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Guidance

Country recommendations

Updated 16 July 2026

The UK Malaria Expert Advisory Group (UKMEAG) recommendations by country are summarised in the table, below.

Key to the country recommendations table

The table contains the following abbreviations:

  • A/P = atovaquone-proguanil combination preparation
  • BA only = bite avoidance plus awareness of risk
  • D = doxycycline
  • M = mefloquine
  • C = chloroquine

Notes

  1. The role of UKMEAG is to provide high level general guidance to help practitioners give specific advice for individual travellers.
  2. Bite avoidance is advised for travel to all areas, including the malaria-free areas of the countries listed in this table, as a preventive measure against other insect vector-borne diseases.
  3. Some countries not listed in this table may experience occasional instances of malaria transmission.
  4. A recommendation for bite prevention plus awareness of risk does not mean there is no risk of malaria in the place in question but indicates that UKMEAG considers the level of risk to be below the threshold for routinely recommending chemoprophylaxis. Where bite avoidance is now the main preventive measure for a given area, rigorous adherence to the recommendations in bite prevention is strongly advised. In all cases, whether or not chemoprophylaxis has been advised, special attention must be given to bite prevention and febrile illness must be taken seriously and investigated promptly.
  5. Long-term visitors visiting friends and relatives (VFR) run a higher risk of catching malaria than short-term travellers to the same location. Furthermore, once infected, the risk of developing severe or complicated malaria is higher in certain groups, such as the elderly (over 70 years old), the immunosuppressed, those with complex co-morbidities and pregnant women.
  6. Although such travellers at increased risk of developing complicated malaria should not be offered antimalarials routinely for malaria risk areas where bite avoidance only is recommended, this may be considered in exceptional circumstances. Expert advice to support the practitioner is available from the MRL and NaTHNaC.
  7. The final decision whether or not to advise chemoprophylaxis rests with the travel health advisor and the traveller after individual risk assessment has been performed.

For the latest information on outbreaks in affected countries, please check the website.

