Risk of Malaria- Destinations

which medication

On this page you will be able to find out which medication is currently recommended for your destination(s).

Your destination(s) (in alphabetical order below) will have a Region code eg region mdm Click on the Region code to find the correct choices of medication for that destination:

  • Always use the correct medication for the areas you are travelling to.
  • If you are travelling between areas that require different medications then discuss the travel plan with your doctor.
  • Always discuss child medication with your doctor.
  • Always complete the course of medication unless advised by a doctor.
  • Always discuss with your doctor if you are pregnant or breast-feeding, suffer from any medical conditions (eg epilepsy, psoriasis, depressive illness, renal impairment) or take any regular medication.

Please remember: No medication is 100% effective so it is important that you take adequate measures to avoid being bitten. Always use an insect repellent with DEET.

Malaria medication4

 

Destinations:

AFGHANISTAN - Areas below 2000m between May and November -region pc

ALBANIA - No risk of malaria

ALGERIA - All areas - very low risk in the southern and south eastern provinces including the Illizi department -  region r 

AMERICAN SAMOA - No risk of malaria

ANDORRA - No risk of malaria

ANGOLA - All areas - region mdm 

ANGUILLA - No risk of malaria

ANTARCTICA - No risk of malaria

ANTIGUA and BARBUDA - No risk of malaria

ARGENTINA - Rural areas along northern border in the Chacos, Corrientes, Misiones and Salta provinces -  region c

• All other areas, including lguacu falls and Buenos Aires - low to no risk -  region r 

ARMENIA - No risk of malaria - region r

ARUBA - No risk of malaria

ASCENSION ISLAND - No risk of malaria

AUSTRALIA - No risk of malaria

AUSTRIA - No risk of malaria

AZERBAIJAN - All areas - low to no risk -  region r 

BAHAMAS - No risk of malaria

BAHRAIN - No risk of malaria

BANGLADESH

• Chittagong Hill Tract districts (Bandarban, Rangamati, Khagrachari)  - region mdm

• All other areas including Chittagong city, Dhaka City, Cox's Bazaar and Sylhet - low to no risk -  region r 

BARBADOS - No risk of malaria

BELARUS - No risk of malaria

BELGIUM - No risk of malaria

BELIZE - All rural areas - region c

• No risk in Belize district or Belize city or islands frequently visited by tourists -  region r

BENIN - All areas - region mdm  

BERMUDA - No risk of malaria

BHUTAN -

• Southern districts of Chhukha, Geyleg-phug, Samchi, Samdrup, Jonkhar and Zhemgang - region pc

• All other areas - low to no risk -  region r

BOLIVIA -

• Amazon basin area East of the Andes particularly in the departments of northern Beni, Pando and Santa Cruz- region mdm

• All other rural areas below 2500m - region c

• Areas above 2500m and the salt flats - region r

BORNEO -

Indonesian Borneo:

• all areas - region mdm

Malaysian Borneo:

• Eastern Inland areas of Sabah and Inland forested areas of Sarawak including Sepilok - region mdm

• Coastal areas of Sabah (including Kota Kinabalu and Sandakan) and Sarawak,

         - low risk -  region r 

BOSNIA and HERZEGOVINA - No risk of malaria

BOTSWANA

• Northern half of the country, including Okavango Delta area, Zambesi river and all the game parks to the north of the Kalahari desert including along the Zimbabwean border between November and June - region mdm 

• Southern half of country - low to no risk -  region r

BRAZIL -

• The Amazon basin region including the city of Manaus and Boa Vista - region mdm

• All other areas, including Iguacu falls, Rio de Janeiro and Sao Paulo - low to no risk -  region r 

BRUNEI DARUSSALAM - All areas - very low risk -  region r

BULGARIA - No risk of malaria

BURKINA FASO - All areas - region mdm 

BURUNDI - All areas -  region mdm

CAMBODIA -

• Western provinces of Cambodia bordering Thailand -  Region doxmal 

• Very low risk around Angkor Wat, Lake Tonie Sap including Siem Reap and no risk in Phnom Penh -  region r

