Afghanistan

If travelling from an endemic zone

None

Risk April-December in all areas at altitudes <2,000m (<6,561ft)

Confirmed

Atovaquone/ proguanil; doxycycline; or mefloquine

Albania

If travelling from an endemic zone and >1 year of age

None

None

Not applicable

Not applicable

Algeria

If travelling from an endemic zone and >1 year of age

None

Risk is limited to one small focus in Sahara region in Ihrir (Illizi Department). Risk is very limited; therefore, prophylaxis is not recommended.

None

None

Andorra

Not required

None

None

Not applicable

Not applicable

Angola

If travelling from an endemic zone and >1 year of age

For all travellers >9 months of age

All

Confirmed

Atovaquone/ proguanil; doxycycline; or mefloquine

Anguilla (U.K.)

If travelling from an endemic zone and >1 year of age

None

None

Not applicable

Not applicable

Antigua and Barbuda

If travelling from an endemic zone and >1 year of age

None

None

Not applicable

Not applicable

Argentina

Not required

For all travellers >9 months of age going to the northern and northeastern forested areas, including Iguaçu Falls.

Rural areas of Salta and Jujuy province (along Bolivian border) and Misiones and Corrientes province (along border of Paraguay).

None

Chloroquine

Armenia

Not required

None

Risk limited to western border areas: Masis, Ararat, and Artashat regions in Ararat District.

None

Chloroquine

Aruba

If travelling from an endemic zone and >6 months of age

None

None

Not applicable

Not applicable

Australia; Including Cocos (Keeling) Islands. Note: Australia is not bound by the International Health Regulations.

All persons >1 year of age who, within 6 days of arrival in Australia, have been in or have passed through an endemic zone

None

None

Not applicable

Not applicable

Austria

Not required

None

Nonle

Not applicable

Not applicable

Azerbaijan

Not required

None

Rural lowlands in the provinces of Agcabadi, Barda, Beylaqan, Bilasuvar, Calilabad, Fuzuli, Imisli, Kurdamir, Saatli, Sabirabad, and Zardab, between the Kura and Arax rivers.

None

Chloroquine

Azores (Portugal)

If travelling from an endemic zone and >1 year of age

None

None

Not applicable

Not applicable

Bahamas, The

If travelling from an endemic zone and >1 year of age

None

None

Not applicable

Not applicable

Bahrain

Not required

None

None

Not applicable

Not applicable

Bangladesh

If travelling from an endemic zone. Any person (including infants)3 arriving by air or sea without a certificate within 6 days of departure from or transit through an infected area will be quarantined up to 6 days.

Required also for travellers arriving from or transiting:

Africa: Angola, Benin, Burkina Faso, Burundi, Cameroon, Central African Republic, Chad, Congo, Côte d'Ivoire, Democratic Republic of Congo, Equatorial Guinea, Ethiopia, Gabon, The Gambia, Ghana, Guinea, Guinea Bissau, Kenya, Liberia, Malawi, Mali, Mauritania, Niger, Nigeria, Rwanda, São Tomé and Principe, Senegal, Sierra Leone, Somalia, Sudan (south of 15° N), Tanzania, Togo, Uganda, and Zambia.

Americas: Belize, Bolivia, Brazil, Colombia, Costa Rica, Ecuador, French Guiana, Guatemala, Guyana, Honduras, Nicaragua, Panama, Peru, Suriname, and Venezuela.

Caribbean: Trinidad and Tobago.

None

All, except no risk in city of Dhaka

Confirmed

Atovaquone/ proguanil; doxycycline; or mefloquine

Barbados

If travelling from an endemic zone and >1 year of age

None

None

Not applicable

Not applicable

Belarus

Not required

None

None

Not applicable

Not applicable

Belgium

Not required

None

None

Not applicable

Not applicable

Belize

If travelling from an endemic zone and >1 year of age

None

All, except no risk in Belize City

Nonle

Chloroquine

Benin

Required upon arrival from all countries if traveller is >1 year of age

For all travellers >9 months of age

All

Confirmed

Atovaquone/ proguanil; doxycycline; or mefloquine

Bermuda (U.K.)

Not required

None

None

Not applicable

Not applicable

Bhutan

If travelling from an endemic zone

None

Risk in the southern belt of five districts: Chirang, Samchi, Samdrupjongkhar, Sarpang and Shemgang

Confirmed

Atovaquone/ proguanil; doxycycline; or mefloquine

Bolivia

If travelling from an endemic zone

For all travellers >9 months of age travelling to areas east of the Andes Mountains. Does not include the cities of La Paz or Sucre.

Risk in areas <2,500m (<8,202ft) in the following departments: Beni, Chuquisaca, Cochabamba, La Paz, Pando, Santa Cruz, and Tarija. No risk in city of La Paz.

Confirmed

Atovaquone/ proguanil; doxycycline; or mefloquine

Bosnia and Herzegovina

Not required

None

None

Not applicable

Not applicable

Botswana

If travelling from an endemic zone and >1 year of age

None

Risk north of 21°S in the northern districts of Central, Chobe, Ngamiland, North East, and Okavango.

Confirmed

Atovaquone/ proguanil; doxycycline; or mefloquine

Brazil

If travelling from the endemic zones listed below and >9 months of age:

Africa: Angola, Benin, Burkina Faso, Burundi, Cameroon, Cape Verde, Central African Republic, Democratic Republic of Congo, Congo, Côte D'Ivoire, Ethiopia, Gabon, The Gambia, Ghana, Guinea, Guinea Bissau, Equitorial Guinea, Liberia, Mali, Mauritania, Niger, Nigeria, Kenya, Rwanda, São Tomé and Principe, Senegal, Sierra Leone, Somalia, Sudan, Tanzania, Togo, and Uganda.

