AVOCA STREET MEDICAL CENTRE
130 Avoca Street Randwick NSW 2031
Tel: 02 9399 3335 - Fax: 02 9399 9778

avocastreet.com - asmc.net.au - randwickhealth.com - randwickgp.com - familydoctor.sydney

General Practitioners

Dr. Angela Georgopoulos

M.B.B.S FRACGP
University of NSW
Interests: Womens health, Family Medicine

Rostered hours
Mon8:00 - 12:00
Tue8:00 - 12:00
Wed8:00 - 12:00
Thu8:00 - 12:00
Fri8:00 - 12:00

* See Saturday consult conditions


Dr. Kien
Cao-Xuan

Dr. Mandy
Chuang

Dr. Priscilla
Wong

Request An Appointment Online

Doctors' Roster
AngelaPriscillaKienMandy
Mon8:00 - 12:00 08:30 - 17:00 07:30 - 14:00  
Tue8:00 - 12:00 14:00 - 18:00 07:30 - 14:00 10:00 - 16:00
Wed8:00 - 12:00 08:30 - 17:00 07:30 - 14:00  
Thu8:00 - 12:00  07:30 - 14:00 10:00 - 16:00
Fri8:00 - 12:00 08:30 - 17:00   

NOTICE DURING CORONAVIRUS PANDEMIC
In order to improve the safety of the community, of our patients and of our staff during the Coronavirus pandemic, Avoca Street Medical Centre will need to implement some temporary changes to our general practice services. Telephone consults are available and preferred.

However, patients will be able to book a face to face consultation (provided they have no symptoms of cough, fever, sore throat or runny nose OR have had a NEGATIVE COVID TEST in the previous 5 days). Face to face consultations will be kept strictly within 10 minutes to stay under the duration outlined by the NSW Health definition of "close contacts".

ALL PATIENTS ARE REQUIRED TO WEAR FACE MASKS WHILE IN OUR OFFICE

Please call us on (02) 9399 3335 for an appointment.
Patients with any symptoms are encouraged to directly attend the COVID Clinics for testing. Both open 7 days per week:

  1. Prince of Wales Hospital (Building 14B, Ground Floor, Avoca Street, Randwick)
  2. Sydney Children's Hospital - under 16 year olds (Hospital Road, High St End)

Patients who have tested negative but with ongoing symptoms will be able to attend our practice for assessment after advising staff.

Meanwhile, please heed current public health pandemic advice: stay inside your home, wash hands, observe physical distancing, regular exercise and maintain mental wellness.

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    General Information
     

    Malaria



    Malaria is an infection of the liver and red blood cells caused by microscopic parasites. There are five types of parasites that cause malaria: Plasmodium ovale, P. malariae, P. knowlesi, P. vivax and P. falciparum. Malaria parasites are spread through the bite of certain mosquitoes. Mainland Australia is free of malaria, but malaria is occasionally present in the Torres Strait Islands. Australians can contract malaria while travelling in tropical and subtropical areas of Asia, Africa, Central and South America, the Pacific Islands and parts of the Middle East. Currently, approximately 500 cases of malaria are diagnosed in Australia each year - almost all are in people who have travelled to malaria-affected countries and didn't take anti-malarial medications.

    Symptoms of malaria include sudden fever, chills, headache, sweating, nausea, vomiting and pain in joints and muscles. In severe cases symptoms can include seizures, confusion, kidney failure, breathing difficulty and coma. The infection is sometimes fatal. Malaria caused by the Plasmodium falciparum parasite can be especially dangerous. Malaria symptoms usually develop 9-14 days after being bitten by an infected mosquito. Occasionally symptoms develop weeks or months later. Some types of malaria can re-occur months or years after exposure.

    Malaria is spread through the bite of the female Anopheles mosquito. The malaria parasites live inside the gut and salivary glands of an infected mosquito. When a person is bitten by an infected mosquito, the parasites are injected into the person's blood. The parasites then infect the liver and blood cells. When a mosquito bites a person with malaria, the mosquito may become infected and can then spread the disease.

