Malaria High Risk Areas
Anti malaria tablets such as atovaquone/ proguanil, chloroquine, doxycycline or mefloquine are usually advised in high-risk malaria areas, and precautions against mosquito bites are essential.
Cover your skin with clothing, use an effective insect repellent and sleep under an insecticide treated mosquito net. Check with your doctor or travel clinic to see which anti malaria tablets you should take. Malaria has become resistant to chloroquine in many areas.
Lightweight, single mosquito net impregnated with Lifesystems Ex8. Tough, black mesh netting, 196 holes per square inch. For indoor and outdoor use. Comes with a tough ripstop bag.
Africa
There is a high risk of malaria all over the following African countries:
Angola, Benin, Burkina Faso, Burundi, Cameroon, Central African Republic, Chad, Comoros, Congo, Cote d’Ivoire, Democratic Republic of the Congo, Djibouti, Equatorial Guinea, Gabon, Gambia, Ghana, Guinea, Guinea-Bissau, Liberia, Madagascar, Malawi, Mali, Mayotte, Mozambique, Niger, Nigeria, Rwanda, Sao Tome and Principe, Senegal, Sierra Leone, Somalia, South Sudan, Sudan, United Republic of Tanzania, Togo, Uganda and Zambia.
Some countries in Africa have regions of high and low risk. High-risk areas include:
- Botswana – northern parts
- Eritrea – entire country apart from Asmara
- Ethiopia – areas below 2,500m
- Kenya – whole country except for Nairobi and the highlands
- Mauritania – southern areas
- Namibia – northern third of the country
- South Africa – very far north eastern areas
- Swaziland – eastern regions
- Zimbabwe – Zambezi Valley and areas below 1,200m
Central America
Countries in Central America have low or variable risk of malaria, apart from Panama, where there is a high risk of malaria in eastern provinces.
South America
There are many high risk malaria areas in South America, including:
- Bolivia – all areas below 2,500m
- Brazil – forested areas of Amazonia below 900m and some urban areas
- Colombia – rural areas below 1,700m
- Ecuador – all areas below 1,500m
- French Guiana – high risk throughout, particularly in areas bordering Brazil and Suriname
- Guyana – high risk throughout, apart from coastal areas
- Peru – north eastern areas, including Iquitos
- Suriname – most areas are high risk, but coastal areas, including Paramaribo, are not
- Venezuela – areas south of the Orinoco river
Central Asia
There is a high risk of malaria throughout April to December in areas of Afghanistan below 2,000m, and in all areas of Pakistan apart from the Himalayas in the far north.
East Asia
Areas at high risk for malaria in East Asia include:
- Bangladesh – south eastern areas
- Bhutan – southern districts
- Cambodia – everywhere except areas around Tonle Sap Lake and the capital city Phnom Penh
- China – there is a risk of serious malaria in Hainan Island and Yunnan Province
- India – Assam
- Indonesia – high risk everywhere apart from areas of Bali and Java
- Laos – entire country
- Malaysia – areas in both east and west Malaysia
- Myanmar (formerly Burma) – altitudes below 1,000m
- Nepal – low-lying southern areas
- Philippines – rural areas below 600m
- Thailand – areas along some international borders and forested areas
- East Timor – high risk throughout
- Vietnam – rural areas
Caribbean
High malaria risk areas in the Caribbean include:
- Dominican Republic – western areas
- Haiti – entire country
Middle East
There are high and low risk malaria areas in the Middle East. High-risk areas include:
- Iran – southern rural areas including Kerman
- Saudi Arabia – south western areas
- Yemen – areas below 2,000m
Oceania
There is a high risk of malaria throughout Vanuatu, the Solomon Islands and most of Papua New Guinea (areas below 1,800m).
References:
- Centers for Disease Control and Prevention: Malaria
- Fit For Travel: Destinations