Americas: Bolivia, Colombia, Ecuador, Guyana, French Guyana, Peru, Surinam, and Venezuela.

Central America & Caribbean: Panama, and Trinidad and Tobago.

For all travellers >9 months of age going to the endemic zone in Brazil, which includes the states of Acre, Amapa, Amazones, Goias, Maranhao, Mato Grosso, Mato Grosso do Sul, Minas Gerais, Para, Rondonia, Roraima, and Tocantins, and areas in the endemic zone of the states of Bahia, Parana, Piaui, Rio Grande do Sul, and Sao Paulo. Vaccination is recommended for travellers visiting Iguaçu Falls. Coastal cities, including Rio de Janeiro, Sao Paulo, Salvador, Recife, and Fortaleza, are NOT within the endemic zone.

States of Acre, Rondônia, Amapá, Amazonas, Roraima, and Tocantins. Parts of states of Maranhaõ (western part), Mato Grosso (northern part), and Pará (except Belem City). There is also transmission in urban areas, including large cities such as Porto Velho, Boa Vista, Macapa, Manaus, Santarem, and Maraba, where the transmission occurs on the periphery of these cities.

Confirmed

Atovaquone/ proguanil; doxycycline; or mefloquine

British Indian Ocean Territory; Includes Diego Garcia (U.K.)

Not required

None

None

Not applicable

Not applicable

Brunei

If travelling from an endemic zone and >1 year of age

None

None

Not applicable

Not applicable

Bulgaria

Not required

None

None

Not applicable

Not applicable

Burkina Faso

Required upon arrival from all countries if traveller is >1 year of age

For all travellers >9 months of age

All

Confirmed

Atovaquone/ proguanil; doxycycline; or mefloquine

Burma (Myanmar)

If travelling from an endemic zone.

Required also for nationals and residents of Burma (Myanmar) departing for an endemic zone.

None

Rural only. No risk in cities of Rangoon (Yangon) and Mandalay

Confirmed

Atovaquone/ proguanil; doxycycline; or mefloquine in all areas except in the states of Shan, Kayah, and Kayin must take atovaquone/ proguanil or doxycycline only

Burundi

If travelling from an endemic zone and >1 year of age

For all travellers >9 months of age

All

Confirmed

Atovaquone/ proguanil; doxycycline; or mefloquine

Cambodia

If travelling from an endemic zone

None

All, including risk in the temple complex at Angkor Wat. No risk in Phnom Penh and around Lake Tonle Sap.

Confirmed

Atovaquone/ proguanil or doxycycline must be taken in western provinces bordering Thailand; other areas can use Atovaquone/ proguanil; doxycycline; or mefloquine.

Cameroon

Required upon arrival from all countries if traveller is >1 year of age

For all travellers >9 months of age

All

Confirmed

Atovaquone/ proguanil; doxycycline; or mefloquine

Canada

Not required

None

None

Not applicable

Not applicable

Canary Islands (Spain)

Not required

None

Nonle

Not applicable

Not applicable

Cape Verde

If travelling from an endemic zone and >1 year of age

For all travellers >9 months of age

Limited risk on the island of Saõ Tiago only.

Confirmed

Atovaquone/ proguanil; doxycycline; or mefloquine

Cayman Islands (U.K.)

Not required

None

None

Not applicable

Not applicable

Central African Republic

Required upon arrival from all countries if traveller is >1 year of age

For all travellers >9 months of age

All

Confirmed

Atovaquone/ proguanil; doxycycline; or mefloquine

Chad

Not required

For all travellers >9 months of age. Chad recommends vaccination for all travellers >1 year of age.

All

Confirmed

Atovaquone/ proguanil; doxycycline; or mefloquine

Chile

Not required

None

None

Not applicable

Not applicable

China

If travelling from an endemic zone

None

Travellers to cities and popular tourist areas, including Yangtze River cruises, are not at risk and do not need to take chemo- prophylaxis. Rural areas only of the following provinces: Hainan, Yunnan, Fuijan, Guangdong, Guangxi, Guizhou, Sichuan, Tibet (in the Zangbo River valley only), Anhui, Hubei, Hunan, Jiangsu, Jiangxi, and Shandong. In provinces with risk, transmission exists in rural communities <1,500m only during warm weather: north of latitude 33°N, July-November; between latitude 25°N and 33°N, May-December. South of latitude 25°N, transmission occurs year-round.

Confirmed in the provinces of Hainin and Yunnan. Other provinces do not have chloroquine- resistant malaria.

Atovaquone/ proguanil; doxycycline; or mefloquine in Hainan and Yunnan; Chloroquine in all other areas.

Christmas Island (Australia) Note: Christmas Island is not bound by the International Health Regulations.

All travellers >1 year of age, who within the past 6 days have traveled or passed through an endemic area, as listed by WHO.

None

None

Not applicable

Not applicable

Colombia

Not required

Recommended for all travellers >9 months of age. Travellers whose itinerary is limited to the cities of Bogotá, Cali, or Medellín are at lower risk and may consider foregoing vaccination.

Risk in all rural areas at altitudes <800m (<2,624ft). No risk in Bogotá and vicinity.

