in many parts of Asia so check out how your prospective destinations will be affected.

#6 goonistik has been a member since 7/1/2010. Location: Philippines. Posts: 563

Posted by trey2993 on 15/11/2015 at 01:13

Travel insurance. Many options and cover almost everything.

#7 trey2993 has been a member since 4/11/2015. Posts: 32

Posted by amnicoll on 15/11/2015 at 05:34

trey2993

yes true BUT it is vitally important to read the small print before taking out travel insurance especially when there are pre existing conditions.

#8 amnicoll has been a member since 10/1/2005. Location: United Kingdom. Posts: 976


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