The published material is based on the World Health Organization guidelines and is being distributed without warranty of any kind, either expressed or implied. The responsibility for the interpretation and use of the material lies with the reader.
In April 2018, the World Health Organization (WHO) published their revised position on rabies vaccines and rabies immunoglobulins (Available from: http://www.who.int/entity/rabies/resources/who_wer9316/en/index.html).
This document summarises the current recommended regimens for post-exposure prophylaxis (PEP) and pre-exposure prophylaxis (PrEP) for rabies in South Africa as of January 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.
Listeriosis is a serious bacterial disease caused by the Gram-positive, rod-shaped bacterium, Listeria monocytogenes. The bacterium is widely distributed in nature and can be found in soil, water and contaminated food. Animals and food products such as vegetables can become contaminated from these sources. infection with Listeria usually results in gastroenteritis with symptoms ranging from mild to severe.
Plague is a bacterial infection caused by Yersinia pestis. It is a disease of wild animals, mainly rodents. Plague is usually spread from animal to animal or from animal to human by fleas; occasionally, human-to-human transmission leads rapidly to outbreaks.
Updated: 01 March 2018
Avian influenza, also known as ‘avian flu’ or ‘bird flu’ is an infection- usually of wild birds- but sometimes also of commercial or domestic poultry.
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.