I would like to know whether anyone has travelled recently to the manu reserved zone and if they took some precautions for malaria. Pantiacolla tours seem to recommend some sort of prophylaxis but also say they has only been one reported case in the area. Should I still go ahead and do the pills or not. I got the yellow fever vaccination but really would rather not take the pills if not necessary. thanks.

www.mdtravelhealth.com Peru

Doxycyclina reccomended daily

but most just use lots of repellant use nets

works for Dengue YF too...

We went to the Puerto Maldonado part of the Amazon at Reserva Amazonica and took Malarone, which we tolerate well. Others there also were taking something. I wouldn't risk not taking something.

I cannot imagine visiting a malarial zone such as Manu without first checking with a reliable source such as a specialist travel doctor or your own government's website to first check what, if any prophylatics are advised/required. No medication is 100% effective but by taking the right medication you are reducing substantially reducing the probability of contracting it. Malaria is still the biggest killer disease across the world. I contracted it once in Vietnam many years ago and, believe me, it is not an experience I would want to repeat. As quovadis rightly points out, repellent, nets and covering up are all essential as the only 100% safe way of avoiding it is not to get bitten.

thanks for all the heads up advice, i have not decided which medication to take but malarone seems like it has the least side effects but of course is the most costly at about $120 for 22 pills.....