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June 5, 1991

Malaria, Mefloquine, Madness, and Mosquito Nets

Author Affiliations

London, England

London, England

JAMA. 1991;265(21):2808. doi:10.1001/jama.1991.03460210054019

To the Editor.—  For decades, the approach to malaria prophylaxis was to avoid getting bitten by mosquitoes, yet now in articles about malaria prophylaxis,1 advice on the prevention of mosquito bites is usually relegated to a short sentence or paragraph at the end, if that. It is long overdue that we should have resumed expending our efforts on advising travelers to malarious areas and those who live there on the wisdom and methods of avoiding being bitten by malaria-carrying mosquitoes. Simple expedients are available that will greatly reduce exposure to these dangerous conditions.