Confirmed

Atovaquone/ proguanil; doxycycline; or mefloquine

Comoros

Not required

None

All

Confirmed

Atovaquone/ proguanil; doxycycline; or mefloquine

Congo

Required upon arrival from all countries if traveller is >1 year of age

For all travellers >9 months of age

All

Confirmed

Atovaquone/ proguanil; doxycycline; or mefloquine

Cook Islands (New Zealand)

Not required

None

None

Not applicable

Not applicable

Costa Rica

Not required

None

Risk in Alajuela, Limón, Guanacaste, and Heredia provinces. No risk in Limón city (Puerto Limón).

None

Chloroquine

Côte d'Ivoire (Ivory Coast)

Required upon arrival from all countries if traveller is >1 year of age

For all travellers >9 months of age

All

Confirmed

Atovaquone/ proguanil; doxycycline; or mefloquine

Croatia

Not required

None

None

Not applicable

Not applicable

Cuba

Not required

None

None

Not applicable

Not applicable

Cyprus

Not required

None

None

Not applicable

Not applicable

Czech Republic

Not required

None

None

Not applicable

Not applicable

Democratic Republic of the Congo (formerly Zaire)

Required upon arrival from all countries if traveller is >1 year of age

For all travellers >9 months of age

All

Confirmed

Atovaquone/ proguanil; doxycycline; or mefloquine

Denmark

Not required

None

None

Not applicable

Not applicable

Djibouti

If travelling from an endemic zone and >1 year of age

None

All

Confirmed

Atovaquone/ proguanil; doxycycline; or mefloquine

Dominica

If travelling from an endemic zone and >1 year of age

None

None

Not applicable

Not applicable

Dominican Republic

Not required

None

Rural, with highest risk in provinces bordering Haiti. In addition, risk in all areas of La Altagracia Province, including resort areas. (Updated October 21, 2005)

None

Chloroquine

Easter Island (Chile)

Not required

None

None

Not applicable

Not applicable

East Timor

Required from travellers coming from an endemic zone

None

All

Confirmed

Atovaquone/ proguanil; doxycycline; or mefloquine

Ecuador; Including the Galápagos Islands

If travelling from an endemic zone and >1 year of age

For all travellers >9 months of age who are travelling to areas east of the Andes Mountains, NOT including the cities of Quito and Guayaquil, or the Galápagos Islands.

Risk in all areas at altitudes <1,500m (<4,921ft). No risk in the cities of Guayaquil and Quito, the central highland tourist areas, and the Galápagos Islands.

Confirmed

Atovaquone/ proguanil; doxycycline; or mefloquine

Egypt

If travelling from an endemic zone and >1 year of age. Air passengers in transit but coming from these countries or areas without a certificate will be detained in the precincts of the airport until they resume their journey. All travellers arriving from Sudan are required to have a vaccination certificate or a location certificate issued by a Sudanese official center stating that they have not been in Sudan south of 15° N within the previous 6 days.

Required also for travellers arriving from or transiting:

Africa: Angola, Benin, Burkina Faso, Burundi, Cameroon, Central African Republic, Chad, Congo, Côte D'Ivoire, Democratic Republic of Congo, Equatorial Guinea, Ethiopia, Gabon, Gambia, Ghana, Guinea, Guinea Bissau, Kenya, Liberia, Mali, Niger, Nigeria, Rwanda, São Tomé and Principe, Senegal, Sierra Leone, Somalia, Sudan (south of 15° N), Tanzania, Togo, Uganda, and Zambia.

Americas: Belize, Bolivia, Brazil, Colombia, Costa Rica, Ecuador, French Guyana, Guyana, Panama, Peru, Suriname, and Venezuela.

Caribbean: Trinidad and Tobago.

None

Very limited risk in El Faiyûm area only. No risk in tourist areas, including Nile River cruises. Risk is very limited; therefore, prophylaxis is not recommended.

None

None

El Salvador

If travelling from an endemic zone and >6 months of age3

None

Rural areas of Santa Ana, Ahuachapán, and La Unión departments.

Nonle

Chloroquine

Equatorial Guinea

If travelling from an endemic zone

For all travellers >9 months of age

All

Confirmed

Atovaquone/ proguanil; doxycycline; or mefloquine

Eritrea

If travelling from an endemic zone

None

All areas at altitudes <2,200m (<7,218ft). No risk in Asmara.

Confirmed

Atovaquone/ proguanil; doxycycline; or mefloquine

Estonia

Not required

None

None

Not applicable

Not applicable

Ethiopia

If travelling from an endemic zone and >1 year of age

For all travellers >9 months of age

All areas at altitudes <2,000m (<6,561ft). No risk in Addis Ababa.

Confirmed

Atovaquone/ proguanil; doxycycline; or mefloquine

Falkland, South Georgia & South Sandwich Islands (U.K.)

Not required

None

None

Not applicable

Not applicable

Faroe Islands (Denmark)

Not required

None

None

Not applicable

Not applicable

Fiji

If travelling from an endemic zone and >1 year of age, and within 10 days of having stayed overnight or longer in an endemic zone.

