South Africa - Malaria Advisory
Updated 05 October 2020
The Guidelines for the Prevention of Malaria in South Africa were developed by the national Department of Health in close collaboration with several stakeholders and malaria experts.
Travellers to, and residents in, malaria endemic areas are at risk of acquiring malaria. Stringent non-drug measures should be taken to avoid mosquito bites throughout the year, even in low malaria transmission areas. In addition, effective chemoprophylaxis should be taken whenever and wherever the risks of acquiring malaria exceed the probability of experiencing a serious adverse reaction to the chemoprophylaxis. The risk of acquiring malaria is determined by the malaria transmission intensity in the area, season of visit, length of stay, type of accommodation, and likely activities between dusk and dawn.
Since 2000, the burden of malaria morbidity and mortality has been reduced substantially. Implementing more effective treatments for uncomplicated malaria (artemether-lumefantrine) and severe malaria (intravenous artesunate), as well as strengthening of mosquito vector control and malaria information systems, were among the measures that contributed to improved malaria control. These advances paved the way toward the South African Department of Health refocusing its efforts to work towards malaria elimination.
Malaria Advisory for South Africa 2018
Updated: 11 April 2018
The malaria risk map as released by the Department of Health. Map produced by the Health GIS Centre, Malaria Research Unit and South African Medical Research Council. To significantly reduce your risk, take precautionary measures against mosquito bites throughout the year in ALL RISK areas. Where malaria chemoprophylaxis is indicated, mefloquine or doxycycline or atovaquone proguanil should be used.
Updated: December 2018
The CDC Malaria Map Application is an interactive map which provides information on malaria endemicity throughout the world.
Information extracted from the Malaria - Topics in International Health CD-ROM published by the Wellcome Trust, and from a Roll Back Malaria information booklet Introduction.
Malaria is a serious, sometimes fatal, tropical disease spread by mosquito bites. The World Health Organization estimates 3.3 billion people (half the world’s population) are at risk from malaria, with approximately 250 million cases and nearly one million deaths every year.
The best prevention is personal protection against the mosquito. Malaria mosquitoes generally bite after dark, wear long sleeves and trousers in the afternoon and evening; stay in-doors if possible. Use insect repellent on exposed skin.
You are advised to visit your general practice surgery or a travel medicine clinic at least 6 weeks before you travel. However, it is never too late to seek advice.
If you have a medical condition, you are advised to discuss the suitability of the trip before you book.