Do
you know which medicines you should take with
you on your travels?
By accessing the interactive
part of this web site you can obtain a list of
all the medicines necessary for your trip.
Whether you are going on a holiday to a beach
resort or a full blown expedition to some remote
location.
However
long you will be away or however many people will
be in your group, wherever you are going and whatever
you are doing, you can obtain your own customised
list.
Do
you know which medicines you should take with
you on your travels?
By accessing the interactive
part of this web site you can obtain a list of
all the medicines necessary for your trip.
Whether you are going on a holiday to a beach
resort or a full blown expedition to some remote
location.
However
long you will be away or however many people will
be in your group, wherever you are going and whatever
you are doing, you can obtain your own customised
list.
Central
African Republic malaria
risk in the whole country all year round
1
M
R
R
R
R
R
-
L
L
L
Chad malaria
risk in the whole country all year round
1
R
R
R
R
R
R
-
L
L
L
Comoros malaria
risk in the whole country all year round
1
R
R
R
R
R
-
-
L
L
L
Congo
(Zaire) malaria
risk in the whole country all year round
1
M
R
R
R
R
R
-
L
L
L
Djibouti malaria
risk in the whole country all year round
1
RC
R
R
R
R
L
-
L
L
L
Egypt
malaria risk from
June - Oct in
the El Faiyum region (50 miles south
of Cairo on the west bank of the Nile)
- Regimen 3. All other areas, very low risk,
avoid mosquito bites - Regimen 4.
3/4
C
R
R
R
R
-
-
L
L
L
Equatorial Guinea malaria risk in the whole country all year
round
1
RC
R
R
R
R
-
-
L
L
L
Eritrea malaria
risk in all areas below 2000m
1
M
R
R
R
R
R
-
L
L
L
Ethiopia malaria
risk in areas below 2000m only. No risk
in Addis Ababa - avoid mosquito bites
1/4
R
R
R
R
R
R
-
L
L
L
COUNTRY
MALARIA
REGIMEN
YEL
HEP
A
TYP
TET
POL
MEN
ENC
DIP
RAB
HEP
B
Gabon malaria
risk in the whole country all year round
1
M
R
R
R
R
-
-
L
L
L
Gambia malaria
risk in the whole country all year round
1
RC
R
R
R
R
R
-
L
L
L
Ghana malaria
risk in the whole country all year round
1
M
R
R
R
R
R
-
L
L
L
Guinea
Bissau malaria
risk in the whole country all year round
1
RC
R
R
R
R
R
-
L
L
L
Ivory
Coast malaria
risk in the whole country all year round
1
M
R
R
R
R
R
-
L
L
L
Kenya malaria
risk in the whole country all year round
1
RC
R
R
R
R
R
-
L
L
L
Lesotho no
malaria risk but anti-mosquito measures
recommended
4
RC
R
R
R
R
-
-
L
L
L
Liberia malaria
risk in the whole country all year round
1
M
R
R
R
R
-
-
L
L
L
Libya no
malaria risk but anti-mosquito measures
recommended
4
-
R
R
R
R
-
-
L
L
L
Madagascar malaria risk in the whole country all year
round
1
C
R
R
R
R
-
-
L
L
L
Malawi malaria
risk in the whole country all year round
1
C
R
R
R
R
L
-
L
L
L
Mali malaria
risk in the whole country all year round
1
M
R
R
R
R
R
-
L
L
L
Mauritania
malaria
risk is present all year in the south
of the country, but only from July to
October in the north.
2
R
R
R
R
R
R
-
L
L
L
Mauritius malaria
risk in rural areas only - Regimen 3.
Very low risk on Rodrigues Island and
tourist hotel areas, avoid mosquito
bites.
3/4
C
R
R
R
R
-
-
L
-
L
Morocco malaria
risk very low; employ anti-mosquito
measures
4
-
R
R
R
R
-
-
L
L
L
Mozambique malaria risk in the whole country all year
round
1
C
R
R
R
R
R
-
L
L
L
Namibia malaria
risk is present in the northern third
of the country between November and
June, and throughout the year in the
Kunene and Kavango river valleys and
close to the Angolan border - Regimen
1. The rest of the country - Regimen
4.