None

None

Not applicable

Not applicable

Finland

Not required

None

None

Not applicable

Not applicable

France

Not required

None

None

Not applicable

Not applicable

French Guiana

Required upon arrival from all countries if traveller is >1 year of age

For all travellers >9 months of age

All

Confirmed

Atovaquone/ proguanil; doxycycline; or mefloquine

French Polynesia, includes the island groups of Society Islands (Tahiti, Moorea, and Bora-Bora); Marquesas Islands (Hiva Oa and Ua Huka); and Austral Islands (Tubuai and Rurutu)

If travelling from an endemic zone and >1 year of age

None

None

Not applicable

Not applicable

Gabon

Required upon arrival from all countries if traveller is >1 year of age

For all travellers >9 months of age

All

Confirmed

Atovaquone/ proguanil; doxycycline; or mefloquine

Gambia, The

If travelling from an endemic zone and >1 year of age

For all travellers >9 months of age

All

Confirmed

Atovaquone/ proguanil; doxycycline; or mefloquine

Georgia

Not required

None

Southeastern part of the country in the districts of Lagodekhi, Sighnaghi, Dedophilistskaro, Saraejo, Gardabani, and Marneuli in the Kakheti and Kveno Kartli regions. No risk in Tiblisi.

None

Chloroquine

Germany

Not required

None

None

Not applicable

Not applicable

Ghana

Required upon arrival from all countries

For all travellers >9 months of age

All

Confirmed

Atovaquone/ proguanil; doxycycline; or mefloquine

Gibraltar (U.K.)

Not required

None

None

Not applicable

Not applicable

Greece

Not required

None

None

Not applicable

Not applicable

Greenland (Denmark)

Not required

None

None

Not applicable

Not applicable

Grenada

If travelling from an endemic zone and >1 year of age

None

None

Not applicable

Not applicable

Guadeloupe, including St. Barthelemy and Saint Martin (France)

If travelling from an endemic zone and >1 year of age

None

None

Not applicable

Not applicable

Guam (U.S.)

Not required

None

None

Not applicable

Not applicable

Guatemala

If travelling from an endemic zone and >1 year of age

None

Rural areas only at altitudes <1,500m (<4,921ft). No risk in Antigua or Lake Atitlán.

None

Chloroquine

Guinea

If travelling from an endemic zone and >1 year of age

For all travellers >9 months of age

All

Confirmed

Atovaquone/ proguanil; doxycycline; or mefloquine

Guinea-Bissau

If travelling from an endemic zone and >1 year of age.

Required also for travellers arriving from:

Africa: Angola, Benin, Burkina Faso, Burundi, Cape Verde, Central African Republic, Chad, Congo, Côte D'Ivoire, Democratic Republic of Congo, Djibouti, Equatorial Guinea, Ethiopia, Gabon, Gambia, Ghana, Guinea, Kenya, Liberia, Madagascar, Mali, Mauritania, Mozambique, Niger, Nigeria, Rwanda, São Tomé and Principe, Senegal, Sierra Leone, Somalia, Tanzania, Togo, Uganda, and Zambia.

Americas: Bolivia, Brazil, Colombia, Ecuador, French Guiana, Guyana, Panama, Peru, Suriname, and Venezuela.

For all travellers >9 months of age

All

Confirmed

Atovaquone/ proguanil; doxycycline; or mefloquine

Guyana

If travelling from an endemic zone.

Required also for travellers arriving from:

Africa: Angola, Benin, Burkina Faso, Burundi, Cameroon, Central African Republic, Chad, Congo, Côte D'Ivoire, Democratic Republic of Congo, Gabon, Gambia, Ghana, Guinea, Guinea-Bissau, Kenya, Liberia, Mali, Niger, Nigeria, Rwanda, São Tomé and Principe, Senegal, Sierra Leone, Somalia, Tanzania, Togo, and Uganda.

Americas: Belize, Bolivia, Brazil, Colombia, Costa Rica, Ecuador, French Guiana, Guatemala, Honduras, Nicaragua, Panama, Peru, Suriname, and Venezuela.

For all travellers >9 months of age

Risk in all areas of the interior; sporadic cases have also been reported along the coastal region.

Confirmed

Atovaquone/ proguanil; doxycycline; or mefloquine

Haiti

If travelling from an endemic zone

None

All except no risk in cruise port of Labadee

None

Chloroquine

Holy See

Not required

None

None

Not applicable

Not applicable

Honduras

If travelling from an endemic zone

None

Risk in rural areas only and in Roatán and other Bay Islands.

None

Chloroquine

Hong Kong SAR (China)

Not required

None

None

Not applicable

Not applicable

Hungary

Not required

None

None

Not applicable

Not applicable

Iceland

Not required

None

None

Not applicable

Not applicable

India

If travelling from an endemic zone.

Required also for travellers arriving from or transiting:

Africa: Angola, Benin, Burkina Faso, Burundi, Cameroon, Central African Republic, Chad, Congo, Côte D'Ivoire, Democratic Republic of Congo, Equatorial Guinea, Ethiopia, Gabon, Gambia, Ghana, Guinea, Guinea-Bissau, Kenya, Liberia, Mali, Niger, Nigeria, Rwanda, São Tomé and Principe, Senegal, Sierra Leone, Somalia, Sudan, Togo, Uganda, Tanzania, and Zambia.

Americas: Bolivia, Brazil, Colombia, Ecuador, French Guiana, Guyana, Panama, Peru, Suriname, and Venezuela.

Caribbean: Trinidad and Tobago.

Any person (except infants ≤6 months) arriving without a certificate within 6 days of departure from or transit through an endemic area will be isolated for up to 6 days.

None

All areas, including the cities of Delhi and Bombay. Risk in areas at altitudes <2,000m (<6,561ft) in Himachal Pradesh, Jammu, Kashmir, and Sikkim.

