DoH Guidelines: Prophylaxis
[Treatment] [Prophylaxis]

 

TABLE  2: LIST OF COUNTRIES AFFECTED BY MALARIA1

COUNTRY

TIME OF YEAR

AREA OF RISK

CSA

CRB

Afghanistan

May - November

Areas below 2000m.

 

X

Algeria

Throughout the year

One small focus in Ihrir (Illizi Dept.)

X NPC

 

Angola

Throughout the year

Whole country.

 

X

Argentina

October - May

Rural areas below 1200m along borders with Bolivia and Paraguay.

X

 

Azerbaijan

Throughout the year

Southern areas and Khachmas region in the north. No risk in Baku.

 

X

Bangladesh

Throughout the year

Whole country, except no risk in city of Dhaka.

 

X

Belize

Throughout the year

Rural areas.

X

 

Benin

Throughout the year

Whole country.

 

X

Bhutan

Throughout the year

Southern districts bordering India.

 

X

Bolivia

Throughout the year

Rural areas below 2500 m, except n western areas.

              CR -  Areas bordering Brazil

X

              CS -  Other areas

X

Botswana

November - June

Northern regions e.g. Boteti, Chobe, Ngamiland, Okavango, Tutume.

 

X

Brazil

Throughout the year

Rural areas below 900m. No risk in eastern areas and in cities of  Rio de Janeiro and Sao Paulo.

 

X

Burkina Faso

Throughout the year

Whole country.

 

X

Burundi

Throughout the year

Whole country.

 

X

Cambodia

Throughout the year

Whole country, except Phnom Penh area and close around Tonle Sap.

X

CR + MRD - Western areas

X

CR - Other areas

X

Cameroon

Throughout the year

Whole country.

 

X

Cape Verde

September - November

Limited to island of São Tiago.

X NP

 

Central African Republic

Throughout the year

Whole country.

 

X

Chad

Throughout the year

Whole country.

 

X

China

Throughout the year

Rural areas below 1500m. Not in Beijing and some other cities.

X

CR - Hainan and Yunnan

X

CS - Other areas

X

Columbia

Throughout the year

Rural areas below 800m. No risk in Bogota and vicinity.

 

X

Comoros

Throughout the year

Whole country.

 

X

Congo

Throughout the year

Whole country.

 

X

Costa Rica

Throughout the year

Rural areas below 700m.

X

 

Côte d'lvoire (IvoryCoast)

Throughout the year

Whole country.

 

X

Djibouti

Throughout the year

Whole country.

 

X

Dominican Republic

Throughout the year

Whole country.

X

 

Ecuador

Throughout the year

Areas below 1500m, along eastern border and the Pacific coast.

 

X

Egypt

June - October

Only in El Faiy m area.

X

 

El Salvador

Throughout the year

Whole country.

X

 

Equatorial Guinea

Throughout the year

Whole country.

 

X

Eritrea

Throughout the year

Areas below 2000m. No risk in city of Asmara.

 

X

Ethiopia

Throughout the year

Areas below 2000m. No risk in city of Addis Ababa.

 

X

French Guiana

Throughout the year

All regions of the interior.

 

X

Gabon

Throughout the year

Whole country.

 

X

Gambia

Throughout the year

Whole country.

 

X

Ghana

Throughout the year

Whole country.

 

X

Guatemala

Throughout the year

Areas below 1500m.

X

 

Guinea

Throughout the year

Whole country.

 

X

Guinea-Bissau

Throughout the year

Whole country.

 

X

Guyana

Throughout the year

All areas, except north eastern coastal area.

 

X

Haiti

Throughout the year

Areas below 300m.

X

 

Honduras

Throughout the year

Mainly in rural areas.

X

 

Hong Kong

Throughout the year

Occasional risk in certain rural areas.

X NPC

 

India

Throughout the year

Areas below 2000m excluding states of Himachal Pradesh, Jammu,  Kashmir and Sikkim.

 

X

Indonesia

Throughout the year

Mainly in rural areas. No risk in big cities and tourist resorts  of Java and Bali.

 

X

Iran

March- November

Whole country, except central areas.

CR - South eastern areas

X

CS - Other areas

X

Iraq

May - November

Some northern areas below 1500m.

X

 

Kenya

Throughout the year

Areas below 2500m. Very low risk in city of Nairobi.

 

X

Laos

Throughout the year

Whole country. No risk in city of Vientiane.

 

X

Liberia

Throughout the year

Whole country.

 

X

Libya

February - August

Very limited risk in two small foci in south-west

X NP

 

Madagascar

Throughout the year

Whole country.

 

X

Malawi

Throughout the year

Whole country.

 

X

Malaysia

Throughout the year

Some rural areas only. Urban and coastal areas are malaria free  except Sabah.

