Yellow Fever

Hepatitis A

Typhoid

Tetanus

Polio

Meningitis

Jap. B Encephalitis

Rabies

Hepatitis B

Vaccination is mandatory and a certificate of vaccination is required for entry.

Vaccination is recommended for the country but no evidence is required for entry.

Long Term. Vaccination recommended for travellers staying in endemic areas for 3 months or more. Except Japanese B Encephalitis if longer than 1 month.

Afghanistan
Malaria risk below 2000 metres from May to Nov

Armenia
Malaria risk in some villages in the Ararat Valley, mainly in the Masis district, from June to October - Regimen 3. No risk in the main tourist areas Regimen 4.

Azerbaijan
Limited malaria risk from June to October in the south border area and Khachmas. Also in lowland areas, mainly in the areas between the Kura and the Arax rivers.

Bahrain
No malaria risk

Bangladesh
High malaria risk in the south east and Chittagong Hill Tracts - Regimen 1. All other areas - Regimen 2.
No risk in Dhaka city - Regimen 4.

Bhutan
Risk of Malaria is only present in the southern districts of Bhutan.

Brunei
No malaria risk

Cambodia
Malaria risk is present throughout the country including the areas around the famous temple complex of Angkor Wat near Siem Reap - Regimen 1.
Risk is minimal in the capital city

Phnom Penh, the nearby Mekong river delta and in the rice growing areas around the large inland lake of Tonle Sap - Regimen 4.

Note: There is mefloquine resistance present in western provinces & the border with Thailand.

China
Urban and densely populated areas are normally malaria free.

Serious risk of malaria in China is now confined to a few areas not normally visited by package tourists or business travellers but may be visited by backpackers or voluntary workers.

Risk is present only on Hainan island, in Yunnan province and sporadically in Guangxi province - Regimen 1.

Less serious malaria occurs in a few isolated areas in the 'flood' plains of the Yangtze (Chang Jiang) and Yellow (Huang He) rivers - specifically within the provinces of Fujian, Guangxi, Guangdong, Guizhou, Sichuan and Xizang (along the valley of the Zangbo river).

Isolated cases occasionally occur in other parts of the country Regimen 3.

All other regions including the main tourist areas - very little risk, avoid mosquito bites - Regimen 4.

Georgia
Malaria risk in some areas located in the south eastern part of the country from July to October.

Hong Kong
Very low malaria risk - avoid mosquito bites.

India
Malaria risk exists in all Indian states below 2000m especially in rural areas and Goa particularly areas north of Panaji - Regimen 2. - See note on Goa

Low risk in the southern states of Kerala, Tamil Nadu, Karnataka, and southern Andhra Pradesh including Hyderabad and the city of Mumbai - Regimen 3.

Low risk also in the northern states of Rajasthan, Uttar Pradesh, Punjab and the cities of Delhi and Aggra.

In these low risk areas it may not be necessary to take antimalarial medication especially if travel is restricted to urban areas - Regimen 3 or 4.

Very low to no risk in northern mountain states including the high altitude Himalayan states of Jammu and Kashmir, Himachal Pradesh and Sikkim - Regimen 4.

High risk in the eastern state of Assam where resistance to chloroquine has been reported - Regimen 1.

Indonesia including Bali
There is a malaria risk throughout Indonesia all year round but the risk is small in all large cities like Jakarta and the tourist resorts on the islands of Bali and Java - Regimen 4.

Iran
Malaria risk is minimal in areas north of the Zagros mountains and in western and south-western regions during the summer months. A more substantial risk is present from March to November in the south-eastern provinces of Sistan - Baluchestan, Hormozgan and Kerman.

Iraq
Malaria risk in northern rural areas and Basrah province in the south from May to November.

Israel
No malaria risk

There is very little risk in the central parts of the country and along the coastal road and train routes from the Malaysian/Thai peninsular into central Thailand - Regimen 4.

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!

Dose for
Chemoprophylaxis

Chloroquine

Proguanil

2 tablets weekly

2 tablets daily

150mg (base)

100mg

Mefloquine

Doxycycline

Malarone
(atovaquone & proguanil)

1 tablet weekly

1 tablet/capsule daily

1 tablet daily

250mg (228 in USA)

100mg

250mg atovaquone &
100mg proguanil

In early 2007 a number of cases of Plasmodium falciparum malaria were reported in UK travellers returning from Goa. None were known to have taken malaria chemoprophylaxis. During the same period, a number of cases were also seen in other European travellers.

This has resulted in the guidelines being revised to recommending chemoprophylaxis for all travellers visiting Goa.

The current recommendations for travellers visiting Goa are as follows:

Malaria chemoprophylaxis is recommended to those travellers who will be visiting Goa , particularly areas north of Panaji. The recommended chemoprophylaxis is chloroquine plus proguanil. Alternatives are mefloquine, Malarone, or doxycycline.

All travellers to Goa should also use mosquito bite avoidance measures.

All travellers should seek medical attention promptly if they become unwell whilst away or after returning and inform their doctor that they have been in a malarious area. The healthcare worker should consider malaria in every ill patient who has recently returned from the tropics; for those with a fever, the illness should be considered to be malaria until proven otherwise.