1/4
-
R
R
R
R
R
-
L
L
L
COUNTRY
MALARIA
REGIMEN
YEL
HEP
A
TYP
TET
POL
MEN
ENC
DIP
RAB
HEP
B
Niger malaria
risk in the whole country all year round
1
M
R
R
R
R
R
-
L
L
L
Nigeria
malaria
risk in the whole country all year round
1
RC
R
R
R
R
R
-
L
L
L
Rwanda malaria
risk in the whole country all year round
1
M
R
R
R
R
R
-
L
L
L
Sao Tome
& Principe malaria risk in the whole country all year
round
1
M
R
R
R
R
-
-
L
L
L
Senegal malaria
risk in the whole country all year round
1
RC
R
R
R
R
R
-
L
L
L
Seychelles no malaria risk but anti-mosquito
measures recommended
4
C
R
R
R
R
-
-
L
-
L
Sierra
Leone malaria
risk in the whole country all year round
1
RC
R
R
R
R
R
-
L
L
L
Somalia malaria
risk in the whole country all year round
1
RC
R
R
R
R
R
-
L
L
L
South
Africa malaria
risk in the northeast and low altitude
areas of the Northern Province, Mpumalanga
and eastern KwaZulu-Natal down to 100km
north of Durban, including national
parks in those areas eg. Kruger National
Park.
1
C
R
R
R
R
-
-
L
L
L
Sudan Red
Sea coast no prophylaxis required regimen
4, all other areas regimen 1 or 2
1/4
RC
R
R
R
R
R
-
L
L
L
Swaziland malaria
risk in the whole country all year round
1
C
R
R
R
R
-
-
L
L
L
Tanzania malaria
risk in the whole country all year round
1
RC
R
R
R
R
R
-
L
L
L
Togo malaria
risk in the whole country all year round
1
M
R
R
R
R
R
-
L
L
L
Tunisia malaria
risk very low; employ anti-mosquito
measures
4
-
R
R
R
R
-
-
L
L
L
Uganda malaria
risk in the whole country all year round
1
RC
R
R
R
R
R
-
L
L
L
Zambia malaria
risk in the whole country all year round
1
R
R
R
R
R
R
-
L
L
L
Zimbabwe malaria risk in areas below 1200m
between November and June.
All year round in the Zambezi Valley
- Regimen 1. Very low risk in Harare
and Bulawayo - Regimen 4.
1/4
C
R
R
R
R
L
-
L
L
L
YEL
Yellow Fever
HEP
A
Hepatitis A
TYP
Typhoid
TET
Tetanus
POL
Polio
MEN
Meningitis
ENC
Jap. B Encephalitis
DIP
Diphtheria
RAB
Rabies
HEP
B
Hepatitis B
M
Vaccination
is mandatory and a certificate
of vaccination is required for
entry.
C
A certificate
of vaccination may be required
if entering from an endemic country,
(except for children <1 year
old).
R
Vaccination
is recommended for the country
but no evidence is required
for entry.
L
Long
Term. Vaccination recommended
for travellers staying in endemic
areas for 3 months or more.
Except Japanese B Encephalitis
<1 month.
The information
supplied is derived from a number
of reliable sources and is compared
and compiled into the alphabetical
lists found on this web site.
Countries requiring malaria prophylaxis
should be regarded as being at risk
all year round and you should
also assume that the whole country
is at risk unless otherwise indicated.
Themalaria regimen is therecommended regimen for a country.
Use of the incorrect regimen may not
provide adequate cover.
When there are two different regimens
for the same country, they are area
specific. Read the text to find out
which regimen is suitable for the
area you require.
Where regimen 1 is indicated
there is Chloroquine resistance in
that region and it is very likely
to be the Falciparum malaria which
is the most serious form of the disease.
