Malaria prophylaxis for North Africa, Middle East & South West Asia Risk Country Preferable regimen Alternative regimen Risk very low. Algeria - Virtually no risk Egypt - Main tourist areas are malaria free. Georgia - Some south eastern villages July to October. Kyrgystan - Some southern and western areas. Libya Morocco - A few rural areas only limited risk. Turkey - Most tourist areas. Uzbekistan - Sporadic cases in extreme south east only. Avoid mosquito bites Risk low Armenia - The whole country June to October. Azerbaijan - Southern border area June to October. Egypt - El Faiyum region only, June to October. Iraq - Basrah and rural north, May to November. Syria - Northern border, May to October. Turkey The plain around Adana, Side & south east Anatolia, March to November. Turkmenistan - The south east only, June to October. Chloroquine Proguanil Risk present. Some chloroquine resistance present. Afghanistan - Areas below 2,000 metres, May to November. Iran Oman - Remote rural areas only. Saudi Arabia - The whole country except northern, eastern and central provinces, Asir plateau, and western border cities where there is very little risk. No risk in Mecca. Tajikistan - Southern border areas, June to October. Yemen - No risk in Sana'a city. Chloroquine PLUS Proguanil

Malaria prophylaxis for South Asia (Indian Subcontinent) Risk Country Preferable regimen Alternative regimen Very low risk. Maldives - no risk India - No risk in parts of mountain states of the north. Avoid mosquito bites Risk variable. Chloroquine resistance usually moderate. Bangladesh - The whole country except Chittagong Hill Tracts. No risk in Dhaka City. Bhutan - Southern districts only. India - All areas below 2,000 metres, including Goa. Nepal - Areas below 1,500 metres, especially Terai districts. No risk in Kathmandu. Pakistan - Areas below 2,000 metres. Sri Lanka - No risk in Colombo. Chloroquine PLUS Proguanil Will vary locally. Risk high. Chloroquine resistance high. Bangladesh - Chittagong Hill Tract Districts only. India - Assam region. Doxycycline OR Mefloquine OR Malarone Chloroquine PLUS Proguanil

Malaria prophylaxis for South East Asia Risk Country Preferable regimen Alternative regimen Risk very low. Remember malaria is possible if fever develops. Bali - Part of Indonesia China - Main tourist areas. Hong Kong Indonesia - Jakarta, main cites and tourist resorts including Java. Malaysia - Most areas including Kuala Lumpur and Penang. North Korea - A few southern areas have limited risk. Philippines - Low risk in main cities, Cebu, Bohol & Catanduanes. No risk in Manilla. South Korea - Limited risk in the extreme northwest. Sarawak - (Borneo) except deep forest areas. Thailand - Bangkok and main tourist areas including Pattaya, Phuket, Krabi, Hua Hin, Koh Samui, Kanchanaburi, Damnoen Sadouak, Ayutthaya, Sukhothai, Khon Kaen & Chiang Mai. Avoid mosquito bites Risk variable. Some chloroquine resistance. Indonesia - Areas other than Bali and low risk cities, or Irian Jaya and Lombok where the risk is high and chloroquine resistance is present. Philippines - Rural areas below 600 metres. Malaysia and Sarawak (Borneo) - Deep forest regions of penninsular Malaysia and Sarawak. Chloroquine PLUS Proguanil Will vary locally. Risk substantial. Chloroquine resistance common. Borneo - Sabah Cambodia - Most of the country except Phnom Penh where there is no risk. China - Yunnan and Hainan provences only. All other remote areas use chloroquine. East Timor Irian Jaya & Lombok Laos - except Vientiane where there is no risk. Myanmar - (formerly Burma). Sabah - Part of Malaysia (Borneo) Vietnam - Most rural areas, no risk in cities, Red River delta area and the coastal plain north of Nha Trang. Doxycycline OR Mefloquine OR Malarone Chloroquine PLUS Proguanil Risk great. Chloroquine resistance prevalent.Some mefloquine resistance reported Cambodia - Western provences. Thailand - Near borders with Cambodia & Myanmar. Koh Chang. Myanmar - Eastern part of Shan state. Doxycycline OR Malarone

Malaria prophylaxis for Oceania Risk Country Preferable regimen Alternative regimen Risk high. Chloroquine resistance high. Papua New Guinea - below 1,800 metres. Solomon Islands Vanuatu Doxycycline OR Mefloquine OR Malarone Maloprim PLUS Chloroquine

Malaria prophylaxis for South & Central America & the Caribbean Risk Country Preferable regimen Alternative regimen Risk very low Brazil - Except the Amazon basin region, Mato Grosso & Maranhao. Avoid mosquito bites. Risk variable to low, no chloroquine resistance present. Argentina - Rural areas along northern borders only. Belize - Rural areas except Belize district. Costa Rica - Rural areas below 500m. Dominican Republic El Salvador - Only Santa Ana province in the West. Guatamala - Areas below 1,500 metres. Haiti - The whole country. Honduras - The whole country. Mexico - Some rural areas rarely stayed in by tourists. Nicaragua - The whole country. Panama - West of the canal. Paraguay - Some rural areas. Chloroquine Proguanil Risk variable or high, some chloroquine resistance present. Bolivia - Rural areas below 2,500 metres Ecuador - Areas below 1,500 metres. No malaria in Galapagos Islands nor in Guayaquil. Panama - East of the canal. Peru - Rural areas below 1,500 metres. Venezuela - Rural areas other than the coast. Caracas is free of malaria. Maloprim PLUS Chloroquine Doxycycline OR Mefloquine OR Malarone Risk high, marked chloroquine resistance. Brazil - Amazon basin region, Mato Grosso & Maranhao only. Very low risk and no chemoprophylazis required elsewhere. Colombia - Most areas below 800m Ecuador - Esmeraldas Province. French Guiana - Especially border areas. Guyana - All interior regions. Surinam - Except Paramaribo and coast. Amazon basin areas of Bolivia, Venezuela and Peru Doxycycline OR Mefloquine OR Malarone Maloprim PLUS Chloroquine