Experiences with malaria chemoprophylaxis in Dutch troops.
This article describes the situation for malaria chemoprophylaxis among Dutch military personnel. Any malaria chemoprophylaxis advice given to Dutch troops is based on a close co-operation between national military and civilian experts. Most studies, related to a deployment in Cambodia, describe the experiences with mefloquine. Overall it has been well tolerated. From an African deployment, it has been learned that anticircumsporozoite antibodies could be demonstrated in 11% of the personnel. Future options for Dutch troops will concentrate on atovaquone/proguanil and tafenoquine. Furthermore some kind of individualisation will be accepted. In conclusion malaria in Dutch troops has remained a manageable problem but vigilance remains necessary.
Buma
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AH
Royal Netherlands Navy, La Hague, et de l'Academic Medical Centre. scgz.post@dpkm.navy.dist.mindef.nl
van Thiel
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D000962:Antimalarials / Q000009:adverse effects / Q000627:therapeutic use*; D002160:Cambodia / Q000453:epidemiology; D019353:Endemic Diseases; D006801:Humans; D008288:Malaria / Q000453:epidemiology / Q000517:prevention & control*; D015767:Mefloquine / Q000009:adverse effects / Q000627:therapeutic use; D008889:Military Personnel; D009426:Netherlands
D000962:Antimalarials; D015767:Mefloquine