Table of country recommendations

Country name UKMEAG recommendations 2026
Afghanistan
There is a low risk of malaria below 2,000m from May to November (µþ´¡Ìý´Ç²Ô±ô²â). There is a very low risk of malaria in this part of the country duringÌýthe rest of the year (BA only).
Andaman and Nicobar Islands (India) There is a low risk of malaria in the Andaman and Nicobar Islands (µþ´¡Ìý´Ç²Ô±ô²â).
Angola
ThereÌýis a high risk of malaria in Angola (A/P, D, M).
Argentina
In 2019 the World Health Orgnization (WHO) declaredÌýArgentina malaria-free. There is no risk of malaria (BA only)
Azerbaijan
In 2023 the WHO declaredÌýÌýÌýAzerbaijan malaria-free. There is no risk of malaria (BA only).
Bangladesh
There is a high risk of malaria in the Chittagong Hill TractÌýdistricts of Bangladesh (A/P, D, M). There is a very low risk in the rest of Bangladesh (including Chittagong city) (BA only).
Belize
In 2023 the WHO declared BelizeÌýmalaria free. There is no risk of malaria in Belize (BA only).
Benin
ThereÌýis a high risk of malaria in Benin (A/P, D, M).
Bhutan
There is a low risk of malaria in the southern belt districts ofÌýBhutan along the border with India: Chukha, Geyleg-phug, Samchi, SamdrupÌýJonkhar and Shemgang (BA only). There is no risk in the rest of Bhutan.
Bolivia
ThereÌýis a low risk of malaria in the Amazon basin of Bolivia (BA only). There is aÌýlow risk of malaria in other rural areas below 2,500 m (BA only). There is noÌýrisk above 2,500m. See the interactive malaria map for Bolivia.
Botswana
There is a high risk of malaria, from October to May, in the northern half of Botswana, including the Okavango Delta areaÌý(A/P, D, M). There is a low risk of malaria in this part of the country duringÌýthe rest of the year (BA only). There is very low risk in the southern halfÌýof the country (BA only).
Brazil
There is a low risk of malaria in the Amazon Basin of Brazil,Ìýincluding in the city of Manaus (BA only). There is a very low risk ofÌýmalaria in the rest of Brazil (BA only). There is no risk of malaria inÌýIguaçu Falls.Ìý
Brunei Darussalam
There is a very low risk of malaria in Brunei Darussalam (BA only).
Burkina Faso
There is a high risk of malaria in Burkina Faso (A/P, D, M).
Burundi
There is a high risk of malaria in Burundi (A/P, D, M).
Cambodia
There is a lowÌýrisk of malaria in Cambodia. (BA only). There is a very low risk of malariaÌýin the temple complexes of Angkor Wat and around Lake Tonle Sap, includingÌýSiem Reap (BA only).
Ìý There is no risk in Phnom Penh. MefloquineÌýresistance is widespread in the western provinces of Cambodia borderingÌýThailand.
Cameroon
ThereÌýis a high risk of malaria in Cameroon (A/P, D, M).
Cape Verde
There is no risk of malaria in Cape Verde (BA only).
Central African Republic
There is a high risk of malaria in the Central African RepublicÌý(A/P, D, M).
Chad
There is a high risk of malaria in Chad (A/P, D, M).
China
In 2021 the WHO declared China malaria free. There is no risk ofÌýmalaria in China (BA only).
China (Hong Kong)
There is no risk of malaria in Hong Kong.
Colombia
There is a low risk of malaria in rural areas of Colombia below 1,600mÌý(BA only). There is a very low risk in areas above 1,600m and in CartagenaÌý(BA only).
Comoros
There is a high risk of malaria in the Comoros (A/P, D, M).
Congo
ThereÌýis a high risk of malaria in the Congo (A/P, D, M).
Costa Rica
There is a low risk of malaria in Limon Province (BA only) but not inÌýthe city of Limon (Puerto Limon). There is a very low risk in the rest of the country (BA only).
Côte d’Ivoire
ThereÌýis a high risk of malaria in the Cote d’Ivoire (A/P, D, M).
Democratic RepublicÌýof the Congo
There is a high risk of malaria in the Democratic Republic of theÌýCongo (A/P, D, M).
Djibouti
There is a high risk of malaria in Djibouti (A/P, D, M).
Dominican Republic
There is a low risk of malaria in the Dominican Republic (BA only).ÌýRisk may be higher in areas bordering Haiti (BA only). There is no risk inÌýthe cities of Santiago and Santo Domingo.
East Timor (Timor-Leste)
In July 2025 the World Health Organization declared Timor-Leste malaria-free. There is no risk of malaria in Timor-Leste. (BA only).