• All other areas -region mdm 

CAMEROON -All areas - region mdm 

CANADA - No risk of malaria

CAPE VERDE - Very low risk on the island of Boa vista and Sao Tiago

      -   region r

CAYMAN ISLANDS - No risk of malaria

CENTRAL AFRICAN REPUBLIC - All areas - region mdm 

CHAD - All areas - region mdm 

CHANNEL ISLANDS - No risk of malaria

CHILE - No risk of malaria (including Easter Island)

CHINA -

• Yunnan and Hainan Provinces and Hainan Island - region mdm 

• All other areas including main tourist areas, Beijing, Macau, Shanghai, Yellow and Yangsze river cruises - very low risk - region r 

COLOMBIA - most rural areas below 1600m -  region mdm 

• Cartagena, Bogota city and all areas above 1600m - low to no risk -  region r

COMOROS - All areas - region mdm  

CONGO (Republic of the) - All areas -  region mdm 

CONGO, Democratic Republic of (formerly Zaire) - All areas -  region mdm

COOK ISLANDS - No risk of malaria

COSTA RICA -

• Limon province -  region c

• All other areas including the city of Limon - (Puerto Limon) -  Low to no risk - region r 

COTE D'IVOIRE (Ivory Coast) - All areas -  region mdm 

CROATIA - No risk of malaria

CUBA - No risk of malaria

CYPRUS - No risk of malaria

CZECH REPUBLIC - No risk of malaria

DENMARK - No risk of malaria (including Faroe Islands)

DJIBOUTI - All areas -  region mdm 

DOMINICA - No risk of malaria

DOMINICAN REPUBLIC - Cities of Santiago and Santa Domingo - very low risk -  region r

• All other areas including Punta Cana-  region c


EAST TIMOR (Timor Leste)
- All areas - region mdm 

ECUADOR -

• Galapagos Islands and cities of Cuenca, Guayaquil and Quito - no risk of malaria -  region r

• All other areas below 1500m, including

  the Amazon basin areas and coastal provinces - region mdm

EGYPT -  All areas - very low risk -  region r 

EL SALVADOR -

• All areas, including the western provinces of Santa Ana, Ahuachapán and La Union - low risk -  region r 

EQUATORIAL GUINEA - All areas - region mdm 

ERITREA - All areas below 2200m - region mdm

• No risk in Asmara - region r

ESTONIA - No risk of malaria

ETHIOPIA - Areas below 2000m - region mdm 

• No risk in Addis Ababa - region r

FALKLAND ISLANDS - No risk of malaria

FIJI - No risk of malaria

FINLAND - No risk of malaria

FRANCE - No risk of malaria

FRENCH GUIANA -City of Cayenne and Devil's Island (Ile du Diable) - no risk of malaria - region r

• All other areas, especially the border areas - region mdm  

FRENCH POLYNESIA - No risk of malaria (including Bora Bora Islands and Tahiti)

GABON - All areas -  region mdm 

GAMBIA - All areas -  region mdm 

GEORGIA - South Eastern rural areas between June and October - very low risk - region r 

GERMANY - No risk of malaria

GHANA - All areas -  region mdm 

GIBRALTAR - No risk of malaria

GREECE - All areas - very low risk - region r

GREENLAND - No risk of malaria

GRENADA - No risk of malaria

GUADELOUPE - No risk of malaria

GUAM - No risk of malaria

GUATEMALA - Antigua and Guatemala city or Lake Atitlan and areas above 1500m - no risk of malaria - region r

• All other areas below 1500m -  region c 

GUINEA - All areas -  region mdm 

GUINEA-BISSAU - All areas -  region mdm 

GUYANA - All interior areas -  region mdm 

• Georgetown and coastal areas - low risk - region r

HAITI - All areas -  region c 

HAWAII - No risk of malaria

HONDURAS - San Pedro Sula and Tegucigalpa and all areas above 1000m -

                           no risk of malaria - region r

• All other areas below 1000m, including

                   Roatan and other Bay islands -  region c 

HONG KONG - No risk of malaria

HUNGARY - No risk of malaria

ICELAND - No risk of malaria

INDIA -

• Assam and Orissa all districts - region mdm

• The districts of East Godavari, Srikakulam, Vishakhapatnam and Vizianagaram in the state of Andhra Pradesh -  region mdm

