THE TRAVEL DOCTOR
----www.traveldoctor.co.uk
 
 

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 North America & the Caribbean
---
Click on the name of the required country or scroll down for the relevant information
Anguilla
Antigua & Barbuda
Aruba
Bahamas
Barbados
Canada
Cayman Islands
Cuba
Dominica

Dominican Republic
Greenland
Grenada
Guadeloupe
Haiti

Hawaii
Jamaica
Martinique
Montserrat
Netherlands Antilles

Saint Kitts & Nevis
Saint Lucia
Saint Vincent & the
Grenadines
Trinidad & Tobago
Turks & Caicos
United States of America
Virgin Islands
 
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 North America & the Caribbean


Dengue Risk in Central America & the Caribbean

Disease Risks in North America

Bermuda, Canada, Greenland, New Saint Pierre and Miquelon and the United States of America including Hawaii.


Disease Risks in The Caribbean

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).


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
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. 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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