Ecuador
On mainland Ecuador, there is a low risk of malaria in areas belowÌý1,500m, including the coastal provinces and Amazon basin (BA only). There isÌýno risk of malaria in the Galapagos islands or the city of Guayaquil.
Egypt
In 2024 the WHO declared Egypt malaria free. There is no risk ofÌýmalaria in Egypt (BA only).
El Salvador
In 2021 the WHO declared El Salvador malaria free. There is no riskÌýof malaria in El Salvador (BA only).
Equatorial Guinea
There is a high risk of malaria in Equatorial Guinea (A/P, D, M).
Eritrea
There is a high risk of malaria in Eritrea below 2,200m (A/P, D, M).ÌýThere is no risk of malaria in Asmara or in areas above 2,200m.
Eswatini
There is a risk of malaria from November to May in the northern and eastern regions of Eswatini bordering Mozambique and South Africa, including all of Lubombo district and the eastern half of Hhohho, Manzini and Shiselweni districts. (A/P, D, M). There is no malaria risk in Mbabane district, and very low risk in the rest of Eswatini (BA).
There is a very low risk of malaria in the restÌýÌýÌýof the country (BA only).
Ethiopia
ThereÌýis a high risk of malaria in Ethiopia below 2,000m (A/P, D, M). There is noÌýrisk of malaria in Addis Ababa or in areas above 2,000m.
French Guiana
There is a risk of malaria inÌýFrench Guiana, particularly in areas bordering low-risk malaria zones inÌýBrazil and along major rivers such as the Oyapock and Approuague.ÌýAntimalarials are recommended for visitors to these areas (A/P, D, M). ThereÌýis a low risk of malaria in the city of Cayenne or Devil’s Island and environs (Ile du Diable) (BA only).
Gabon There is a high risk of malaria in Gabon (A/P, D, M).
Gambia
ThereÌýis a high risk of malaria in Gambia (A/P, D, M).
Georgia
Georgia has been certified malaria free by the World HealthÌýOrganization (BA only).Ìý
Ghana
ThereÌýis a high risk of malaria in Ghana (A/P, D, M).
Guatemala
There is a low risk of malaria in Guatemala below 1,500m (BA only).ÌýThere is no risk in Guatemala City, Antigua and Lake Atitlan and areas aboveÌý1,500m.
Guinea
ThereÌýis a high risk of malaria in Guinea (A/P, D, M).
Guinea-Bissau
There is a high risk of malaria in Guinea-Bissau (A/P, D, M).
Guyana
There is a risk of malaria in all interior regions of Guyana (A/P,ÌýD, M). There is a very low risk of malaria in Georgetown and the coastalÌýregion (BA only).
Haiti
There is a risk of malaria in Haiti (C, A/P, D, M).
Honduras
There isÌýa low risk of malaria below 1,000m and in Roatán and other Bay Islands (BA only). There is no risk of malariaÌýin San Pedro Sula and Tegucigalpa and areas above 1,000m.
India
There is a riskÌýof malaria in the states of Mizoram, Odisha and Tripura (A/P, D, M).
Ìý For the rest of India (including Goa and theÌýAndaman and Nicobar Islands) there is a low risk of malaria (BA only).ThereÌýis no risk of malaria in the Lakshadweep islands.Ìý
Indonesia
There is a highÌýrisk of malaria in Irian Jaya (Papua) (A/P, D, M). There is a low risk inÌýBali, Lombok and the islands of Java and Sumatra (BA only). There is no riskÌýin the city of Jakarta.
Iran
There is a lowÌýrisk of malaria from March to November in the rural south eastern provincesÌýof Iran and in the north, along the Azerbaijan border in Ardabil and near theÌýTurkmenistan border in North Khorasan (BA only). There is a very low risk inÌýthe rest of Iran (BA only).
Iraq
There is a veryÌýlow risk of malaria in the rural northern area of Iraq below 1,500m, from MayÌýto November (BA only). There is no risk in the rest of Iraq.
Kenya
There is a highÌýrisk of malaria in Kenya (A/P, D, M). There is very low risk in the city ofÌýNairobi and in the highlands above 2,500m (BA only).
Lao People’s Democratic Republic (Laos)
There is a lowÌýrisk of malaria in Laos (BA only). There is a very low risk in the city ofÌýVientiane (BA only).
Liberia
There is a highÌýrisk of malaria in Liberia (A/P, D, M).
MadagascarÌý
There isÌýa high risk of malaria in Madagascar (A/P, D, M).
Malawi
There is aÌýhigh risk of malaria in Malawi (A/P, D, M).
Malaysia
ThereÌýis a low risk of malaria in mainland Malaysia (BA only).
MalaysiaÌý(Borneo)
