With their inflated salaries, multi-million pound sponsorship deals,
mansions and flash cars, sometimes it is easy to forget that celebrities
are human beings just like the rest of us. Money worries aside, they
generally share the same concerns as everybody else and are not
invincible superhuman characters that are immune to ill-health.
This was epitomised recently with the golfer Rory McIroy’s withdrawal
from the 2016 Summer Olympics, taking place in Rio de Janeiro. Mcilroy
sacrificed taking part in what will be the first golfing event to be
played at the Olympics since the 1904 Summer Olympics, after being
concerned about the outbreak of Zika virus.
This isn’t the first time a major
sporting event has been held in the country in recent years, with the
2014 World Cup taking place there resulting in the entire England
football team being prescribed antimalarial malarone to fend off malaria.
With all this in mind, clearly there are some health concerns not
only in Rio, but other areas around Brazil, which both spectators and
the sportsmen and women themselves need to consider when travelling over
to the South American country.
Malaria
Malaria is a high risk disease in many parts of Brazil, making a
resurgence in the forested areas of Rio de Janeiro State during early
2015. However, authorities reported that local transmission had stopped
by mid-2015.
The potentially deadly mosquito-borne virus is actually at very
minimal risk in Rio, and as such, International authorities do not
usually recommend antimalarial medication for the area.
The NHS fit for travel Brazil malaria map gives a guide of which areas of the country are typically a high risk for the disease.
Those wishing the venture further out from Rio are advised to discuss
this with their GP as malaria precautions are essential, and you cannot
be vaccinated against it. Malarone or doxycycline or
mefloquine is usually recommended for those visiting risk areas. If
malaria tablets are prescribed for any given trip, it is important to
continue once out of the risk area as directed.
In addition, people can do their best to avoid mosquito bites by
covering up with clothing such as long sleeves and long trousers –
especially after sunset, using insect repellent that contains DEET (N,
N-diethyl-meta-toluamide) on exposed skin after sunscreen has been applied – such as Jungle Formula, and, when necessary, sleeping under a mosquito net.
Sexually transmitted infection
Individual sex work is legal in Brazil, and many travelling tourists
may wish to take advantage of this. As such, Brazil’s one million sex
workers will be looking to cash in on the influx of extra potential
customers during the Rio Olympics.
However, it is worth remembering that Brazil is one of numerous
countries in South America with high rates of sexually transmitted
infection and HIV, although recent intervention from the Brazilian
government has led to condom distribution increasing more than 45%
between 2010 and 2011 (from 333 million to 493 million condoms).
Holidays may be viewed as a time to have fun, but it shouldn’t be at
the expense of health. Medical Specialists® Pharmacy advise all UK
travellers to pack good quality UK-manufactured latex condoms and use one each and every time sexual activity takes place.
It is also worth remembering that some are arguing that Zika virus should be treated as a sexually transmitted infection and urging the Brazilian government to do more to emphasise the practice of 4safe sex as a form of prevention.
Zika virus
Zika virus has been consistently in the news through 2016 and is an
illness transmitted by mosquitoes. Around 80% of those infected with
Zika won’t experience any symptoms, but those who do will experience
symptoms such as mild fever, rash, conjunctivitis, muscle and joint pain
and fatigue.
Zika poses a huge risk to pregnant women, mainly due to the fact
evidence suggests it causes birth defects – in particular, abnormally
small heads (microcephaly).
As such, those pregnant or planning to become pregnant are strongly
advised to seek pre-travel advice from a health care provider 6-8 weeks
in advance of travel. It is recommended that pregnant women postpone
non-essential travel to Zika affected countries.
Apply DEET-containing insect repellent during the day and wear loose
fitting clothing as mosquitoes can strike at any time in the day.
Moreover, couples should use condoms whilst at the Olympics and for 8
weeks upon returning home.
Anyone who experiences Zika symptoms in Brazil, seek medical advice
at the earliest opportunity. There is no specific treatment or vaccine
for the Zika virus and those who feel unwell you should rest, drink
plenty of fluids and take paracetamol to treat fever or pain.
Dengue fever
Dengue fever is a huge problem in Brazil. In fact, in 2013 there were
a record 1.4 million suspected dengue fever cases reported in the
country.
Travellers should take precautions to avoid mosquito bites due to the
fact there is no vaccine to protect against the dengue fever virus.
Using insect repellent and sleeping under a mosquito net are two ways to
help protect yourself.
Rabies
Although rabies can be found in dogs, bats, and other mammals in
Brazil, it is not considered to be major risk to most travellers. Rabies
is transmitted through the saliva of an infected animal, commonly
through a bite, scratch or lick on broken skin, and Brazil is deemed to
be a ‘hisk risk’ country for rabies in animals by the World Health
Organization.
It may just suffice to increase awareness of the rabies risk, avoid
contact with animals (including bats), as well as report any bites for
assessment.
However, those planning to stay in Brazil after the Olympics have
finished, in order to travel to more remote and rural areas – i.e. for
caving trips where immediate access to treatment is unavailable – may be
advised to see their GP for a rabies vaccine, 4-6 weeks before travel.
Yellow fever
Similar to malaria and dengue fever, yellow fever is transmitted
through mosquito bites. However, the disease is preventable by a
vaccination, especially recommended to those who are visiting the highly
popular tourist destination Igazu Falls.
With regards to low-risk yellow fever areas, travellers are still
advised to apply a DEET-containing insect repellent to exposed skin and
consider other mosquito-bite prevention methods, for both indoors and
outdoors.
Just a single dose of the yellow fever vaccine offers protection
against the disease for around 10 years, but must be administered at
least ten days before a trip. Moreover, many countries require a yellow
fever vaccination certificate before entry, although exemption
certificates can be provided for people unable to have the vaccination
on medical grounds.
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