Anguilla, Antigua
and Barbuda, Aruba, Bahamas, Barbados, British Virgin Islands, Cayman
Islands, Cuba, Dominica, Dominican Republic, Grenada, Guadeloupe,
Haiti, Jamaica, Martinique, Montserrat, Netherlands Antilles, Puerto
Rico, Saint Kitts and Nevis, Saint Lucia, Saint Vincent and the
Grenadines, Trinidad and Tobago, Turks and Caicos Islands, and the
Virgin Islands (USA).
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 if longer than
1 month.
COUNTRY
MALARIA
REGIMEN
YEL
HEP
A
TYP
TET
POL
MEN
ENC
DIP
RAB
HEP
B
Anguilla No malaria risk
-
C
R
R
R
R
-
-
-
-
-
Antigua & Barbuda No
malaria risk
-
-
R
R
R
R
-
-
-
-
-
Aruba No
malaria risk
-
C
R
R
R
R
-
-
-
-
-
Bahamas No malaria risk
-
-
R
R
R
R
-
-
-
-
-
Barbados No malaria risk
-
-
R
R
R
R
-
-
-
-
-
Canada No malaria risk
-
-
-
-
R
-
-
-
-
-
-
Cayman Islands No
malaria risk
-
-
R
R
R
R
-
-
-
-
-
Cuba No malaria risk
-
-
R
R
R
R
-
-
-
-
-
Dominica No malaria risk
-
-
R
R
R
R
-
-
-
-
-
COUNTRY
MALARIA
REGIMEN
YEL
HEP
A
TYP
TET
POL
MEN
ENC
DIP
RAB
HEP
B
Dominican Republic malaria risk
in the whole country
all year round although the risk is greater in the western
provinces of Castanuelas, Hondo Valley and Pepilla Salcedo
in rural areas including game parks. There is less risk
in the east and in built up tourist resorts but periodic
outbreaks do occur in these areas.
3
-
R
R
R
R
-
-
-
-
-
Greenland No
malaria risk
-
-
-
-
R
-
-
-
-
-
-
Grenada No
malaria risk
-
C
R
R
R
R
-
-
-
-
-
Guadeloupe No
malaria risk
-
C
R
R
R
R
-
-
-
-
-
Haiti
malaria risk in the whole country
all year round. High risk in forest areas of Chantal,
Gros Morne, Hinche and Jacmel Maissade. The risk in other
areas is lower.
3
C
R
R
R
R
-
-
-
-
-
Hawaii No
malaria risk
-
-
R
-
R
-
-
-
-
-
-
Jamaica No
malaria risk
-
C
R
R
R
R
-
-
-
-
-
Martinique
No
malaria risk
-
-
R
R
R
R
-
-
-
-
-
Montserrat No
malaria risk
-
-
R
R
R
R
-
-
-
-
-
Netherlands
Antilles No malaria risk
-
-
R
R
R
R
-
-
-
-
-
COUNTRY
MALARIA
REGIMEN
YEL
HEP
A
TYP
TET
POL
MEN
ENC
DIP
RAB
HEP
B
Puerto
Rico No
malaria risk
-
-
R
R
R
R
-
-
-
-
-
Saint
Kitts & Nevis No
malaria risk
-
C
R
R
R
R
-
-
-
-
-
Saint Lucia No
malaria risk
-
C
R
R
R
R
-
-
-
-
-
Saint Vincent & the Grenadines No
malaria risk
-
C
R
R
R
R
-
-
-
-
-
Trinidad & Tobago No malaria risk
-
RC
R
R
R
R
-
-
-
-
-
Turks & Caicos No
malaria risk
-
C
R
R
R
R
-
-
-
-
-
United States of America
including Bermuda & Hawaii No
malaria risk
-
-
-
-
R
-
-
-
-
-
-
Virgin Islands
No
malaria risk
-
-
R
R
R
R
-
-
-
-
-
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 if longer than 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):
