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Many hotels spray for mosquitoes and sea breezes may keep them off of the beaches, so they may not be a problem while at the hotel. On outings, you should be prepared in case there are mosquitoes. Mosquitoes may be found year-round on the Pacific Coast of Mexico.

The mosquitoes we encountered near the Oaxacan coast were small and did not appear to have a bad bite. However the following day our bites became vivid red with tiny scabs on the top. They looked as though we had been scratching them (we hadn't). We wore these bites for over three weeks.

Many repellants are not effective on these tropical mosquitoes. One that is effective is called Autan classic and is manufactured by Bayer de Mexico. I understand that it is only available in Mexico. It comes in a white aerosol can with an orange and yellow front with a mosquito on it. Another that gives good results is Deep Woods Off, which is 95% N,N-dithyl-meta-toluamide. It is available in the U.S. and you can find it at Wal Mart with the camping equipment.

Also effective are the mosquito coils that you burn. We were being eaten alive at an open-air restaurant when our waiter brought one of these over and placed it underneath our table. We had no more problems with mosquitoes and enjoyed our meal. You can also buy these in Mexico. There is one called Raidolitos by Johnson that comes in a yellow box.

Another reader reports being happy with a product called Skeeter Free. "I was in Puerto Escondido last summer August. I am a mosquito magnet and decided to try something besides DEET. We were working on a Habitat for Humanity build from dawn until mid afternoon, so gave the little buggers lots of opportunity. I would re-spray about every 3-4 hours and was using the 2X version. It has a pleasant odor and slightly oily base so stays on even sweating. Based on Catnip! - Donna"

A reader reports buying an ointment in Mexico called "Andantol" in a yellow and black box to use on mosquito bites. This immediately reduced the swelling and kept the itch away. We have tried this and it works very well. Not for children under 6 years old. For a less toxic solution, there is Crocodile Herbal Bug Discouragent, an herbal bug repellant. The maker, Dancing Roots, has given away samples to tomzap.com readers in the past and positive results have been reported. See the 2006-2008 giveaway.

If you've already been bitten, After Bite is a product that has been recommended for relief.

Some visitors have asked if Malaria is a problem. Although rarely a problem for tourists, it does exist and has been a problem for some residents. A period of heavy rains increases the likelihood of an outbreak. This would most likely be after the rains come around August-September. A type of malaria they have in Oaxaca is called Vivax and is rather easy to cure. Symptoms are typically fever, vomiting, sweats and chills that persist for days or weeks. Outbreaks may be rather localized since the mosquito's range is only a mile or two. If you are concerned about malaria, see your doctor prior to leaving for preventative medication. Also, use your mosquito repellant when necessary.

Visitors to the coast of Oaxaca who wish to donate blood after their trip can expect a cool "thanks, but no thanks" due to the risk of malaria contamination.

Our readers contribute the following information on mosquito-borne diseases of the Oaxacan coast:

A Case of Dengue in Hidalgo

This will probably be pretty long, but I want to give the full account, because I never even new I was sick until it was too late.

My first symptoms were SPLITTING headaches. At least, that was the first symptom I recognized. I had probably been feverish before that, but put it off as maybe coming down with a cold. I don't suffer from migraines, but I would imagine that the Dengue headache was similar. I thought my brains were going to split my skull open right at the temples. It didn't matter how much ibuprofen and tylenol I took, nothing seemed to help much. Thought it might be due in part to dehydration, but drinking tons of water didn't help either.


So, finally I took Tempra at the insistance of my mother-in-law and let her tie a cut potato to my temples, knowing full well it wouldn't do any good. BOY, was I wrong. The coolness of the potato instant relief, aided by the proper pain reliever. The key is that other pain relievers thin your blood and make internal bleeding more likely. Tempra does not thin your blood and so is the ONLY pain reliever recommended for Dengue in Mexico.

After a couple days of headache, I started having pain in my joints and bones. Now, I'm starting to put together the previous 'cold' symptoms, the crazy headaches, and the strangest pain I've ever felt in my life and look at the CDC sheet my major advisor made me bring with. Problem is, the CDC 'fact' sheet is TOTALLY INCOMPLETE and somewhat misleading. The bone pain is incredible, you can feel each and every bone in your body because it hurts like hell. I would have sworn my arms were about to break for no reason at all and I couldn't hold on to my 1 year old nephew's hand while he walked because I thought he was going to break my fingers. Slapped a mosquitoe on my leg and felt like I had been hit by a car. These are dramatic statements, but they are the truth.

