*Welcome to the OutUK series looking at gay men and their health brought to you in association with the NHS* website.**
	Each week we'll tackle a different topic in our A to Z of Gay Health. We'll have features and advice on everything from relationships, sexual health, mental and physical conditions and how to stay fit. You can follow any of links provided below for more information direct from the NHS website, or see this week's feature P: Personality Disorders.

Malaria

Malaria is a serious infection spread by mosquitoes. If it's not diagnosed and treated quickly, you can die from it.

Check if you're at risk of malaria

Malaria is caused by being bitten by an infected mosquito. It can take just 1 bite to get it.

The infection is very common in certain parts of the world.

It's found in tropical regions, including:

large areas of Africa and Asia
Central and South America
Dominican Republic and Haiti
parts of the Middle East
some Pacific islands

Malaria is not found in the UK and you cannot catch it from another person.

Check before you travel

It's important to check the malaria risk for the country you're travelling to before you go.

You're still at risk of getting malaria if you now live in the UK but were born or used to live in a high-risk country. You will not be immune to malaria anymore.

Find out more about the risk of malaria in specific countries on the Travel Health Pro website

How to avoid malaria

If you're travelling to an area where malaria is found, get advice from a GP, nurse, pharmacist or travel clinic before you go.

It's best to do this at least 4 to 6 weeks before you travel, but you can still get advice at the last minute if you need to.

You may be prescribed antimalarial tablets to reduce the risk of getting malaria and told how you can prevent mosquito bites.

Do

take any antimalarial medicine you're prescribed - you usually need to start taking it a few days or weeks before you go, until a few weeks after you get back
use insect repellent on your skin - make sure it's 50% DEET-based
sleep under mosquito nets treated with insecticide
wear long-sleeved clothing and trousers to cover your arms and legs in the evening, when mosquitos are most active

Who's most at risk

It's especially important to get advice before you travel if you're at higher risk of getting seriously ill from malaria.

This includes:

if you're pregnant
young children
people aged over 65
if you have a weak immune system
if you have no spleen

You may be prescribed antimalarial medicine even if you're travelling to a low-risk area.

Symptoms of malaria

Malaria can be hard to spot, but symptoms include:

a high temperature, sweats and chills
headaches and feeling confused
feeling very tired and sleepy (especially in children)
feeling and being sick, tummy pain and diarrhoea
loss of appetite
muscle pains
yellow skin or whites of the eyes
a sore throat, cough and difficulty breathing

These symptoms usually appear between 7 and 18 days after you've been bitten by an infected mosquito.

But sometimes you may not have symptoms for months after travel, and rarely years.

Ask for an urgent GP appointment or get help from NHS 111 if:

you have travelled to a country where malaria is found and have malaria symptoms

You should also tell anyone you travelled with to get help straight away.

You can call 111 or get help from 111 online.

Get medical advice quickly if you have malaria symptoms while you're travelling.

Treatments for malaria

Malaria is an emergency and needs to be treated quickly.

It's treated with antimalarial medicines.

Some people will stay in hospital to have specialist care and treatment.

Malaria can sometimes come back and will need to be treated again if this happens.

OutUK's A to Z of Gay Health continues and you can read this week's feature P: Personality Disorders. We have covered many subjects in this series and you can catch up with all of our Previous A to Z Features. If you want to find out more about this particular topic you can visit the Original article on the NHS website. If you are worried by any aspect of your health make sure you go and see your doctor or book an appointment at your local clinic.
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