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Evaluation

Are you evaluating a traveler going to a region with malaria?

Age of the patient

years

Gender of the patient

Select an appropriate answer to indicate antimalarial sensitivity in travel region

Malaria in travel region

Is the risk of malaria suffient to warrant prophylaxis?

Is the patient pregnant?

Can the patient tolerate chloroquine?

Is the patient likely to have significant sun exposure?

Does the patient have?

• hepatic insufficiency?

• renal insufficiency?

• a seizure disorder?

• cardiac conduction disturbance?

• a history of depression or mental illness?

Results

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