THE TRAVEL DOCTOR
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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.

To access this special service:-

 
Member of the
British Travel Health
Association

 
 
 
 
 
 

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.

To access this special service:-

 
Member of the
British Travel Health
Association

 
 
 

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.

To access this special service:-

 
Member of the
British Travel Health
Association

 
 
 

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.

To access this special service:-

 
Member of the
British Travel Health
Association

 
 
 

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.

To access this special service:-

 
Member of the
British Travel Health
Association

 
 
 

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.

To access this special service:-

 
Member of the
British Travel Health
Association

 
Home Introduction Information Main Page About Us Links
Vaccinations and Malaria Prophylaxis
for travellers to Africa
---
Click on the name of the required country or scroll down for the relevant information

Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi

Cameroon
Cape Verde
Central African Rep.
Chad
Comoros
Congo

Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia

Gabon
Gambia
Ghana
Guinea Bissau
Ivory Coast

Kenya

Lesotho
Liberia
Libya
Madagascar
Malawi

Mali

Mauritania
Mauritius
Morocco
Mozambique
Namibia

Niger
Nigeria
Rwanda
Sao Tome & Principe
Senegal

Seychelles

Sierra Leone
Somalia
South Africa
Sudan
Swaziland

Tanzania

Togo
Tunisia
Uganda
Zambia
Zimbabwe

 
A key to the abbreviations used and information on the different
anti-malarial drug regimens can be found below the main tables

Malaria endemic countries in Africa

Note: In this map, countries with areas endemic for malaria are shaded completely even if transmission occurs
in only part of that country. For more specific within country information, see the guidelines below.

Dengue Risk in Africa

Yellow Fever Risk in Africa

Disease Risks in North Africa and the Middle East

Afghanistan, Algeria, Bahrain, Egypt, Iran, Iraq, Israel, Jordan, Kuwait, Lebanon, Libya,
Morocco, Oman, Qatar, Saudi Arabia, Syria, Tunisia, Turkey, United Arab Emirates, Yemen.


Disease Risks in Sub-Saharan and Southern Africa

Angola, Benin, Botswana, Burkina Faso, Burundi, Cameroon, Cape Verde, Central African Republic, Chad, Comoros, Congo, Democratic Republic of Congo (formerly Zaire), Djibouti, Equatorial Guinea, Eritrea, Ethiopia, Gabon, Gambia, Ghana, Guinea, Guinea-Bissau, Ivory Coast, Kenya, Lesotho, Liberia, Madagascar, Malawi, Mali, Mauritania, Mauritius, Mayotte, Mozambique, Namibia, Niger, Nigeria, Reunion, Rwanda, Saint Helena, Sao Tome and Principe, Senegal, Seychelles, Sierra Leone, Somalia, South Africa, Sudan, Swaziland, Tanzania (including Zanzibar), Togo, Uganda, Zaire (see Democratic Republic of Congo), Zambia, Zimbabwe.


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.

COUNTRY
MALARIA
REGIMEN
YEL
HEP
A
TYP
TET
POL
MEN
ENC
DIP
RAB
HEP
B
Algeria
malaria risk very low; employ anti-mosquito measures
4
C
R
R
R
R
-
-
L
L
L
Angola
malaria risk in the whole country all year round
1
M
R
R
R
R
R
-
L
L
L
Benin Republic
malaria risk in the whole country all year round
1
M
R
R
R
R
R
-
L
L
L
Botswana
malaria risk in the Northern half of the country from November through to June.
1
-
R
R
R
R
-
-
L
L
L
Burkina Faso
malaria risk in the whole country all year round
1
M
R
R
R
R
R
-
L
L
L
Burundi
malaria risk in the whole country all year round
1
RC
R
R
R
R
R
-
L
L
L
Cameroon
malaria risk in the whole country all year round
1
M
R
R
R
R
R
-
L
L
L
Cape Verde Islands
Very low malaria risk - avoid mosquito bites.
4
RC
R
R
R
R
-
-
L
L
L
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 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. The malaria regimen is the recommended 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 tablet weekly. OR
Doxycycline
one 100mg capsule
daily. OR
Malarone
one tablet daily.
Regimen 2 Chloroquine 300mg weekly (2x150mg tablets). PLUS
Proguanil 200mg daily (2x100mg tablets).
Regimen 3 Chloroquine 300mg weekly (2x150mg tablets) OR
Proguanil 200mg daily (2x100mg tablets).
Regimen 4 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):
Chloroquine plus
Proguanil
2 tablets weekly
2 tablets daily
150mg (base)
100mg
Areas of chloroquine resistant P. falciparum:

Mefloquine

Doxycycline

Malarone
(atovaquone & proguanil)

1 tablet weekly

1 tablet/capsule daily

1 tablet daily

250mg (228 in USA)

100mg

250mg atovaquone &
100mg proguanil

 
Please read the Malaria Page for more information
 

     
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