There are several risks to consider when travelling in Africa. One of them is the risk of swimming in Lake Malawi. When I was meeting other travelers, I realized that there is not enough awareness among tourists about Bilharzia, an infection caused by parasitic worms that live in freshwater, including Lake Malawi. The chance of catching this parasite during the first bath is very high. Often you don't have any symptoms for a long time but the parasite can stay in your body for years, causing damage to your bladder, kidneys and liver, causing cancer at worst. Before leaving Malawi, it is very important to see a doctor to get the tablets for Bilharzia. As I was getting treatment for myself, I asked the local doctor a few questions to better understand the problem and to send the message out about the risks of swimming in Lake Malawi or even taking a shower at campsites located by the lake.
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Today I'm traveling further south and at the moment I'm traveling through
rubber tree plantation
So interesting, I've never seen these trees before
Music
Somewhere
More bicycles than cars on this road
I'm traveling now to Port McClure and that will be my pretty much last stop at the lake
I'm planning to stay there for a few days and just chill and enjoy
My last days in Malawi
So now I'm traveling, I'm doing shortcuts again as you do
Through this village, let's have a look
Where's the doctor?
That way?
Yeah
Just straight?
Yeah
Thank you
Apparently there's a doctor just near that mountain, I want to go to him
Go to the man?
Yeah
So that way?
Yeah, just take this way
Can I go through here?
You can
Yeah
So just go that way
Yeah, you find the big road there, just take the people
All right, cool
Up the big market, then take corner down this side
Thank you
Clinic, which way?
Doctor
Private clinic
Doctor
That way?
Doctor
That way?
I think it's that way anyway, thank you
Clinic, a doctor, apparently he's somewhere there, is that right?
Okay, so I have to turn around to the main road and go that way, okay, thank you
I've just arrived to this clinic at Cape Maclear
To get my tablets for Balharzia and to ask local doctor a few questions
Because I think it's so important to actually send a message out
There's too so many people traveling through Malawi
Without knowing that you can get parasites from the Malawi lake
So this is the sort of risky and decision you need to make
You're either gonna swim and treat yourself for Balharzia
Or just don't swim at all and don't shower
At the local
At the local camping grounds
Which is very, very hard to do because it's like so beautiful
I've swam, that was my choice
And now I'm about to get tablets for the treatment
So we are now at Cape Maclear
This is Dr. Moses
Thank you very much
For spending this few minutes
And I just want to ask you doctor about Balharzia
Because I'm still, you know, I'm riding around Africa
And I've met a lot of people who are not aware that the virus
That parasite is still in Malawi lake
So tell me what's the
If you choose to swim in Malawi lake
What's the chance of getting the parasite?
Okay the chances of getting the parasite are very high
Only that in some people the symptoms
They don't show symptoms
At all
Yeah
So they may stay for quite a long period of time
Without showing anything
And that's very dangerous
And in some people they show signs and symptoms
Straight away
Yeah
What are the symptoms?
If you have the symptoms?
The symptoms
You feel pain when passing out urine
With terminal blood
As well as you can also have diarrhea
Which is blood
Not responding to any antibiotics
If you're taking those tablets
Because it's just one day treatment isn't it?
According to your weight
Is will cure you 100 percent?
Yes it's 100 percent
You get cured 100 percent
Okay
Yeah
So when should we be taking those tablets?
So it's better to take the treatment after two weeks
Wow
Or in some people they say
I'll take it after six weeks or four weeks
But within a period of two weeks it's okay
It's better
Yeah
But still
And this treatment will kill all types of them?
Yes
Okay
And those tablets apparently they're very nasty
They're not good for you
So if you don't have it it's better not to take it
So do you think it's better to the blood test
To actually see if you have the virus
And then take the treatment
Or should you just take the treatment?
Here in Malawi because of
We don't have enough resources for that
In most of the cases
We just take the treatment
But if you keep on showing the signs and symptoms
We do
The urine test
Yeah urine test
Right
Yeah at times you can capture it
Or even on the microscope
Right
Yeah
Blood test
I know you know I've heard so many horrible stories
What happened to people
Because they didn't have any symptoms for a year and a half
Two years and then they had bladder cancer
And then all sorts of problems and complications
Some of the complications
That they take a longer period of time to show up
Like the bladder cancer
Urinary tract system cancer
Which in most of the cases
It attacks the bladder
Urinary bladder
Because of continued irritation to the bladder
So you develop that
Yeah in some cases we have unexplained anemia
We might call it unexplained anemia
Because if you don't take the drug
It becomes very difficult for you to say
Maybe it's pihazia
If you don't put it in mind that
I once visited an area that is infested
And it's just Malawi like
Or pretty much it can be in all African lakes
The past
Not in all African lakes
But most of the lakes in Africa
Most of them
We have that problem
And what about the locals?
How do they get the treatment?
Because you know they swim
They pretty much you know
They fish
They wash their clothes
They living at the lake all the time
What treatment do they get?
Do they just regular treatment?
Here?
Yeah
Yeah at least every six months
They get
Yeah they get treatment
Yeah and we combine it with
Which is for the intestinal worms
So if you have that type of worm
It means that if you take
Treatment for pihazia
Because that treatment kills also some of the worms
Intestinal worms
So if you happen to take treatment for pihazia
And those worms are not educated
It means the pihazia will be
Still there
Yeah will be still be there
But if you take avenas which for the worms
It means all
Everything is gone
Yeah
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The right, yeah?
Here?
This way?
Oh that way
Thank you
Through here?
No, too much
Not enough
That way?
But we're tied
This is like
I'm stuck
Thank you
This way?
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This is a nice ride I really like it
Oh by the way I'm in Malawi at the moment