There is a lowÌýrisk of malaria in inland areas of Sabah and in the inland, forested areas ofÌýSarawak (BA only). There is a very low risk of malaria in the rest ofÌýMalaysian Borneo including the coastal areas of Sabah and Sarawak (BA only)
Mali
There is a highÌýrisk of malaria in Mali (A/P, D, M).
MauritaniaÌý
There is a highÌýrisk of malaria throughout the year in the southern provinces of MauritaniaÌý(A/P, D, M). There is a high risk of malaria in the northern provinces fromÌýJuly to October inclusive (A/P, D, M). There is a low risk of malaria in theÌýnorthern provinces during the rest of the year (BA only).
Mauritius
There is noÌýrisk of malaria in Mauritius (BA only).
Mayotte
There is a lowÌýrisk of malaria in Mayotte (BA only).
Mexico
There is a veryÌýlow risk of malaria in Mexico (BA only).
MozambiqueÌý
There isÌýa high risk of malaria in Mozambique (A/P, D, M).
Myanmar
The risk inÌýMyanmar is difficult to assess and chemoprophylaxis (A/P, D) should beÌýconsidered for travellers to all parts of Myanmar at altitudes below 1,000Ìýmetres.
Namibia
There is a high risk of malaria all year in the Kavango East, Kavango West, and Zambezi [including Caprivi] regions (A/P, D, M).
There is also a high risk of malaria from December to April inclusive in Kunene, Omusati, Oshana, Ohangwena, Oshikoto, Omaheke, and Otjozondjupa regions (A/P, D, M).
There is a very low risk of malaria in the rest of Namibia (BA only).
Ìý There is a very low risk of malaria in the rest of Namibia (µþ´¡Ìý´Ç²Ô±ô²â).
Nepal
There is a lowÌýrisk of malaria in areas of Nepal below 1,500m, including the Terai districtÌý(BA only). There is no risk of malaria in the city of Kathmandu and onÌýtypical Himalayan treks.
Nicaragua
There is a veryÌýlow risk of malaria in Managua (BA only). There is a low risk of malaria inÌýthe rest of Nicaragua (BA only).
Niger
There is a highÌýrisk of malaria in Niger (A/P, D, M).
Nigeria
There is aÌýhigh risk of malaria in Nigeria (A/P, D, M).
North Korea
There is a veryÌýlow risk of malaria in some southern areas of North Korea (BA only).
Pakistan
There is a lowÌýrisk of malaria in areas of Pakistan below 2,000m (BA only). There is a veryÌýlow risk above 2,000m (BA only).
Panama
There is a lowÌýrisk of malaria east of the Canal Zone in Panama (BA only). There is a veryÌýlow risk of malaria west of the Canal Zone (BA only). There is no risk ofÌýmalaria in Panama City or the Canal Zone itself.
Papua New GuineaÌý
There is a highÌýrisk of malaria in Papua New Guinea below 1,800m (A/P, D, M). There is veryÌýlow risk above 1,800m (BA only).
Peru
There is a lowÌýrisk of malaria in the Amazon basin of Peru along the border with Brazil,ÌýÌýÌýparticularly in Loreto province and in the other rural areas of Peru belowÌý2,000m including that part of the Amazon Basin which borders Bolivia (µþ´¡Ìý´Ç²Ô±ô²â). There is no risk in the city of Lima and the coastal region south ofÌýChiclayo.
Philippines
There is a lowÌýrisk of malaria in rural areas of the Philippines below 600m and on theÌýÌýÌýislands of Luzon, Mindanao, Mindoro, and Palawan (BA only). There is no riskÌýin cities or on the islands of Borocay, Bohol, Catanduanes, Cebu and Leyte.
Rwanda
There is aÌýhigh risk of malaria in Rwanda (A/P, D, M).
Sao Tome and Principe
There is a highÌýrisk of malaria in São Tomé and Príncipe (A/P, D, M).
Saudi Arabia
There is a veryÌýlow risk of malaria in the south western provinces of Saudi Arabia, along theÌýborder with Yemen including Asir province below 2,000m (BA only). There is noÌýrisk of malaria in the cities of Jeddah, Makkah (Mecca), Medina, Riyadh, and Ta’if, or in Asir province aboveÌý2,000m.
Senegal
There is a highÌýrisk of malaria in Senegal (A/P, D, M).
Sierra Leone
ThereÌýis a high risk of malaria in Sierra Leone (A/P, D, M).
Singapore
There is noÌýrisk of malaria in Singapore (BA only).
Solomon Islands
There is a highÌýrisk of malaria in the Solomon Islands (A/P, D, M).
Somalia
There is aÌýhigh risk of malaria in Somalia (A/P, D, M).
South Africa
All travellers should take bite avoidance measures throughout the year in all risk areas. Transmission of malaria occurs typically between the months of September and May only.

