I propose to take Questions Nos. 20, 21 and 33 together.
I am advised that the Defence Forces Medical Policy on the use of malaria chemoprophylaxis (including the use of Lariam) is in line with United Nations and World Health Organisation guidelines.
UN Medical Support Manual 2015 Edition serves as the standard reference document on medical support aspects of United Nations peacekeeping operations and political missions in the field. This Manual provides that anti-malarial medicines can be used to prevent malaria. It does not make any recommendations as to which chemoprophylaxis should be used but rather makes reference to the World Health Organisation (WHO) International Travel and Health Handbook for the latest information on malaria chemoprophylaxis. The WHO Handbook provides for a range of anti-malarials, which includes mefloquine (Lariam). The WHO Handbook notes that there are specific contraindications and possible side-effects for all anti-malarial drugs.
The report of the Malaria Chemoprophylaxis Working Group was prepared in the context of current and potential litigation, and is therefore legally privileged and will not be published.