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Answered3 years ago

Is Malaria a Risk for Expats Living in Thailand?

Jack ****************
asked May 2, 2023
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Pushing the everything else line because this group is generally not very toxic and I appreciate that... Is malaria like...a real thing here? I know that may sound silly but coming from the states it's sort of a romanticized disease and nobody there gets it. Is it a real thing here and do you just go into the doctor?
Answer summary
The discussion concerns the risks of malaria and dengue fever for expats living in Thailand. While malaria exists in some remote areas, especially near the borders with Myanmar and Cambodia, it is not commonly found in cities. The primary concern for residents and travelers is dengue fever, which is widespread even in urban areas. Most respondents emphasize the importance of taking precautions against mosquito bites and consulting a doctor if symptoms arise, particularly for dengue.
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Jeffrey **********
Jeffrey **********
American in Thailand 27 years. never heard or seen anybody with it
Cliff *********
Cliff *********
Cliff *********
Cliff *********
I am an Internal Medicine physician who frequently travels to Thailand.

Yes malaria is a real illness.

However, the risk is low in most parts of the country.

Try to avoid mosquito bites at dawn and dusk to protect your self.

These are from WHO
Keith ************
Keith ************
Dengue and chikungunya are a problem.
Jeremy ********
Jeremy ********
I’ve never had it here and I’m all over the place….
Frank **********
Frank **********
I got Dengue in a little village about 15k outside Khosum Pisai. It wasn't fun I can tell you that. Had to spend two days in ICU as I wasn't eating and my blood count was way down. Spent the whole time on an IV and being poked evey 6 hours.
Michael *******
Michael *******
If you plan on spending time in the jungles of Thailand it's a concern.
Michael ********
Michael ********
@Michael ******
mosquitos feed on mammals, greatest concentration of mammals is not in the jungle.
Michael *******
Michael *******
Michael *******
Michael *******
@Michael *******
Around 45 percent of the population is at risk of contracting malaria. According to the World Health Organization (WHO), 32 million people are at risk of being infected with malaria in Thailand. The country is filled with more than 46 million acres of thick jungle and rainforest. Many citizens live in these dense ecosystems, along with several species of mosquito. The most dangerous areas of transmission are border regions, like the borders with Myanmar and Cambodia. These regions have an abundant population of highly infectious female Anopheles mosquitoes.
Michael ********
Michael ********
@Michael ******
yes border areas not neccesarily jungle areas
Michael ********
Michael ********
@Michael ******
the densest jungle in Thailand is in the south
Michael *******
Michael *******
@Michael *******
Primarily in provinces that border Burma (Myanmar), Cambodia (few cases in Buriram), and Malaysia (few cases in Satun), and the provinces of Surat Thani, Ubon Ratchathani, and Phitsanulok, especially the (rural forest and forest fringe areas of these provinces).Rare to few cases in other parts of Thailand, including the cities of Bangkok, Chiang Mai, and Chiang Rai, and the islands of Koh Phangan, Koh Samui, and Phuket. None in the islands of Krabi Province (Koh Phi Phi, Koh Yao Noi, Koh Yao Yai, and Ko Lanta) and Pattaya City
Michael ********
Michael ********
@Michael ******
border areas
Charles ********
Charles ********
First time I traveled to Asia (Cambodia), I took antimalarial pills that made sick... Never saw a single bug 🤣 traveled many times and now lived in Asia for many years... Never worried about malaria again.

