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.
G UIDELINES FOR M ALARIA P REVENTION IN<br />
T RAVELLERS FROM THE U NITED K INGDOM<br />
50<br />
TABLE 12<br />
RISK<br />
Risk high<br />
Marked<br />
chloroqu<strong>in</strong>e<br />
resistance<br />
present<br />
Risk<br />
variable<br />
or high<br />
Chloroqu<strong>in</strong>e<br />
resistance<br />
present<br />
Risk variable<br />
to low<br />
No<br />
chloroqu<strong>in</strong>e<br />
resistance<br />
present<br />
MALARIA CHEMOPROPHYLAXIS IN SOUTH AMERICA<br />
AND CARIBBEAN<br />
COUNTRY<br />
Bolivia (Amazon bas<strong>in</strong> area)<br />
Brazil (Amazon bas<strong>in</strong> (i.e.‘Legal Amazon’<br />
area, see map); elsewhere very low risk<br />
and no chemoprophylaxis)<br />
Colombia (most areas below 800m)<br />
Ecuador (Esmeraldas Prov<strong>in</strong>ce; see below<br />
<strong>for</strong> elsewhere)<br />
French Guiana (especially border areas)<br />
Guyana (all <strong>in</strong>terior regions, lesser risk<br />
at coast)<br />
Peru (Amazon bas<strong>in</strong> area)<br />
Sur<strong>in</strong>ame (except Paramaribo and coast)<br />
Venezuela (all areas south of and <strong>in</strong>clud<strong>in</strong>g<br />
<strong>the</strong> Or<strong>in</strong>oco river; north of <strong>the</strong> river<br />
chloroqu<strong>in</strong>e plus proguanil recommended<br />
see below)<br />
Amazon bas<strong>in</strong> areas of Bolivia and<br />
Venezuela and Peru<br />
Bolivia (rural areas below 2500m)<br />
Ecuador (areas below 1500m; no <strong>malaria</strong><br />
<strong>in</strong> Galapagos Islands nor Guayaquil)<br />
Panama (east of canal, canal zone itself no risk)<br />
Peru (O<strong>the</strong>r rural areas East of <strong>the</strong> Andes<br />
and West of <strong>the</strong> Amazon Bas<strong>in</strong> below<br />
1500m)<br />
Venezuela (north of <strong>the</strong> Or<strong>in</strong>oco river;<br />
Caracas free of <strong>malaria</strong>; south and <strong>in</strong>clud<strong>in</strong>g<br />
Or<strong>in</strong>oco river, risk high see above)<br />
Argent<strong>in</strong>a (rural areas along nor<strong>the</strong>rn<br />
borders only)<br />
Belize (rural except Belize district)<br />
Costa Rica (rural below 500m)<br />
Dom<strong>in</strong>ican Republic<br />
El Salvador (only Santa Ana prov<strong>in</strong>ce <strong>in</strong> west)<br />
Guatemala (below 1500m)<br />
Haiti<br />
Honduras<br />
Mexico (<strong>in</strong> states of Oaxaca & Chiapas)<br />
Nicaragua<br />
Panama (west of canal, canal zone<br />
itself no risk)<br />
Paraguay (some rural areas)<br />
See tables 3-6 <strong>for</strong> details of regimens<br />
ACMP<br />
RECOMMENDED<br />
REGIMEN<br />
Mefloqu<strong>in</strong>e<br />
OR<br />
Doxycycl<strong>in</strong>e<br />
OR<br />
Atovaquone/<br />
Proguanil<br />
Chloroqu<strong>in</strong>e<br />
plus proguanil<br />
Chloroqu<strong>in</strong>e<br />
ALTERNATIVE<br />
REGIMEN IF<br />
RECOMMENDED<br />
REGIMEN<br />
UNSUITABLE<br />
Chloroqu<strong>in</strong>e<br />
plus<br />
proguanil<br />
Mefloqu<strong>in</strong>e<br />
OR<br />
Doxcycl<strong>in</strong>e<br />
OR<br />
Atovaquone/<br />
Proguanil<br />
Proguanil
Change language