• The districts of Balaghat, Dindori, Mandla and Seoni in the state of Madhya Pradesh -  region mdm 

• For the rest of India including Goa, Kerala, Punjab, Rajasthan Agra, Delhi, Mumbai and the Andaman and Nicobar Islands - region r or region pc

However if you are travelling overland between these areas,
you may be passing through areas of greater risk and require prophylaxis - region pc

• Lakhshadweep islands - no risk - region r

INDONESIA and JAVA (see also Borneo) -

• Papua (lrian Jaya) and Lombok island -  region mdm 

• Bali and also cities on the islands of Java and Sumatra including Jakarta -  very low risk of malaria - region r 

• All other areas including Gili island and all other Indonesian islands -region pc 

IRAN -

• South Eastern rural areas and Northern border with Azerbaijan and Turkmenistan from March to November -region pc

• All other rural areas - low to no risk -  region r 

IRAQ -

• Northern rural areas below 1500m from May to November - very low risk -   region r 

ISRAEL - No risk of malaria

ITALY - No risk of malaria

IVORY COAST - All areas -  region mdm 

JAMAICA - No risk of malaria

JAPAN - No risk of malaria

JORDAN - No risk of malaria

KAZAKHSTAN - No risk of malaria

KENYA -

• Main urban areas of Nairobi - very low risk -  region r
• All other areas below 2500m including Maasai Mara, coastal areas and Mombasa -  region mdm 

KIRIBATI - No risk of malaria

KOREA (North) - Very low risk in some southern areas -  region r 

KOREA (South) - Very low risk in the northern areas of Gangwon-do and Gyeonggi-do provinces and the city of Incheon (towards the demilitarised zone) - region r

KOSOVO - No risk of malaria

KUWAIT - No risk of malaria

KYRGYSTAN - South western areas that border Tajikistan and Uzbekistan from June to October - very low risk -  region r 

LAOS - Border areas with Myanmar (Bokeo and Luang Namtha provinces) and Thailand (Champasak and Salavan provinces) - mefloquine resistance present - Region doxmal 

• City of Vientiane - low to no risk of malaria -  region r

• All other areas -  region mdm 

LATVIA - No risk of malaria

LEBANON - No risk of malaria

LESOTHO - No risk of malaria

LIBERIA - All areas -  region mdm 

LIBYA - No risk of malaria

LIECHTENSTEIN - No risk of malaria

LITHUANIA - No risk of malaria

LUXEMBOURG - No risk of malaria

MACEDONIA - No risk of malaria

MADAGASCAR - All areas -  region mdm 

MALAWI - All areas -  region mdm 

MALAYSIA (see also Borneo - Malaysian Borneo) -

• Peninsular (mainland) Malaysia inland forested areas, including Taman Negara National Park - region mdm

• All other areas of peninsular Malaysia including Cameron Highlands, Kuala Lumpur and the islands of Langkawi and Penang -

  - very low risk -  region r 

MALDIVES - No risk of malaria

MALI - All areas -  region mdm 

MALTA - No risk of malaria

MARSHALL ISLANDS - No risk of malaria

MARTINIQUE - No risk of malaria

MAURITANIA -

• Northern provinces between July and October inclusive - region mdm 

• Northern provinces during the rest of the year - very low risk -  region r

• Southern provinces all year round -  region mdm

MAURITIUS - No risk of malaria

MAYOTTE - All areas -  region mdm 

MEXICO -

• Southern states of Oaxaca and Chiapas - region c 

• All other areas including Cancun and states of Chihuahua, Durango, Mexici city, Nayarit, Quintana Roo and Sinaloa - very low risk -  region r 

MICRONESIA - No risk of malaria

MOLDOVA - No risk of malaria

MONACO - No risk of malaria

MONGOLIA - No risk of malaria

MONTENEGRO - No risk of malaria

MONTSERRAT - No risk of malaria

MOROCCO - No risk of malaria

MOZAMBIQUE - All areas -  region mdm 

MYANMAR (formerly Burma) - Cities of Mandalay and Yangon - very low risk,  - region r 

