More than 90% of FA and pilots believed that

insect repellents protect against malaria; however, less than half (46 and 47%, respectively) always wore insect repellent on their skin when at a malaria-intense destination. Seventeen percent of FA and 15% of pilots indicated they avoid repellents because of the chemicals or smell. Most believed that antimalarial medications would protect them from malaria (76 and 89%), but 61% of FA and 31% of pilots were concerned about the medications’ side effects. When asked about the ease of obtaining antimalarial medications through their airline, approximately 28% from both occupations reported it was “hard” or “very hard” to obtain and 21% of FA and 7% of pilots indicated

that it was not available. A large proportion of FA and pilots reported not knowing how to get antimalarial medications (52 and 30%, respectively), not having enough SP600125 price notice to obtain them prior to travel (47 and 49%), not understanding when antimalarial medications should be used (30 and 16%), and being confused as to how to take antimalarial medications (31 and 19%). In addition, 33% of FA and 13% of pilots believed antimalarial medications were too expensive. The majority of FA (73%) and 33% of pilots reported that they never took antimalarial medications. While at malaria-intense destinations, almost Belnacasan datasheet all pilots (99%) and FA (98%) reported always sleeping in the company’s contracted hotel with the air conditioning running in their rooms Fludarabine (86 and 84%). Additionally, the majority indicated they wore long pants and sleeves, at least some of the time, and most spent time outdoors or in open air locations in and outside the hotel to eat, exercise, or visit local attractions (Table 4). Pertaining to Airline A’s malaria prevention education program, FA most frequently rated the program as fair (32%) and pilots as good (37%; Table 5). The most common methods participants reported to have received malaria prevention education were through casual conversation, periodic communications from the airline, and

the malaria wallet card. When asked to select the single most common source of health information before traveling, both occupations reported “WHO/CDC/state health department websites” first, followed by “word of mouth” for FA and “not sought” for pilots. The most frequent malaria prevention education methods rated as “very good” or “good” by FA and pilots were the Malaria Frequently Asked Questions (FAQ) sheets in the airport lounges, the Health Services webpage, articles or briefings from fellow crewmembers who had been infected with malaria, and the malaria wallet card. The top preference for a pre-travel reminder among both occupations was a pop-up message on the “trip awarded/placed on work schedule” webpage.