Confirmed

Atovaquone/ proguanil; doxycycline; or mefloquine

Indonesia

If travelling from an endemic zone

None

Risk in all areas of Irian Jaya (western half of the island of New Guinea) and at the temple complex of Borobudur. Risk in rural areas only in remainder of islands and in the province Aceh. No risk for the cities of Java and Sumatra or in the main resort areas of Java and Bali. (Updated March 24, 2005)

Confirmed

Atovaquone/ proguanil; doxycycline; or mefloquine

Iran

Not required

None

Risk in the provinces of Sistan- Baluchestan, the southern tropical part of Kerman, and Hormozgan.

Confirmed

Atovaquone/ proguanil; doxycycline; or mefloquine

Iraq

If travelling from an endemic zone

None

Risk in Basrah province and in areas at altitudes <1,500m (<4,921ft) in provinces of Duhok, Erbil, Ninawa, Sulaimaninya, and Ta'mim.

None

Chloroquine

Ireland

Not required

None

None

Not applicable

Not applicable

Israel

Not required

None

None

Not applicable

Not applicable

Italy

Not required

None

None

Not applicable

Not applicable

Jamaica

If travelling from an endemic zone and >1 year of age

None

None

Not applicable

Not applicable

Japan

Not required

None

None

Not applicable

Not applicable

Jordan

If travelling from an endemic zone and >1 year of age

None

None

Not applicable

Not applicable

Kazakhstan

If travelling from an endemic zone

None

None

Not applicable

Not applicable

Kenya

If travelling from an endemic zone and >1 year of age

For all travellers >9 months of age. The cities of Nairobi and Mombasa have lower risk of transmission than rural areas.

All areas (including game parks) at altitudes <2,500m (<8,202ft). No risk in Nairobi.

Confirmed

Atovaquone/ proguanil; doxycycline; or mefloquine

Kiribati (formerly Gilbert Islands), includes Tarawa, Tabuaeran (Fanning Island), and Banaba (Ocean Island)

If travelling from an endemic zone and >1 year of age

None

None

Not applicable

Not applicable

Korea, North

Not required

None

Limited malaria risk in some southern areas.

None

Chloroquine

Korea, South

Not required

None

Risk limited to demilitarized zone (DMZ) and to rural areas in the northern parts of Kyonggi and Kangwon provinces.

None

Chloroquine

Kuwait

Not required

None

None

Not applicable

Not applicable

Kyrgyzstan

Not required

None

Risk in some southern and western parts of the country, mainly in the provinces of Batken, Osh, and Zhele-Abadskaya in the areas bordering Tajikistan and Uzbekistan.

None

Chloroquine

Laos

If travelling from an endemic zone

None

All, except no risk in the city of Vientiane.

Confirmed

Atovaquone/ proguanil; doxycycline; or mefloquine

Latvia

Not required

None

None

Not applicable

Not applicable

Lebanon

If travelling from an endemic zone

None

None

Not applicable

Not applicable

Lesotho

If travelling from an endemic zone

None

None

Not applicable

Not applicable

Liberia

Required upon arrival from all countries if traveller is >1 year of age

For all travellers >9 months of age

All

Confirmed

Atovaquone/ proguanil; doxycycline; or mefloquine

Libya

If travelling from an endemic zone

None

None

Not applicable

Not applicable

Liechtenstein

Not required

None

None

Not applicable

Not applicable

Lithuania

Not required

None

None

Not applicable

Not applicable

Luxembourg

Not required

None

None

Not applicable

Not applicable

Macao SAR (China)

Not required

None

None

Not applicable

Not applicable

Macedonia, The Former Yugoslav Republic of

Not required

None

None

Not applicable

Not applicable

Madagascar

If travelling from an endemic zone

None

All

Confirmed

Atovaquone/ proguanil; doxycycline; or mefloquine

Madeira Islands (Portugal)

If travelling from an endemic zone and >1 year of age

None

None

Not applicable

Not applicable

Malawi

If travelling from an endemic zone

None

All

Confirmed

Atovaquone/ proguanil; doxycycline; or mefloquine

Malaysia

If travelling from an endemic zone and >1 year of age. A certificate is also required from travellers who have transited an endemic area within the preceeding 6 days.

None

Risk limited to rural areas. No risk in urban and coastal areas. Note: No risk in Republic of Singapore.

Confirmed

Atovaquone/ proguanil; doxycycline; or mefloquine

Maldives

If travelling from an endemic zone

None

None

Not applicable

Not applicable

Mali

Required upon arrival from all countries if traveller is >1 year of age

For all travellers >9 months of age

All

Confirmed

Atovaquone/ proguanil; doxycycyline; or mefloquine

Malta

If travelling from an endemic zone and >9 months of age.

Children <9 months of age arriving from an endemic zone may be subject to isolation or surveillance.

None

None

Not applicable

Not applicable

Marshall Islands

Not required

None

None

Not applicable

Not applicable

Martinique (France)

Not required

None

None

Not applicable

Not applicable

Mauritania

Required upon arrival from all countries if traveller is >1 year of age.

Exception: Not required for travellers from a non-endemic zone who stay <2 weeks.

For all travellers >9 months of age

All, except no risk in the northern areas of Dakhlet- Nouadhibou and Tiris-Zemmour

Probable

Atovaquone/ proguanil; doxycycline; or mefloquine

Mauritius

If travelling from an endemic zone

None

Rural only. No risk on Rodrigues Island.

None

Chloroquine

Mayotte (French territorial collectivity)

Not required

None

All

Confirmed

Atovaquone/ proguanil; doxycycline; or mefloquine

Mexico

Not required

None

Risk in rural areas, including resorts in rural areas of the following states: Campeche, Chiapas, Guerrero, Michoacán, Nayarit, Oaxaca, Quintana Roo, Sinaloa, and Tabasco. In addition, risk exists in the state of Jalisco (in its mountainous northern area only). Risk also exists in an area between 24°N and 28°N latitude, and 106°W and 110°W longitude, which lies in parts of Sonora, Chihuahua, and Durango. No malaria risk exists along the United States-Mexico border. No malaria risk exists in the major resorts along the Pacific and Gulf coasts.