• All other areas mefloquine resistance present -  Region doxmal 

NAMIBIA -

• Caprivi region and areas along Kavango and Kunene rivers all year round -  region mdm

• Northern third of the country between November and June -  region mdm 

• All other areas - low to no risk - region r 

NAURU - No risk of malaria

NEPAL -Kathmandu and Himalayan treks - very low risk - region r 

• All other areas below 1500m including Terai and Kailali districts - region pc 

NETHERLANDS - No risk of malaria

NETHERLANDS ANTILLES - No risk of malaria (including Saint Martin)

NEW CALEDONIA - No risk of malaria

NEW ZEALAND - No risk of malaria

NICARAGUA

• City of Managau - very low risk -region r 

• All other areas -  region c 

NIGER - All areas -  region mdm 

NIGERIA - All areas -  region mdm 

NIUE - No risk of malaria

NORWAY - No risk of malaria

OMAN - No risk of malaria -  region r 

PAKISTAN - Areas below 2000m, including Faisalabad, Hyderbad, Islamabad, Karachi, Mirpur, Rawalpindi and Lahore - region pc 

• All other areas - Low to no risk - region r

PALAU - No risk of malaria

PANAMA -

• East of Panama Canal Zone including the province of Colon - region pc

• West of Panama Canal Zone -  region c

• Low risk in Panama City and for cruises on Panama Canal Zone including the city of Colon -  region r 

PAPUA NEW GUINEA - All areas below 1800m - region mdm 

• All areas above 1800m - region r

PARAGUAY - Departments of Alto Parena and Caaguazu -  region c 

• All other areas very low risk - region r 

PERU -

• Amazon basin areas along the border with Brazil, particularly the province of Loreto -  region mdm 

• South coastal areas of Chiclayo, the city of Lima, Cusco, Lake Titicaca, Machu Pichu and Inca trail - no risk of malaria - region r

 • Other rural areas below 2000m including Amazon basin areas that borders Bolivia and Puerto Maldonado - region c

PHILIPPINES -

• Rural areas below 600m including the islands of Luzon, Mindanao, Mindoro and Palawan - region pc 

• No risk in cities and the islands of Cebu, Leyte, Bohol, Boracay and Catanduanes - region r

PITCAIRN ISLANDS - No risk of malaria

POLAND - No risk of malaria

PORTUGAL - No risk of malaria (including Azores and Madeira)

PUERTO RICO - No risk of malaria

QATAR - No risk of malaria

REUNION ISLAND - No risk of malaria

ROMANIA - No risk of malaria

RUSSIA - No risk of malaria

RWANDA - All areas -  region mdm 

SAINT HELENA - No risk of malaria

SAINT KITTS and NEVIS - No risk of malaria

SAINT LUCIA - No risk of malaria

SAINT PIERRE and MIQUELON - No risk of malaria

SAINT VINCENT and the GRENADINES - No risk of malaria

SAMOA - No risk of malaria

SAN MARINO - No risk of malaria

SAO TOME and PRINCIPE - All areas - region mdm 

SARDINIA - No risk of malaria

SAUDI ARABIA -

• South Western border areas below 2000m including Asir province - region pc

• Cities of Mecca, Medina, Jeddah, Riyadh and Ta'if - very low risk -  region r 

• Hajj pilgrims: trip between Mecca and Medina if undertaken on a single day during daylight hours - low risk - region r

For non daylight hours or more than one day travel - region pc

SENEGAL - All areas -  region mdm 

SERBIA - No risk of malaria

SEYCHELLES - No risk of malaria

SIBERIA - No risk of malaria

SIERRA LEONE - All areas -  region mdm 

SINGAPORE - No risk of malaria

SLOVAKIA - No risk of malaria

SLOVENIA - No risk of malaria

SOLOMON ISLANDS - All areas - region mdm 

SOMALIA - All areas -  region mdm 

SOUTH AFRICA -

• Low altitude areas of Mpumalanga and Limpopo (bordering Mozambique and Zimbabwe) including Kruger National Park from September to May -  region mdm
• North East Kwazulu-Natal and bordering areas, tourist areas including Cape Town, Durban, Johannesburg, Pretoria and Port Elizabeth - very low risk -  region r 

