Abstract
Malaria is the main cause of death by infection among travelers and is preventable through a combination of chemoprophylaxis and personal protective measures. Travelers were interviewed by phone 28-90 days after returning, to assess adherence to pre-travel advice for malaria prevention. A total 57 travelers were included. Adherence to chemoprophylaxis was significantly higher among participants prescribed mefloquine (n=18; 75%) than doxycycline (n=14; 45%). Adherence to mosquito repellent and bed net use was 65% and 67%, respectively. Adherence to malaria prophylaxis was lower than expected. Further studies testing innovative approaches to motivate travelers' compliance are required.
Highlights
Introduction: Malaria is the main cause of death by infection among travelers and is preventable through a combination of chemoprophylaxis and personal protective measures
Travelers were interviewed by phone 28–90 days after returning, to assess adherence to pre-travel advice for malaria prevention
Adherence to chemoprophylaxis was significantly higher among participants prescribed mefloquine (n=18; 75%) than doxycycline (n=14; 45%)
Summary
Malaria is the main cause of death by infection among travelers and is preventable through a combination of chemoprophylaxis and personal protective measures. Given that malaria and other mosquito-borne diseases are endemic in the country, travelers may have greater awareness about risks in similar settings, which could influence adherence to preventive recommendations. Our study objective was to assess compliance of Brazilian travelers to malaria-prevention strategies, regarding use of repellents, bed nets, and malaria chemoprophylaxis, as well as factors associated with non-adherence.
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