There is a risk of malaria in the low altitude areas of Mpumalanga and Limpopo particularly those bordering Mozambique, Estwatini and Zimbabwe; this includes the Kruger National Park: atovaquone/proguanilÌýOR doxycyclineÌýOR mefloquineÌýrecommended during the transmission season, September to May only.

In June, July and August, the risk in this area is considered to beÌývery low: awareness of risk and bite avoidance recommended.

There is a low risk of malaria in the far northeast of KwaZulu-Natal and in designated areas of Mpumalanga, Limpopo during the transmission season, September to May: awareness of risk and bite avoidance recommended.

There is a very low risk of malaria in designated areas of northeast KwaZulu-Natal during the transmission season, September to May: awareness of risk and bite avoidance recommended.

There is no risk in the rest of South Africa: bite avoidance recommended.
Sri Lanka
There is noÌýrisk of malaria in Sri Lanka (BA) only).
South Korea
There is a veryÌýlow risk of malaria in northern areas of South Korea, in Gyeonggi-do andÌýGangwon-do Provinces, and Incheon City, near the Demilitarized Zone (DMZ).ÌýIncreased risk has been reported in the following areas: Ganghwa-gun,ÌýPaju-si, Gimpo-si, Ilsanseo-gu, Ilsandong-gu, Deogyang-gu, Cheorwon-gun, andÌýYeoncheon-gun (BA only).
South Sudan
There is a highÌýrisk of malaria in South Sudan (A/P, D, M).
Sudan
AntimalarialÌýchemoprophylaxis is advised for all travellers to Sudan, including Khartoum;Ìýatovaquone-proguanil or doxycycline or mefloquine is recommended. This changeÌýwill be kept under review. Anyone returning from Sudan should be vigilant forÌýthe signs of malaria and seek immediate medical attention if they have aÌýfever or flu-like illnessÌýÌý
Suriname
There is no risk of malaria in Suriname (BA only).Ìý
Syria
There isÌýthought to be a very low risk of malaria in small, remote foci of El HasakaÌýÌýÌý(BA only) but up-to-date data is not available, so the possibility ofÌýadditional cases occurring cannot be excluded.
Tajikistan
In 2023 the WHOÌýdeclared Tajikistan malaria-free. There is no risk of malaria in Tajikistan (BA only).
Tanzania
There is a highÌýrisk of malaria in all areas below 1,800m (A/P, D, M). There is no risk ofÌýmalaria above 1,800m. There is a risk of malaria in Zanzibar (A/P, D, M).
Ìý See theÌýinteractive malaria map of Tanzania.
Thailand
There isÌýmefloquine resistance in Thailand. There is a low risk of malaria in theÌýrural, forested borders of Thailand with Cambodia, Laos and Myanmar (µþ´¡Ìý´Ç²Ô±ô²â). There is a very low risk of malaria in the remaining areas of ThailandÌýincluding Kanchanaburi (Kwai Bridge) (BA only). There is no risk of malariaÌýin the cities of Bangkok, Chiang Mai, Chiang Rai, Koh Phangan, Koh Samui, andÌýPattaya.
Togo
There is a highÌýrisk of malaria in Togo (A/P, D, M).
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There is a veryÌýlow risk of malaria in °Õü°ù°ì¾±²â±ð (BA only).
Uganda
There is aÌýhigh risk of malaria in Uganda (A/P, D, M).
Uzbekistan
The WHOÌýcertified Uzbekistan to be malaria free in 2018. There is no risk of malaria in UzbekistanÌý(BA only).
Vanuatu
There is a riskÌýof malaria in the whole of Vanuatu (A/P, D, M).
Venezuela
There is a riskÌýof malaria in all areas of Venezuela, particularly in the Amazonas, Bolívar, Delta Amacuro and SucreÌýstates: (A/P, D, M). There is no risk in the city of Caracas or on MargaritaÌýIsland: (BA only).
Vietnam
There is a lowÌýrisk of malaria in the southern part of the country in the provinces of TayÌýNinh, Lam Dong, Dak Lak, Gia Lai, and Kon Tum, and other rural areas ofÌýVietnam (BA only). There is no risk in large cities, including Hanoi and HoÌýChi Minh City (Saigon), the Red River delta, coastal areas north of Nha TrangÌýand Phu Quoc Island (BA only).
Western Sahara
There is noÌýrisk of malaria in Western Sahara (BA only).
Yemen
There is a riskÌýof malaria in Yemen below 2,000m (A/P, D, M).There is very low risk ofÌýmalaria on Socrota Island (BA only). There is no risk of malaria above 2,000mÌýincluding Sana’a city (BA only).
Zambia
There is aÌýhigh risk of malaria in Zambia (A/P, D, M).
Zimbabwe
There is a highÌýrisk of malaria in Zimbabwe below 1,200m from November to June (A/P, D, M).ÌýThere is a low risk of malaria in this part of the country during the rest ofÌýthe year (BA only). In the Zambezi valley the risk is throughout the yearÌý(A/P, D, M). There is very low risk in Harare and Bulawayo (BA only).