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
here 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):
