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
Argentina malaria risk only in
rural areas in the north west of the country along the
border with Bolivia and Paraguay
3
-
R
R
R
R
-
-
-
L
-
Belize
malaria risk in rural
areas only and is highest in western and southern regions.
The risk in urban parts of Belize City is small.
3/4
C
R
R
R
R
-
-
-
L
L
Bolivia malaria risk in rural areas
below 2500m regimen 2 or 1,
the Amazon Basin regimen 1 or 2
1/2
RC
R
R
R
R
R
-
L
L
L
Brazil
the Amazon Basin region, Mato
Grosso and Maranhao regimen 1. All other areas regimen
4.
Colombia malaria risk in areas below
800 metres, regimen 1. All
other areas regimen 4.
1/4
R
R
R
R
R
-
-
L
L
L
Costa
Rica malaria risk in rural areas
below 500 metres. Risk is highest around central northern
border areas with Nicaragua and on the east coast around
Puerto Limon - regimen 3. Chloroquine resistance reported
in recent years in tourist areas in Puntarenas costal
province. No risk in Central Valley and San Jose but anti
mosquito measures recommended.
3/4
C
R
R
R
R
-
-
-
L
L
COUNTRY
MALARIA
REGIMEN
YEL
HEP
A
TYP
TET
POL
MEN
ENC
DIP
RAB
HEP
B
Ecuador Esmeraldas Province regimen
1,
all other areas below 1500 metres 2.
No risk in Galapagos or Guayaquil.
1/2
RC
R
R
R
R
-
-
R
L
L
El
Salvador malaria risk in the northern
Santa Ana Province and in in rural areas along the borders
with Guatemala and Honduras - regimen 3. All other areas
are very low risk, adopt bite avoidance measures.
3/4
C
R
R
R
R
-
-
-
L
L
French
Guiana malaria risk in the whole country
all year round.
1
M
R
R
R
R
-
-
L
L
L
Guatemala malaria risk in areas below
1500 metres. There is a higher risk in the northern and
western regions of Alta Verapaz, Baja Verapaz, Peten and
San Marcos.
3
C
R
R
R
R
-
-
L
L
L
Guyana malaria risk in all interior
regions and there have also been sporadic cases on the
coast.
1
RC
R
R
R
R
-
-
L
L
L
Honduras Risk is present throughout the
year in most of the country including major cities - regimen
3. Chloroquine resistance in the Islas de la Bahia - regimen
1.
3/1
C
R
R
R
R
-
-
-
L
L
Margarita
Island No risk on Margarita
Island.
Those staying on Margarita
Island may take day-trips
inland to the Angel Falls in Venezuela - the risk will
be small for trips confined to daylight hours. Adopt
bite avoidance measures.
4
-
R
R
R
R
-
-
-
-
L
Mexico malaria risk throughout
the year in rural areas along the west coast and in the
south of the country not
regularly visited by tourists.
The risk in Cancun is very small but malaria is present
in nearby rural areas. No
risk in major tourist resorts eg. Mexico City, Acapulco,
Cancun, Puerto Vallarta & Veracruz.
3/4
-
R
R
R
R
-
-
-
L
L
COUNTRY
MALARIA
REGIMEN
YEL
HEP
A
TYP
TET
POL
MEN
ENC
DIP
RAB
HEP
B
Nicaragua malaria risk throughout the
whole country all year round, although the risk is less
in Madriz, Carazo and Masaya,
3
C
R
R
R
R
-
-
-
L
L
Panama very
low malaria risk for cruises along the Panama canal
- regimen 4. Areas west of the Canal e.g. Bocas de Toro
if visited - regimen 3. Areas east of the Canal e.g.
Darien and San Blas - regimen 2.
2/3/4
R
R
R
R
R
-
-
-
L
L
Paraguay malaria risk in areas along
the south eastern border with Brazil
e.g. the Alto Parana, Caaguazu and Canendiyu departments.
The risk is greater in rural and jungle areas.
3
C
R
R
R
R
-
-
L
L
L
Peru malaria risk in rural areas
East of the Andes and West of the Amazon Basin below 1500
metres - regimen 2, Amazon Basin area - regimen 1.
1/2
RC
R
R
R
R
-
-
L
L
L
Suriname Risk is present and high throughout
the year in southern and central parts of the country
- regimen 1. In the city of Paramaribo and all coastal
districts risk is low - regimen 4.
1/4
RC
R
R
R
R
-
-
L
L
L
Uruguay No malaria risk
-
-
R
R
R
R
-
-
-
L
-
Venezuela malaria risk high in inland
rainforest areas of Amazonia, Apure, Bolivar, and delta
Amacuro states, including Angel Falls and areas south
of and including Orinoco river and also along the Guyana
border regimen 1. Risk is low in Caracas, neighbouring
coastal regions and on Margarita island- regimen 4.
1/4
R
R
R
R
R
-
-
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 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):