After a couple days of joint and bone pain, I felt pretty decent for a couple of days. I noticed some generalized itchiness on my legs and arms, but couldn't really see any rash or cause of the discomfort. I put it off to heat rash or the bazillion mosquito bites I suffered every day, even though I was slathered in deet, even thought that might be the culprit. I, being a white girl, seemed to always be burnt, so when I thought my skin looked reddish asked the family if they thought the same. No, you're just burnt they said.

A couple days later I'm sure that I've got some kind of rash and I tell the family I think I have an allergy to something, or maybe I am sick. Well, with the fact that Hidalgo has no health center and the doctor in Mania isn't always around, going to the clinic got put off.

I was now at least 8 days into the illness and didn't really know I was even sick. I had done google searches on dengue and malaria and never got anything that was a red flag. None of the pages I found had a comprehensive list of possible symptoms or a 'timeline' of how the disease really goes. It was very confusing for me.

One day we were in town visiting an uncle and it became clear that I had a rash on my legs below my knees, on my arms from the elbow down and it was spreading, it was now showing up on my stomach and my thighs and upper arms (areas that weren't always burned and so it was easier to see). But, the itchiness was not there anymore. In retrospect, it seems dumb that I wouldn't put this all together, but everything I read seemed to say you get all these symptoms at once and you feel like shit and are really sick. I NEVER FELT SICK. I felt a little tired, but washing laundry by hand all day on a concrete sink can do that. Each symptom presented itself individually in my case, for a couple of days and then seemed to just go away. Since we were in Puerto this day that the rash took off, my father-in-law took us to a clinic next to a pharmacy. This is when I found out, I was really sick.

We walked in and before I could say, I have this strange rash the doctor told me I had hemorragic dengue and I should be at home in bed. I'm as skeptical as the next American about Mexican doctors, but we went through the 20 questions routine and he sent me to get blood drawn. At this point, the Dengue antibody test (I Think) showed negative - I found out later from another doctor that it won't show positive until at least 10 days after the headache/bone pain stage. But, my blood counts showed VERY low platelets and some other signs of dengue. The doctor told me to get another blood count in 24 hours, and drink plenty of fluids. THAT'S IT. He said maybe it wasn't dengue afterall because of the antibody test results. Come back tomorrow with your new blood test.

The following day I couldn't stand the rash and itching and I was really tired, so we went to the curandera that runs the pharmacy in Mania. She said it could be Dengue and that all I could do was take Tempra to control my fever and pain and sent me to the clinic. The doctor there said it was too early to jump to the conclusion that it was hemorragic dengue, and ordered more tests. We went immediately to the lab, got the bloodwork and went straight back to Manialtepec. This doctor was much more personable and explained what was going on to me much better. He said I should not be anywhere but in bed as my platelet count was dangerously low. I should be eating lots of green veggies drinking lots of gatorade and water and NOT DOING ANYTHING BUT RESTING. If my platelets got any lower, he said, I'd be sent to the hospital and if they couldn't get the count up I'd have to get a blood transfusion. He gave me a shot to stop the itchiness of the rash (not as fast-acting as I'd hoped) and told me to keep taking the Tempra every six hours and DO NOT GET OUT OF BED except to go to the bathroom.

LIKE HELL was I going to get a transfusion in Mexico! This is when I called my folks back home. She never told me, but Mom had gotten emergency time off work and was about to buy a ticket to come 'rescue' me and get me home for treatment.

Being this was Saturday night, I was ordered to the lab first thing Monday morning for another blood count. THANK GOD the numbers had started back up, but just barely. Several more days of bed rest and blood tests proved that I had just escaped a life flight back to Oregon.