If you are going some place very remote with know problems maybe it's something to consider.... But if you staying to popular area I would not worry.
Ken ********
Ken ********
My friend lived in Phuket for about 8 years rarely left the island got both Dengue Fever and Chikungunya within 2 months of each other spent over a week in hospital each time.
Ian ********
Ian ********
Worry more about the Thai hookers 🤣🤣🤣
Michael ********
Michael ********
Malaria no, dengue yes had it twice now
Steve *******
Steve *******
Along the Cambodian and Laos borders malaria is fairly common, the clinics and hospitals all got posters about it, malaria and snakebites! 😂
Ivan *********
Ivan *********
Why not get a blood test from your GP ? Simple ?
Ivan *********
Ivan *********
If you look on the Internet , you can can find a map which details Malarial areas in Thailand . I did some research before my many trips to Thailand
Jack ****************
Jack ****************
OP
So all I know about malaria is from fiction. So no real knowledge of any kind. But the thing that I remember from reading was that it could come out of nowhere, the person has a terrible fever, and then boom it's gone. GF has every few weeks for a while now gets these super bad flash fevers- teeth rattlingly violent shivering, I dose with with ibuprofen and the fever goes down but doesn't quit go away, if I don't keep her OD'd on the stuff it comes back full force. It will go on for about a day and then she is fine again. Then, a few weeks pass and wham! And just as quick gone again. I was just randomly wondering what it could be and the flashed on the memory from some books ...
Kool *******
Kool *******
Malaria is endemic, but any outbreaks are immediately rectified, and publicised. The bigger problem is Dengue Fever, that is a daytime mosquito, and pretty widespread, even in Bangkok. There are four strains of Dengue with only one strain deadly, so your chances of having serious problems are real slim. With about a 12million population Bangkok averages about 40,000 reported cases every year. Unfortunately last year one of those cases was my cousin's wife, who died from Dengue.
Mike ********
Mike ********
@Kool ******
1 in 4 isn’t good odds in my eyes !
Kool *******
Kool *******
@Mike *******
1 in 4 what? 40,000 is less than
***
of 1% of 12million. Not one in 4.
Leo ******
Leo ******
I've had dengue in Koh lanta... Bizarrest thing ever. 4 days of horrid sweating, sleeping, googling symptoms, writing a new will and laying in air con room. Couldn't eat but would crave food. All I could do was go very slowly out in the dark at 1am to 711 and get more water and a magnum ice cream and come back to bed and keep sweating and hallucinating from being delirious.. Day 5 I go to Dr's and she looks at me and says "you no gooooo" Gives me blood test and says yes.. Its Dengue. She even knew today was day 5.. Says everyone comes day 5.. 🤣 Couldn't do anything for me. Just said drink water and rest and don't cut yourself as your blood won't clot and you could bleed and not stop. Day 5 I was still bad but atleast I could look at the sunshine.
Annie **********
Annie **********
@Leo *****
what a terrible experience! I hope you’ve completely recovered now 🤗
David ********
David ********
@Leo *****
day 5 when I started to come out of the hallucination...I kept drifting back into it, but I was finally aware it was actually a hallucination while I was having it. it was a bizarre sensation and something I never ever want to experience again.

the fever was so strong and I sweated so much that I destroyed my mattress. By the time I came round I could feel every single spring digging into my back
Leo ******
Leo ******
@David *******
Yeah I'd ring my sheets out in the shower and stand there wrapped In it with cold water running over me and then jump back into bed with the air con on full.. The bed was trashed as well.. LOL. Before I started with it. I was sitting have a beer with some people and said I'll go home have a shower and an hours sleep and meet for dinner and we'd planned a night out... I went to bed for an hour and 5 days later I'm down 2 stone... The hallucinations are crazy. I remember near crying and writing out a will thinking I could die..
Steve ********
Steve ********
Just beware of those Soi Dogs! Rabies is still present in Thailand

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Paul *******
Paul *******
Unless you're trekking deep inside forests located along the Thai-Myanmar border, northern Thailand such as inside Chae Sorn National Park in Lampang or others jn Chiang Mai or Chiang Rai or maybe Khao Yai and during the rainy season then probably no. Malaria is not found in the cities.

Dengue fever is more of a concern and it's present in the cities too.

I would take the normal precautions regarding protecting yourself from mosquito bites and chances are you won't have any issues at all.

In the unlikely event of developing a fever and accompanied by other symptoms that you believe were caused by a mosquito bite or bites and developed in the aftermath of such, then seek medical attention.
Charlotte ********
Charlotte ********
Yes it is. But more so I think, is Dengue. Definitely a good idea to go talk with a doctor if you are experiencing symptoms of mosquito borne diseases
Marc *********
Marc *********
Been coming to Thailand & mainly Phuket & Ao Nang for 18 years,never taken Malaria tablets etc & not heard of anyone getting it,only the odd case up North,but I maybe wrong.
Brandon ************
Brandon ************
Malaria, no. Dengue Fever, absolutely.

Just be smart about mosquito protection and you shouldn't have much to worry about. Most of the mosquito born diseases are rural more than city also.
Eric ******
Eric ******
@Brandon ***********
yes dengue fever...but places like Singapore or Malaysia, you will get that too

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