So far this year, more than 3,300 cases of malaria have been reported in Goa in India. Of these, 818 have been the malignant form, falciparum, which can be fatal if early treatment is not sought. A large migrant labour force and rapid urbanisation have contributed to the spread of the disease in the area. Travellers are reminded that mosquito-bite avoidance measures and anti-malarials are advised for stays in this popular holiday destination. A combination of weekly chloroquine and daily proguanil is recommended but alternatives are available for those unable to take this regimen. If a fever develops for seven days or more and up to a year after being in a malarious area, prompt medical attention should be sought.

To obtain a health brief tailored to your journey call the MASTA Travellers Health Line on 09068 224100 (calls charged at 60p/min). For general travel health advice visit the website at www.masta.org.