Guidelines for malaria prevention in travellers from the United ...
Guidelines for malaria prevention in travellers from the United ...
Guidelines for malaria prevention in travellers from the United ...
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
MALARIA CHEMOPROPHYLAXIS IN SUB-SAHARAN AFRICA<br />
TABLE 8<br />
ALTERNATIVE<br />
REGIMEN IF<br />
RECOMMENDED<br />
REGIMEN UNSUITABLE<br />
ACMP<br />
RECOMMENDED<br />
REGIMEN<br />
COUNTRY<br />
RISK<br />
Seek expert advice<br />
(see chapter 9)<br />
Mefloqu<strong>in</strong>e<br />
OR<br />
Doxycycl<strong>in</strong>e<br />
OR<br />
Atovaquone/<br />
Proguanil<br />
Sudan<br />
Swaziland<br />
Tanzania<br />
Togo<br />
Uganda<br />
Zaire<br />
Zambia<br />
Niger<br />
Nigeria<br />
Pr<strong>in</strong>cipe<br />
Rwanda<br />
São Tomé<br />
Senegal<br />
Sierra Leone<br />
Somalia<br />
Gu<strong>in</strong>ea-Bissau<br />
Ivory Coast<br />
Kenya<br />
Liberia<br />
Madagascar<br />
Malawi<br />
Mali<br />
Mozambique<br />
Congo<br />
Djibouti<br />
Equatorial Gu<strong>in</strong>ea<br />
Eritrea<br />
Gabon<br />
Gambia<br />
Ghana<br />
Gu<strong>in</strong>ea<br />
Angola<br />
Ben<strong>in</strong><br />
Burk<strong>in</strong>a Faso<br />
Burundi<br />
Cameroon<br />
Central African Republic<br />
Chad<br />
Comoros<br />
Risk high<br />
Chloroqu<strong>in</strong>e<br />
resistance<br />
widespread<br />
G UIDELINES FOR M ALARIA P REVENTION IN<br />
T RAVELLERS FROM THE U NITED K INGDOM<br />
Botswana (only <strong>in</strong> <strong>the</strong> nor<strong>the</strong>rn half of <strong>the</strong> country, November-June)<br />
Ethiopia (below 2000m, no risk <strong>in</strong> Addis Ababa)<br />
Mauritania (year round <strong>in</strong> <strong>the</strong> south; <strong>in</strong> north July-October)<br />
Namibia (nor<strong>the</strong>rn third only, November-June; all year along Kavango & Kunene Rivers)<br />
South Africa (north east, low altitude areas of Mpumalanga & Nor<strong>the</strong>rn Prov<strong>in</strong>ces,<br />
<strong>in</strong>clud<strong>in</strong>g <strong>the</strong> Kruger National Park, North East KwaZulu-Natal as far south as Tugela<br />
River).<br />
Zimbabwe (areas below 1200m, November-June; all year <strong>in</strong> Zambezi valley. Risk<br />
negligible <strong>in</strong> Harare or Bulawayo)<br />
Awareness*<br />
Cape Verde (some risk on São Tiago)<br />
Mauritius<br />
Risk low<br />
See tables 3-6 <strong>for</strong> details of regimens<br />
*Awareness of small risk of <strong>malaria</strong>; avoid mosquito bites and seek<br />
medical attention <strong>for</strong> any suspicious symptoms (up to about a year<br />
later) but tablets not considered necessary.<br />
43
Change language