None

Chloroquine

Micronesia, Federated States of; Includes: Yap Islands, Pohnpei, Chuuk, and Kosrae

Not required

None

None

Not applicable

Not applicable

Moldova

Not required

None

None

Not applicable

Not applicable

Monaco

Not required

None

None

Not applicable

Not applicable

Mongolia

Not required

None

None

Not applicable

Not applicable

Montserrat (U.K.)

If travelling from an endemic zone and >1 year of age

None

None

Not applicable

Not applicable

Morocco

Not required

None

Risk in rural areas of Chefchaouen province. No risk in Tangier, Rabat, Casablanca, Marrakech, and Fès. Risk is very limited; therefore, prophylaxis is not recommended.

None

None

Mozambique

If travelling from an endemic zone and >1 year of age

None

All

Confirmed

Atovaquone/ proguanil; doxycycline; or mefloquine

Namibia

If travelling from an endemic zone and >1 year of age. Required also for travellers on unscheduled flights who have transited an infected area. Children <1 year of age may be subject to surveillance.

None

Risk in the provinces of Kunene, Ohangwena, Okavango, Caprivi, Omaheke, Omusati, Oshana, Oshikoto, and Otjozondjupa.

Confirmed

Atovaquone/ proguanil; doxycycline; or mefloquine

Nauru

If travelling from an endemic zone and >1 year of age

None

None

Not applicable

Not applicable

Nepal

If travelling from an endemic zone

None

Rural areas in the Terai and Hill districts. Risk at altitudes <1,200m (<3,937ft). No risk in Kathmandu on typical Himalayan treks.

Confirmed

Atovaquone/ proguanil; doxycycline; or mefloquine

Netherlands

Not required

None

None

Not applicable

Not applicable

Netherlands Antilles (Bonaire, Curaçao, Saba, St. Eustasius, and St. Martin)

If travelling from an endemic zone and >6 months of age³

None

None

Not applicable

Not applicable

New Caledonia (France)

If travelling from an endemic zone and >1 year of age.

Note: In the event of an epidemic threat to the territory, a specific vaccination certificate may be required.

None

None

Not applicable

Not applicable

New Zealand

Not required

None

None

Not applicable

Not applicable

Nicaragua

If travelling from an endemic zone and >1 year of age

None

Risk in rural areas only and in outskirts of Managua.

None

Chloroquine

Niger

Required upon arrival from all countries if traveller is >1 year of age

For all travellers >9 months of age

All

Confirmed

Atovaquone/ proguanil; doxycycline; or mefloquine

Nigeria

If travelling from an endemic zone and >1 year of age

For all travellers >9 months of age

All

Confirmed

Atovaquone/ proguanil; doxycycline; or mefloquine

Niue (New Zealand)

If travelling from an endemic zone and >1 year of age

None

None

Not applicable

Not applicable

Norfolk Island (Aust)

If travelling from an endemic zone and >1 year of age

None

None

Not applicable

Not applicable

Northern Mariana Islands (US) Includes Saipan, Tinian, and Rota Island

Not required

None

None

Not applicable

Not applicable

Norway

Not required

None

None

Not applicable

Not applicable

Oman

If travelling from an endemic zone

None

Limited risk in remote areas of Musandam Province. Risk is very limited; therefore, prophylaxis is not recommended.

Confirmed

None

Pakistan

If travelling from an endemic zone. Not required for infants <6 months of age if the mother's certificate shows she was vaccinated before the child's birth.³

None

Risk in all areas (including all cities) at altitudes <2,000m (<6,562ft).

Confirmed

Atovaquone/ proguanil; doxycycline; or mefloquine

Palau

If travelling from an endemic zone and >1 year of age

None

None

Not applicable

Not applicable

Panama

Not required

For all travellers >9 months of age travelling to the provinces of Darien, Kunayala (San Blas) and Panama, excluding the Canal Zone.

Risk exists in rural areas of Bocas Del Toro, Darién, and San Blas provinces. No risk in Panama City or in the former Canal Zone.

Confirmed in Darién and San Blas provinces, including San Blas islands.

Chloroquine in Bocas Del Toro; Atovaquone/ proguanil; doxycycline; or mefloquine in Darién and San Blas.

Papua New Guinea

If travelling from an endemic zone and >1 year of age

None

Risk throughout at altitudes <1,800m (<5,906ft).

Confirmed

Atovaquone/ proguanil; doxycycline; or mefloquine

Paraguay

If travelling from an endemic zone

For all travellers >9 months of age travelling to the forested areas on the east and west.

Risk in the departments of Alto Paraná, Caaguazú, and Canendiyú.

None

Chloroquine

Peru

If travelling from an endemic zone and >6 months of age³

For all travellers >9 months of age travelling to the areas east of the Andes Mountains. Travellers who are limiting travel to the cities of Cuzco and Machu Picchu do not need vaccination. Peru recommends vaccination for those who intend to visit any jungle areas of the country <2,300m (<7,546ft.).

Risk in all departments except: Arequipa, Moquegua, Puno, and Tacna. Risk in Puerto Maldonado. Travellers who will visit only in Lima and its vicinity, coastal areas south of Lima, or the highland tourist areas (Cuzco, Machu Picchu, and Lake Titicaca) are not at risk and need no prophylaxis.