 

X

Mali

Throughout the year

Whole country.

 

X

Mauritania

Throughout the year

Southern areas.

 

X

Mauritius

Throughout the year

Rural areas in north only. No risk on Rodrigues Island.

X NP

 

Mayotte

Throughout the year

Whole country.

 

X

Mexico

Throughout the year

Some rural areas not often visited by tourists.

X

 

Morocco

May - October

Limited risk in some rural areas.

X NP

 

Mozambique

Throughout the year

Whole country.

 

X

Myanmar (Burma)

Throughout the year

Areas below 1000m.

 

X

Namibia

Throughout the year

Along Kavango River and Caprivi strip.

X

November - June

Other areas north from Etosha.

X

Nepal

Throughout the year

Rural areas along Indian border.

 

X

Nicaragua

June - December

Rural areas and outskirts of some towns.

X

 

Niger

Throughout the year

Whole country.

 

X

Nigeria

Throughout the year

Whole country.

 

X

Oman

Throughout the year

Areas below 2000m, except in desert areas.

 

X

Pakistan

Throughout the year

Areas below 2000m.

 

X

Panama

Throughout the year

Whole country.

X

 

Papua New Guinea

Throughout the year

Areas below 1800m.

 

X

Paraguay

October - May

Rural areas bordering Brazil.

X

 

Peru

Throughout the year

Rural areas below 1500m.

 

               CR -  Areas bordering Bolivia, Brazil, Colombia and Equador

X

                CS -  Other areas

X

Philippines

Throughout the year

Many rural areas below 600m. No risk in urban areas or in the  plains.

 

X

Rwanda

Throughout the year

Whole country.

 

X

Sao Tome and Principe

Throughout the year

Whole country.

 

X

Saudi Arabia

Throughout the year

Western provinces except in high altitude areas, Yemen border and  urban areas of Jeddah, Mecca, Medina and Taif.

 

X

Senegal

Throughout the year

Whole country.

 

X

Sierra Leone

Throughout the year

Whole country.

 

X

Solomon Islands

Throughout the year

Whole country, except in a few eastern and southern outlying  islets.

 

X

Somalia

Throughout the year

Whole country.

 

X

South Africa (see part on South Africa)

October - May

Lower altitude areas of Northern Province, Mpumalanga and north  eastern areas of Kwazulu-Natal.

 

X

Sri Lanka

Throughout the year

Whole country, except in districts of Colombo, Kalutara and  Nuwara Eliya.

 

X

Sudan

Throughout the year

Whole country.

 

X

Suriname

Throughout the year

Whole country, except coastal areas.

 

X

Swaziland

Throughout the year

Lowveld areas. No risk in Mbabane.

 

X

Syrian Arab Republic

May - October

Along northern border areas.

X

 

Tajikistan

Throughout the year

Some southern border areas.

X

 

Tanzania

Throughout the year

Areas below 1800m.

 

X

Thailand

Throughout the year

Rural areas only. No risk in cities and main tourist resorts e.g.  Bangkok, Chaingmai, Pattaya and Phuket..

X

CR + MRC- Areas near Cambodian and Myanmar borders.

X

CR - All other areas.

X

Togo

Throughout the year

Whole country.

 

X

Turkey

March - November

South East Anatolia from coastal city of Mersin to Iraqi border.

X

 

Uganda

Throughout the year

Whole country.

 

X

United Arab Emirates

Throughout the year

Only in foothill areas and valleys in mountainous regions of  northern region. No risk in cities e.g. Dubai, Sharjah, Ajman and  Umm al Qaiwain.

 

X

Vanuatu

Throughout the year

Whole country, except Fatunu Island.

 

X

Venezuela

Throughout the year

Rural areas, except in the north western coastal areas.

 

X

Vietnam

Throughout the year

Rural areas only. No risk in Red River Delta.

 

X

Zaire

Throughout the year

Whole country.

 

X

Zambia

Throughout the year

Whole country.

 

X

Zimbabwe

Throughout the year

November - June

Zambezi valley.

X

Areas below 1200m, including Victoria Falls. No risk in city of  Harare.

X

A Chloroquine-sensitive malaria parasites in this area. Prophylaxis:  chloroquine only

B Chloroquine-resistant malaria parasites in this area. Prophylaxis:  chloroquine + proguanil or mefloquine alone

C Risk of malaria is very low. No antimalarial drugs recommended

D Chloroquine and mefloquine-resistant malaria parasites in this area.  Prophylaxis: doxycycline

The  guidelines are endorsed by the Medical Association of South Africa.

Compiled by the Department of Health in  collaboration with the Subcommittee for Chemoprophylaxis and Therapy of the National  Malaria Advisory Group.

October 1996