SPAIN - No risk of malaria (including Balearic and Canary Islands)

SRI LANKA - All areas including Colombo, Kandy and North Vavuniya - low to no risk of malaria -  region r 

SUDAN  - Very low risk in Khartoum - region r 

• All other areas including South Sudan -  region mdm

SOUTH SUDAN -  All areas -  region mdm 

SURINAME -City of Paramaribo and coastal areas - very low risk -  region r

• All other areas -  region mdm 

SWAZILAND - Northern and eastern regions bordering Mozambique and South Africa (Lubombo district and Big Bend, Mhlume, Simunye and Tshaneni regions) -  region mdm 

• All other areas - very low risk -  region r

SWEDEN - No risk of malaria

SWITZERLAND - No risk of malaria

SYRIA - Small remote foci of Al Hasakah in the north east - very low risk  -  region r 

TAIWAN - No risk of malaria

TAJIKSTAN - All areas below 2000m between June and October - region pc 

• All areas below 2000m during the rest of the year - region r

TANZANIA - All areas below 1800m (including Zanzibar, Arusha, Serengeti and Pemba) -  region mdm 

TASMANIA - No risk of malaria

THAILAND -

• Rural forested border areas with Myanmar (Burma), Cambodia and Laos including border areas of Ratchaburi province - mefloquine resistance present - Region doxmal 

• All other areas including the Kwai bridge (Kanchanaburi), Bangkok, Chang Mai, Chang Rai, Koh Chang, Koh Pha Ngan, Koh Samui, Ratchaburi City, Phuket and Pattaya - very low to no risk -  region r

TIBET - No risk of malaria

TOGO - All areas -  region mdm 

TOKELAU - No risk of malaria

TONGA - No risk of malaria

TRINIDAD and TOBAGO - No risk of malaria

TUNISIA - No risk of malaria

TURKEY -

• Border with Syria and area around and to the east of Adana between May and October -  region c

• All other areas - very low risk -  region r 

TURKMENISTAN - No risk of malaria

TURKS and CAICOS ISLANDS - No risk of malaria

TUVALA - No risk of malaria

UGANDA - All areas -  region mdm 

UKRAINE - No risk of malaria

UNITED ARAB EMIRATES -

• No risk in any area including Abu Dhabi or in the cities of Dubai, Sharjah, Ajman and Ummal-Qaiwain

UNITED KINGDOM - No risk of malaria

USA - No risk of malaria

URUGUAY - No risk of malaria

UZBEKISTAN - Extreme South Eastern areas, very low risk -  region r 

VANUATA - All areas -  region mdm 

VENEZUELA -

• Amazon basin area, Angel Falls and areas south of and including Orinoco river -  region mdm

• Rural areas in the states of Apure, Monagas, Sucre and Zulia (North of Orinoco River) - region pc 

• Caracas or Margarita island and day trips to Angel falls - very low risk - region r 

VIETNAM -

• Cities including Hanoi, Vung Tau and Ho Chi Minh, Mekong River delta until close to the Cambodian border, Red river delta, the coastal areas north of Nha Trang (including Ha Long bay) and the island of Phu Quoc -  region r

• Southern provinces of Tay Ninh, Lam Dong, Dac Lac, Gia Lai and Kon Tum and all other rural areas - mefloquine resistance present -  Region doxmal 

VIRGIN ISLANDS (British & American) - No risk of malaria (including Tortola)

WAKE ISLANDS - No risk of malaria

WALLIS and FUTUNA ISLANDS - No risk of malaria

WESTERN SAHARA - No risk of malaria - region r

YEMEN - No risk of malaria above 2000m including Sana'a city - region r 

• Low risk in Socotra Island - region r

• All other areas below 2000m - region pc 

ZAMBIA - All areas -   region mdm

ZIMBABWE -

• Zambezi valley, Mutare and Victoria Falls all year round -  region mdm

• All other areas below 1200m between November and June -  region mdm

• Harare and Bulawayo - very low risk - region r  

 

totalpharmacy.co.uk             last updated 22/07/2017 valid until 31/12/2017

This page was last updated: Saturday 06 January, 2018