Confirmed

Atovaquone/ proguanil; doxycycline; or mefloquine

Philippines

If travelling from an endemic zone and >1 year of age

None

Risk exists in areas below 600m (1,969ft), except no risk in the provinces of Aklan, Bilaran, Bohol, Camiguin, Capiz, Catanduanes, Cebu, Guimaras, Iloilo, Leyte, Masbate, northern Samar, Sequijor, and metropolitan Manila. No risk is considered to exist in urban areas.

Confirmed on islands of Basilan, Luzon, Mindanao, Mindoro, Palawan, and Sulu Archipelago.

Atovaquone/ proguanil; doxycycline; or mefloquine on islands of Basilan, Luzon, Mindanao, Mindoro, Palawan, and Sulu Archipelago. All other areas: chloroquine.

Pitcairn Islands (U.K.)

If travelling from an endemic zone and >1 year of age

None

None

Not applicable

Not applicable

Poland

Not required

None

None

Not applicable

Not applicable

Portugal

Required only for travellers >1 year of age arriving from an endemic zone and destined for the Azores and Madeira. However, no certificate is required for travellers in transit at Funchal, Santa Maria, and Porto Santo.

None

None

Not applicable

Not applicable

Puerto Rico (U.S.)

Not required

None

None

Not applicable

Not applicable

Qatar

Not required

None

None

Not applicable

Not applicable

Réunion (France)

If travelling from an endemic zone and >1 year of age

None

None

Not applicable

Not applicable

Romania

Not required

None

None

Not applicable

Not applicable

Russia

Not required

None

None

Not applicable

Not applicable

Rwanda

Required upon arrival from all countries if traveller is >1 year of age

For all travellers >9 months of age

All

Confirmed

Atovaquone/ proguanil; doxycycline; or mefloquine

Saint Helena (U.K.)

If travelling from an endemic zone and >1 year of age

None

None

Not applicable

Not applicable

Saint Kitts (Saint Christopher) and Nevis (U.K.)

If travelling from an endemic zone and >1 year of age

None

None

Not applicable

Not applicable

Saint Lucia

If travelling from an endemic zone and >1 year of age

None

None

Not applicable

Not applicable

Saint Pierre and Miquelon (France)

Not required

None

None

Not applicable

Not applicable

Saint Vincent and the Grenadines

If travelling from an endemic zone and >1 year of age

None

None

Not applicable

Not applicable

Samoa (formerly Western Samoa)

If travelling from an endemic zone and >1 year of age

None

None

Not applicable

Not applicable

Samoa, American (U.S.)

Not required
(Corrected April 5, 2006)

None

None

Not applicable

Not applicable

San Marino

Not required

None

None

Not applicable

Not applicable

São Tomé and Príncipe

Required upon arrival from all countries if traveller is >1 year of age

For all travellers >9 months of age

All

Confirmed

Atovaquone/ proguanil; doxycycline; or mefloquine

Saudi Arabia

If travelling from an endemic zone

None

Risk in Al Bahah, Al Madinah, Asir, Jizan, Makkah, Najran, and Tabuk province. No risk in urban areas of Jeddah, Mecca, Medina, and Ta'if.

Confirmed

Atovaquone/ proguanil; doxycycline; or mefloquine

Senegal

If travelling from an endemic zone

For all travellers >9 months of age

All

Confirmed

Atovaquone/ proguanil; doxycycline; or mefloquine

Serbia and Montenegro

Not required

None

None

Not applicable

Not applicable

Seychelles

If travelling from an endemic zone and >1 year of age

None

None

Not applicable

Not applicable

Sierra Leone

If travelling from an endemic zone

For all travellers >9 months of age

All

Confirmed

Atovaquone/ proguanil; doxycycline; or mefloquine

Singapore

If travelling from an endemic zone and >1 year of age

None

None

Not applicable

Not applicable

Slovakia

Not required

None

None

Not applicable

Not applicable

Slovenia

Not required

None

None

Not applicable

Not applicable

Solomon Islands

If travelling from an endemic zone

None

Risk in all areas except for the southern province of Rennell and Bellona, the eastern province of Temotu, and the outer islands of Tikopia, Anuta, and Fatutaka.

Confirmed

Atovaquone/ proguanil; doxycycline; or mefloquine

Somalia

If travelling from an endemic zone

For all travellers >9 months of age

All

Confirmed

Atovaquone/ proguanil; doxycycline; or mefloquine

South Africa

If travelling from an endemic zone and >1 year of age

None

Risk exists in the low altitude areas of the Mpumalanga Province, Northern Province, and northeastern KwaZulu-Natal as far south as the Tugela River. Risk in Kruger National Park.

Confirmed

Atovaquone/ proguanil; doxycycline; or mefloquine

Spain

Not required

None

None

Not applicable

Not applicable

Sri Lanka

If travelling from an endemic zone and >1 year of age

None

Risk in all areas, except no risk in the districts of Colombo, Galle, Kalutara, and Nuwara Eliya.

Confirmed

Atovaquone/ proguanil; doxycycline; or mefloquine

Sudan

If travelling from an endemic zone and >1 year of age. May be required for travellers leaving Sudan.

For all travellers >9 months of age

All

Confirmed

Atovaquone/ proguanil; doxycycline; or mefloquine

Suriname

If travelling from an endemic zone

For all travellers >9 months of age

Risk in all areas, except no risk in Paramaribo and coastal districts of Nickerie, Coronie, Saramacca, Wanica, Commewijne, and Marowijne north of latitude 5°N.

