A
key to the abbreviations used and information
on the different
anti-malarial drug regimens can be found
below the main tables
COUNTRY
MAL
1
MAL
2
YEL
HEP
A
TYP
TET
POL
MEN
ENC
DIP
RAB
HEP
B
Argentina malaria risk
only in a
small area 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
3
-
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
2/1
RC
R
R
R
R
R
-
L
L
L
Brazil
the Amazon Basin
region, Mato Grosso and Maranhao 1 or
2
all other areas regimen 4
1/4
2
RC
R
R
R
R
-
-
L
L
L
Chile
-
-
-
R
R
R
R
-
-
L
L
-
Columbia malaria risk
in areas below 800 metres
1
2
R
R
R
R
R
-
-
L
L
L
Costa
Rica malaria risk
in rural areas below 700 metres
3
-
-
R
R
R
R
-
-
-
L
L
COUNTRY
MAL
1
MAL
2
YEL
HEP
A
TYP
TET
POL
MEN
ENC
DIP
RAB
HEP
B
Ecuador malaria prophylaxis:
Esmeraldas Province regimen 1,
all other areas below 1500 metres 2
or 1
1/2
1
RC
R
R
R
R
-
-
R
L
L
El
Salvador
3
-
C
R
R
R
R
-
-
-
L
L
French
Guiana malaria risk
in the whole country
1
2
M
R
R
R
R
-
-
L
L
L
Guatemala malaria risk
in areas below 1500 metres
3
-
C
R
R
R
R
-
-
L
L
L
Guyana malaria risk
in all interior regions
1
2
RC
R
R
R
R
-
-
L
L
L
Honduras
3
-
C
R
R
R
R
-
-
-
L
L
Margarita
Island
-
-
-
R
R
R
R
-
-
-
-
L
Mexico malaria
risk in some rural areas not regularly
visited by tourists. no risk in major
tourist resorts eg. Mexico City, Acapulco,Cancun,
Puerto Vallarta & Veracruz.
3
-
-
R
R
R
R
-
-
-
L
L
COUNTRY
MAL
1
MAL
2
YEL
HEP
A
TYP
TET
POL
MEN
ENC
DIP
RAB
HEP
B
Nicaragua
3
-
C
R
R
R
R
-
-
-
L
L
Panama malaria risk
east of the canal regimen 2 or 1, west
of the canal regimen 3, no risk for
cruises on the canal regimen 4
2/3
1
R
R
R
R
R
-
-
-
L
L
Paraguay malaria risk
in rural areas only
3
-
C
R
R
R
R
-
-
L
L
L
Peru malaria risk
in rural areas below 1500m regimen 2
or 1
Amazon Basin area regimen 1 or 2
1/2
2/1
RC
R
R
R
R
-
-
L
L
L
Surinam
1
2
RC
R
R
R
R
-
-
L
L
L
Uruguay
-
-
-
R
R
R
R
-
-
-
L
-
Venezuela malaria risk
in rural areas other than on the coast
regimen 2 or 1, Amazon Basin area regimen
1 or 2, no risk in Caracas.
2/1
1/2
R
R
R
R
R
-
-
L
L
L
YEL
Yellow
Fever
HEP
A
Hepatitis
A
TYP
Typhoid
TET
Tetanus
POL
Polio
MEN
Meningitis
ENC
Encephalitis
B
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.
Countries
requiring malaria prophyllaxis
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 1st malaria regimen (MAL
1) is the preferred regimen
for a country. The 2nd malaria
regimen (MAL 2) is an alternative
that should only be used when the
1st Regimen is either unavailable
or badly tolerated. The preferred
regimen should always be used whenever
possible. Use of the 2nd regimen in
some instances 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.
