Protect yourself from mosquitoes, as they carry numerous diseases such as dengue fever, malaria and yellow fever. Get expert advice on malaria preventatives. Guard against mosquito bites. Wear long sleeves and long trousers and apply an effective insect repellent, for example, one containing DEET. If travelling to other East African countries, you should have a yellow fever vaccination so as to prevent complications and paying of bribes at the border. These can be administered at an affordable price at most reliable Nairobi clinics and hospitals.
Malaria prophylactics, taken as pills during the trip, can be highly effective. Consult your physician. The prophylactics most commonly used in this region are doxycycline (an antibiotic) and malarone (a combination of atovaquone and proguanil, also sold locally as malanil). (Chloroquine is not as useful because of the high incidence of resistance. Mefloquine, also known as lariam, mefliam, and mephaquin, is associated with various side effects, including a high incidence of mood disturbances and a lower risk of severe neurological disturbance.)
If you get flu-like symptoms, including fever, consult a doctor immediately. If no doctor is available, take a treatment dose of an appropriate anti-malarial and go immediately to a hospital. While the public hospitals are slightly cheaper, long waits and poor conditions and care at these facilities may make it worthwhile to go to a private clinic. Costs will vary, but a typical trip to the hospital for malaria testing, doctor's consultation, and medication will cost between $12 to $30USD depending on the clinic. As malaria can become serious, a trip to the hospital is recommended at the first symptoms of malaria.
If you get such symptoms within twelve months of returning home, seek a doctor's advice very quickly and immediately tell him where you have been in the last year. Delayed treatment, even by just a few hours, can lead to permanent brain and liver damage or death.
Do not have unprotected sex as HIV/AIDS and other sexually transmitted diseases are a risk. The country's Adult HIV Prevalence rate (15th in the world) is over 6% or 1 in 16 adults. Voluntary Testing and Counseling (VCT) clinics offer free testing and counseling for HIV/AIDS.
Cholera is another danger. When in affected areas, see a doctor immediately and drink plenty of water.
All water should be treated, either by boiling or through purifying tablets or filters. This includes Nairobi as well as rural areas. Typhoid fever is a risk and, like malaria prophylactics, the vaccination is not 100% effective. All fruits and vegetables should be thoroughly washed. While eating from the roadside kiosks is part of the cultural experience that one should not miss, note that such places do not always have the highest sanitary conditions and stomach illnesses can result.
It is advisable to have traveller's and accident insurance.
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