The various repellents and other modes of bite
avoidance for travelers have recently been the subject of
an evidence-based review.
There has been surprisingly little research conducted
on the way that travelers follow bite-avoidance advice
or use repellents in practice. It isviewedinthesamewayasanychemo-
effectiveiftheindividualadherestotheregimenpre-
scribed.Yetalthoughworkhasbeenconducteddefining
levelsofadherence,attitudes,andbehaviorsregarding
antimalarials,
4–6 thisisnotthecaseforbiteavoidance.
Thereisalsolittledataavailableconcerning
compliancetoinsectrepellentuse,althoughithas
beenstatedthatitisgenerallylessthantomalaria
chemoprophylaxis.
7 Inretrospectivequestionnaire-
basedstudiesoftravelers8 andfieldstudiesin