Confirmed

Atovaquone/ proguanil; doxycycline; or mefloquine

Swaziland

If travelling from an endemic zone

None

All lowlands

Confirmed

Atovaquone/ proguanil; doxycycline; or mefloquine

Sweden

Not required

None

None

Not applicable

Not applicable

Switzerland

Not required

None

None

Not applicable

Not applicable

Syria

If travelling from an endemic zone

None

Risk along the northern border in El Hassaka province.

None

Chloroquine

Taiwan

If travelling from an endemic zone

None

None

Not applicable

Not applicable

Tajikistan

Not required

None

Southern border; some central (Dushanbe), western (Gorno- Badakhshan), and northern (Leninabad) areas.

Confirmed

Atovaquone/ proguanil; doxycycline; or mefloquine

Tanzania

If travelling from an endemic zone and >1 year of age

For all travellers >9 months of age. The city of Dar es Salaam has a lower risk of transmission than rural areas.

All areas at altitudes <1,800m (<5,906ft).

Confirmed

Atovaquone/ proguanil; doxycycline; or mefloquine

Thailand

If travelling from an endemic zone and >1 year of age

None

Limited risk in the areas that border Cambodia, Laos, and Myanmar (Burma). No risk in cities and no risk in major tourist resorts. No risk in Bangkok, Chiang Mai, Chiang Rai, Pattaya, Phuket Island, and Ko Samui.

Confirmed

Atovaquone/ proguanil or doxycycline in areas of the Thailand/Burma and Thailand/ Cambodia borders. All other areas: Atovaquone/ proguanil; doxycycline; or mefloquine.

Togo

Required upon arrival from all countries if traveller is >1 year of age

For all travellers >9 months of age

All

Confirmed

Atovaquone/ proguanil; doxycycline; or mefloquine

Tokelau (New Zealand)

Not required

None

None

Not applicable

Not applicable

Tonga

If travelling from an endemic zone and >1 year of age

None

None

Not applicable

Not applicable

Trinidad and Tobago

If travelling from an endemic zone and >1 year of age

For all travellers >9 months of age

None

Not applicable

Not applicable

Tunisia

If travelling from an endemic zone and >1 year of age

None

None

Not applicable

Not applicable

Turkey

Not required

None

Risk in the provinces of Icel, Adana, Osmaniyeh, Hatay, Kahraman Maras, Gaziantep, Kilis, Adryaman, Sanliurfa, Elazig, Diyarbakar, Mardin, Bingol, Mus, Batman, Bitlis, Siirt, Sirnak, Van, and Hakkari. No risk on the Incerlik U.S. Air Force base and on typical cruise itineraries.

None

Chloroquine

Turkmenistan

Not required

None

Risk in some villages in the Mary district.

None

Chloroquine

Turks and Caicos Islands (U.K.)

If travelling from an endemic zone and >1 year of age

None

None

Not applicable

Not applicable

Tuvalu

Not required

None

None

Not applicable

Not applicable

Uganda

If travelling from an endemic zone and >1 year of age

For all travellers >9 months of age

All

Confirmed

Atovaquone/ proguanil; doxycycline; or mefloquine

Ukraine

Not required

None

None

Not applicable

Not applicable

United Arab Emirates

Not required

None

None

Not applicable

Not applicable

United Kingdom (with Channel Islands and Isle of Man)

Not required

None

None

Not applicable

Not applicable

United States

Not required

None

None

Not applicable

Not applicable

Uruguay

Not required

None

None

Not applicable

Not applicable

Uzbekistan

Not required

None

Sporadic cases reported in Uzunskiy, Sariassiskiy, and Shurchinskiy districts (Surkhanda- Rinskaya Region).

None

Chloroquine

Vanuatu

Not required

None

All

Confirmed

Atovaquone/ proguanil; doxycycline; or mefloquine

Venezuela

Not required

For all travellers >9 months of age travelling to Venezuela, except the northern coastal area. The cities of Caracas and Valencia are not in the endemic zone.

Risk exists in rural areas of the following states: Apure, Amazonas, Barinas, Bolivar, Sucre, Tachira, and Delta Amacuro. Risk in Angel Falls.

Confirmed

Atovaquone/ proguanil; doxycycline; or mefloquine

Vietnam

If travelling from an endemic zone and >1 year of age

None

Rural only, except no risk in the Red River delta and the coastal plain north of the Nha Trang. No risk in Hanoi, Ho Chi Minh City (Saigon), Da Nang, Nha Trang, Qui Nhon, and Haiphong.

Confirmed

Atovaquone/ proguanil; doxycycline; or mefloquine

Virgin Islands, British

Not required

None

None

Not applicable

Not applicable

Virgin Islands, U.S.

Not required

None

None

Not applicable

Not applicable

Wake Island, U.S.

Not required

None

None

Not applicable

Not applicable

Western Sahara

Not required

None

Risk is very limited; therefore, prophylaxis is not recommended.

None

None

Yemen

If travelling from an endemic zone and >1 year of age

None

All areas at altitudes <2,000m (<6,561ft). No risk in Sana'a.

Confirmed

Atovaquone/ proguanil; doxycycline; or mefloquine

Zambia

Not required

None

All

Confirmed

Atovaquone/ proguanil; doxycycline; or mefloquine

Zimbabwe

If travelling from an endemic zone and >1 year of age

None

All, except no risk in cities of Harare and Bulawayo.

Confirmed

Atovaquone/ proguanil; doxycycline; or mefloquine