SO, what I learned is this:

  1. Sleep with a pavilion, PERIOD. The species (plural) of mosquito that carry dengue bite at night.
  2. Be safe rather than sorry and use Tempra (paracetemol) for pain relief while in dengue territory
  3. The rash was me bleeding out under my skin, thus the hemmoragic classification - hearing that got me scared.
  4. There are four strains of dengue, each can present as classic and 'morph' into hemmoragic if not properly treated fast enough
  5. Having one strain, classic or hemmoragic, does not make you immune to the other three strains
  6. Even cases treated by doctors in clinics and hospitals are not neccessarily officially reported. This means more people in the community get sick because there is no special effort to get rid of the bugs
  7. Classic dengue morphs when your blood is thinned, you are otherwise ill or rundown, you don't slow down when you first contract it (and stay slowed down), and probably for other reasons.
  8. The only treatment, as it is a virus, is rest and pain relief. The only thing that they can do to try to save a hemmoragic patient is a transfusion.
  9. Don't bother with the anti-body test, it won't show positive until you're on the mend or on the serious downhill slide. Get the bloodcount and make sure your platelets are at an acceptably high level.
  10. Get a second or third opinion. Only the fresh from med school doctor in Manialtepec had clinical experience with any form of dengue - everybody else each had their own anicdotes but no two were alike. (I HIGHLY RECOMMEND USING THE CENTRO DE SALUD in your community. In Puerto Escondido it's down near the west end of the Adoquin where the road goes back to two-way traffic, in Chila it's by the soccer fields next to the Cobao, in Manialtepec its next to the municipio)
  11. The CDC doesn't know shit. IF YOU HAVE ANY OF THE SYMPTOMS... GO TO THE DOCTOR. They can present simultaneously or singly, and singly they are easily brushed off as a myriad of non-serious things.
  12. If your bones hurt, YOU HAVE DENGUE - go to the Centro de Salud

July 10, 2007

There are many ways to avoid being bitten by mosquitos.


Dengue Fever

Repellent For Jejenes - According to an entomologist (bug expert) that I happened to meet in La Paz a few years ago DEET repellents are not really effective against an onslaught of vicious jejenes. He told me that DEET serves to mask the odor of carbon dioxide emissions from our skin, but the no-see-ums don't use CO2 to find us like zancudos (mosquitos) do.

In addition to DEET I use a few drops of Pennyroyal oil on each limb, rubbing it in to thoroughly spread the oily extract evenly over the limb. I have had dramatic success with this even on the beach at San Blas at sundown (wearing shorts and t-shirt, no less!).

Pennyroyal Oil is available in health food stores. Most containers have an integral eyedropper which is handy. According to the health food gurus, women who are pregnant or in the process of becoming thereof should not use Pennyroyal Oil. The extract is supposedly safe for use on children, but a prudent parent should check with their doctor first.

Saludos de Tecatito!

David Eidell

December 2000

Try the Lime - When we were in Melaque in March/April both myself and my son seemed to attract some kind of no-see-ums that terrorized us. After spending a fortune on bug repellant (none of which seemed to work) we were told to try squeezing lime juice into your hand and rubbing it on, just like repellant. Viola! Worked great. We tried it at home, but unfortunately the Canadian no-see-ums don't seem to be deterred by lime juice.

Wendy Randall

December 2000

Thanks for posting my write up on La Cueva so quickly. I was reading your section on mosquitoes, and thought I'd share this anti-itch method with you...

Mexican insects have absolutely no respect for lethal American-made chemicals manufactured for the express purpose of rendering them biteless. I never go outside without spraying liberal amounts of Cutter's or Deep Wood's Off insect repellent all over my body. I've even tried Autan. In spite of my preventative measures, if it bites, it bites me. So on top of whatever chemicals from the repellent have seeped into my body, I apply liberal amounts of cortisone cream to ease the itching. Cortisone, I'm told, thins the skin, and at my age the skin thins anyway. La vida es dura en Mexico!

One day I watched a friend of mine hold the lit end of a cigarette close to his skin. Knowing him to be too old and sensible to be into self-mutilation, I asked him what he was doing. "It's an old Mexican remedy," he said. Apparently if you hold a cigarette, or I suppose anything very hot such as a newly extinguished match head, close enough to the insect bite to feel the heat but not actually burn yourself, it stops the itch and makes the swelling recede.

Admittedly, this method is a bit more challenging than applying a potion, as it does require a somewhat steady hand. But I've tried it, and it really WORKS! The itching stops, the swelling goes down, and evidence of the bite disappears faster than with cortisone preparations. If the bite starts itching again, repeat the procedure.

I hope no one who's stopped smoking uses this as a rationale to start again. But it is a viable alternative to chemicals.

Jane Gorby
La Manzanilla

October 2000

see a 1998 Malaria Advisory that affected the Oaxacan coast and learn about email updates.

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