In this instance it is vitally important
that travellers take adequate prophylaxis.
Remember:- No prophylaxis is
100% effective but not taking anti-malarials
where they are indicated will put
you at greater risk should you get
the disease. Remember - Malaria
is a killer!
The Different Drug Regimens
Regimen
1
Mefloquine one 250mg tabletweekly. OR
Doxycycline one 100mg capsule daily. OR
Malarone one tablet daily.
No
prophylactic tablets required but
anti mosquito measures should be strictly
observed: Avoid
mosquito bites by covering up with clothing
such as long sleeves and long trousers
especially after sunset, using insect
repellents on exposed skin and, when
necessary, sleeping under a mosquito
net.
.
Proguanil
100mg tablets are
supplied as Paludrine Tablets
Chloroquine
150mg tablets are
supplied as Nivaquine or Avloclor
Tablets
Mefloquine
250mg tablets are
supplied as Lariam Tablets
Malarone
is a
combination of Atovaquone 250mg
and Proguanil 100mg
Length of Prophylaxis
Chloroquine, Proguanil & Maloprim
Start
one week before travel, throughout
your stay in an endemic area and continue
for four weeks after return.
Mefloquine (Lariam)
Start
two and a half weeks before travel,
throughout your stay in an endemic area
and continue for four weeks after
return.
Doxycycline
Start two days before travel, throughout
your stay in an endemic area and continue
for four weeks after return.
Malarone
Start
two days before travel, throughout
your stay in an endemic area and continue
for one week after return.
IMPORTANT!
Take
the tablets absolutely regularly,
preferably with or after a meal.
Long
Term Use of Anti-Malaria Drugs
Chloroquine
May be
taken for periods exceeding five years.
Paludrine
May be
taken for periods exceeding five years.
Maloprim
Can be
taken for periods up to one year.
Mefloquine
Can be
taken for periods up to one year.
Doxycycline
Can be
taken for periods up to six months.
Malarone
Can be
used for travel periods up to one year.
Compatibility of Anti-Malaria Drugs
Pregnancy
Breast
Feeding
Epilepsy
Psoriasis
Altitude
Scuba
Diving
Chloroquine
OK
OK
NO
NO
OK
OK
Paludrine
OK
OK
OK
OK
OK
OK
Mefloquine
OK*
NO
NO
OK
NO
NO
Doxycycline
NO
NO
OK
OK
OK
OK
Malarone
NO
NO
OK
OK
OK
OK
*
These drugs are not suitable during
the first trimester of pregnancy.
Childrens' Dosages: Calculate
the dose by weight rather than by
age if possible
Age/Weight
Chloroquine
(once weekly)
Proguanil
(once daily)
Mefloquine
(once weekly)
Doxycycline
(once daily)
Malarone
(once daily)
0
- 12 weeks
under 6kg
1/4
tablet
1/4
tablet
-
-
-
3
- 12 months
6 - 10kg
1/2
tablet
1/2
tablet
1/4
tablet
-
-
1
- 3 years
10 - 16kg
3/4
tablet
3/4
tablet
1/4
tablet
-
1
child's
tablet
4
- 7 years
16 - 25kg
1
tablet
1
tablet
1/2
tablet
-
1
child's
tablet
8
- 12 years
25 - 45 Kg
11/2
tablets
11/2
tablets
3/4
tablet
-
2
child's
tablets
13
years and over
45kg and over
2
tablets
2
tablets
1
tablet
1
capsule
1
adult
tablet
The
above dosages are based upon the guidelines
issued by
the Advisory Committee on Malaria
Prevention.
Adult
Dosages
Regimen
Dose
for
Chemoprophylaxis
Usual
amount
per tablet (mg)
Areas
without drug resistance:
Chloroquine
Proguanil
2
tablets weekly
2
tablets daily
150mg
(base)
100mg
Areas
of little chloroquine resistance (poorly
effective where marked resistance):
