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TRAVEL HEALTH
FEVER

Red Line

Fever is a raised body temperature of over 38.5 degrees C (101 degrees F). Your body temperature will be higher than normal and you will sweat.

Fever helps the body to fight the infection.

SELF-CARE

What you can do yourself
(aged over 16 years)

YOU MUST DRINK A LOT DURING A FEVER. You will lose more fluid. Make sure the ill person has enough safe water to drink.

Keep the room at a comfortable temperature.

Sponge the body with lukewarm water. This makes you feel more comfortable.

If you have a thermometer, use it. Place it under the armpit or in the mouth. If you do not have a thermometer use the backs of your knuckles and compare the temperature with your own forehead.

Aspirin is more effective in reducing a temperature than Paracetamol. (See the Medicines section for dosage guidelines). Do not give Aspirin to children under 16 years of age. Do not take Aspirin or Ibuprofen if you are allergic to them.

Children (16 years and below)

If your child has a fever then watch carefully for any further symptoms.

If your child is not at all its normal self, then give Paracetamol or Ibuprofen. Use twice the usually recommended children's dose if necessary for a maximum of 48 hours.

Contact a doctor

Bullet If fever comes back after a few days of feeling normal.

Bullet If fever does not go away within three days, and you do not know why you have the fever.

Bullet If you feel listless. n If you have been to the tropics or a very hot country recently.

Children (16 years and below)

Bullet If the child's fever returns after two days, and the child becomes unwell again.

Bullet If the child is confused or drowsy, whatever its temperature.

Bullet If the child is vomiting (being sick) all the time.

Bullet If you think the child is in pain.

Bullet If the child is short of breath.

Babies

Bullet If the soft spot on top of your baby's head (fontanelle) is tight or bulging.

Bullet If your baby moans when you lift its legs to change a dirty nappy.

Bullet If the baby is being very sick (not just posseting).

Bullet If your baby is not drinking much.

Bullet If your baby gets diarrhoea.

Bullet If your baby has a fit or convulsion.

Bullet If your baby has a fever which does not go away after two days. Speak to a doctor about this, even if the baby seems to be normal and is drinking enough.

Contact a doctor immediately

Bullet If you have a temperature of over 40 degrees C (104 degrees F).

Bullet If you have a very stiff neck or vomiting. You may have a headache that does not go away as well and you may feel listless. (You have a stiff neck when you cannot bend the head forwards.)

Bullet If adults have a rash.

Children (16 years and below)

Bullet If your child feels very listless or appears to flop about, even if there is no fever or a low fever, your child could be very ill.

Bullet If your child shows any signs of neck cramp or pain when bending the head, or vomits all the time.

Febrile convulsion

A fever that rises quickly may bring about a fever/temperature fit. This is called a febrile convulsion.

STAY WITH YOUR CHILD. Keep calm. The fit will usually only last for a few minutes.

Your child will not be able to talk and will have muscle spasms. Your child's eyes will be rolling.

After the fit your child will naturally go to sleep. Your child's breathing will be normal. (If your child is unconscious, breathing will be loud and very heavy.)

Gently place your child on its side or stomach, with the head down and to one side.

Contact a doctor for advice

Following a fit it is sometimes appropriate for your child to be admitted to hospital for observation and further treatment if necessary.

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