    In rare cases, malaria can also be spread from person to person through blood transfusion, sharing injecting equipment, and from mother to foetus.

    Any person who lives in or travels to a country where malaria is present is at risk of contracting the disease. The risk is usually higher in rural areas than in cities. Those at increased risk include:
    • Pregnant women: Malaria can be more severe in pregnant women. Malaria can also increase the risk of miscarriage, premature labour and stillbirth.
    • Young children: Children of any age can get malaria. When children get malaria, the disease can progress very rapidly. Malaria can be more severe in children, especially those aged under 5. Pregnant women and young children are sometimes advised not to travel to malaria-affected areas if the risk is especially high.
    • People visiting friends and relatives overseas: People returning to malaria-affected areas to visit friends and relatives are often at high risk of getting malaria. This is because immunity against the malaria parasite wanes quickly, and people visiting friends and relatives in malaria-affected areas may not be aware that they need to avoid mosquitoes.M


    Overseas travellers can prevent malaria by avoiding mosquito bites and taking preventive antimalarial drugs that kill the parasite.

    Four to six weeks before travelling overseas, visit a GP or a travel health clinic for specific advice about avoiding malaria based on your itinerary and medical history.

    Depending on the risk of malaria in the areas you are visiting, you may be advised to take drugs to prevent malaria. The choice of antimalarial depends on a range of factors including the drug resistance patterns of malaria in the areas you will visit.

    It is important to take antimalarials exactly as advised by your doctor. All antimalarials need to be taken before, during and after you travel. Some need to be started several weeks before you travel. It is also very important to continue taking antimalarials as directed after you leave the affected area. Sometimes this means taking antimalarials for up to 4 weeks after you leave.

    No antimalarial drug is 100% effective. Travellers taking antimalarial drugs still need to protect themselves from mosquito bites. Mosquitoes can carry other diseases too - another reason to avoid being bitten.

    To protect against mosquitoes and reduce the risk of diseases they transmit:
    • Cover-up with a loose-fitting long sleeved shirts and long pants when outside
    • Apply mosquito repellent to exposed skin
    • Take special care during peak mosquito biting hours. The mosquitoes that transmit malaria are most a twilight hours (dawn and dusk) and into the evening.
    • Stay and sleep in screened or air-conditioned rooms
    • Use a bed net if the area where you are sleeping is exposed to the outdoors. Nets are most effective when they are treated with a pyrethroid insecticide, such as permethrin. Pre-treated bed nets can be purchased before travelling, or nets can be treated after purchase.
    • Avoid known areas of high mosquito-borne disease transmission or outbreaks.

    For more detailed information on reducing the risk of mosquito bites at home and while travelling see the Mosquitoes are a Health Hazard information. This also includes more information on mosquito repellents.

    Malaria is diagnosed by special blood tests that detect malaria parasites. It is important that your doctor knows about your travel history and symptoms so the right blood test can be ordered.

    If you become ill with symptoms of malaria while overseas or after travelling, visit a GP or hospital emergency department as soon as possible. Tell the doctor where you have travelled, as this will help to make the right diagnosis. If you are travelling to a remote area where you know it will be difficult to access medical care, you may need to be prepared to treat yourself for malaria if you get symptoms (as well as taking drugs to prevent malaria). Speak to your doctor about this before you travel.

    Laboratories are required to notify cases of malaria on diagnosis to the local public health unit.

    Further Information
    For further information on safe travel see Staying healthy when travelling overseas. The Smartraveller website also has health advice for specific destinations.
    For more information about malaria and other travel health topics, refer to the US Centers for Disease Control and Prevention Travelers' Health site.
    For further information please call your local Public Health Unit on 1300 066 055

    The information in the above were collected from the internet,
    either from government websites or from reasonably reliable health information sources.
    They are for general information only and should not replace the need of seeking medical care during illnesses.

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