Because of the alteration in malaria incidence, many long-stay expatriates have given up taking any medication, and malarial bouts are therefore frequent - and the cycle of transmission gets worse. Many told me that it was very dangerous for back-packers on their own to use Lariam. The onset of depression in a strange exotic country far from home could lead to suicidal tendencies.
Canon G H Smith
Kidderminster, WorcestershireReuse content