BBC NEWS

BFBS Radio & TV Soldier Magazine ARMY NET E-Bluey The British Army BATSUB Royal Air Force Royal Navy British Forces Wives Normandy Battlefield Tours Brits in Cancun Goodies The Fusiliers Ex-Mil Recruitment

Skype PC to PC Phone Gizmo PC to PC Phone

Foreign Office Advise British Embassy Mexico British Consulate Cancun

Buy Just About Anything Roses by Post Designer Sunglasses Ann Summers Store Thornton's Chocolates Leatherman Multi-tools UK iPOD Store UK PSP Games & Accessories Gift Boxes Cotswold Outdoor Centre

Formula One Rugby Cricket Football News

View my Calendar View my Guestmap Free for All Links Sign my Guestbook Live Chat Fun Stuff & Games Free Internet Games Adult Friend Finder British Penpals World Clock / Phone Codes Currency Converter

Cheap Flights Warsaw Hotels & Info Travel Egypt Hidden Worlds Cenotes

Local Weather Cancun

Your Pictures Hurricane Wilma 2005 Cancun Landmarks

 

Live Chat Software for Business

Malaria in Asia & The Middle East

Click on the name of the required country or scroll down for the relevant information Afghanistan Armenia Azerbaijan Bahrain Bangladesh Bhutan Brunei Cambodia Japan Jordan Kazakhstan Korea (North) Korea (South) Kuwait Kyrgysztan Laos Philippines Qatar Russia Saudi Arabia Singapore Sri Lanka Syria Taiwan China Georgia Hong Kong India Indonesia & Bali Iran Iraq Israel Lebanon Malaysia Maldives Mongolia Myanmar (Burma) Nepal Oman Pakistan Tajikistan Thailand Turkey Turkmenistan United Arab Emirates Uzbekistan Vietnam Yemen   A key to the abbreviations used and information on the different anti-malarial drug regimens can be found below the main tables

COUNTRY MAL 1 MAL 2 YEL HEP A TYP TET POL MEN ENC DIP RAB HEP B Afghanistan malaria risk below 2000 metres from May to Nov 2 - C R R R R - - L L L Armenia malaria risk from June to Oct 3 - - R R R R - - L L L Azerbaijan malaria risk in the south border area and Khachmas from June to Oct 3 - - R R R R - - L L L Bahrain No malaria risk - - - R R R R - - L L L Bangladesh malaria risk in the south east and Chittagong Hill Tracks, regimen 1, all other areas regimen 2, no risk in Dhaka city, regimen 4 1/2 2 C R R R R - R L L L Bhutan No malaria risk 2 - C R R R R R - L L L Brunei No malaria risk - - C R R R R - R L L L Cambodia malaria risk in all areas regimen 1 or 2, western provinces & border with Thailand, regimen 1 but mefloquine resistance present, no risk in Phnom Penh, regimen 4 1 2 C R R R R - R L L L China malaria risk in Yunnan Province and Hainan Island, regimen 1 or 2, all other rural areas, regimen 3, main tourist areas - very little risk, avoid mosquito bites, regimen 4 1/3 4 2 C R R R R - R L L L Georgia malaria risk in south eastern areas from July to Oct 3 - - R R R R - - R L L Hong Kong Very low malaria risk avoid mosquito bites 4 - - R R R R - R L L L India malaria risk in the whole country including Goa regimen 2 or 1, no risk in northern mountain states, regimen 4 2 1 C R R R R R R L L L Indonesia including Bali malaria risk in Irian Jaya, East Timor and Lombok - regimen 1. All other areas except cities - regimen 2, Low risk in main cities & Bali - regimen 4 2/1 4 1/2 C R R R R - R L L L Iran malaria risk from March to Nov 2 - - R R R R - - L L L Iraq malaria risk in the rural north and Basrah province from May to Nov 2 3 C R R R R - - L L L Israel No malaria risk - - - R R R R - - L L L COUNTRY MAL 1 MAL 2 YEL HEP A TYP TET POL MEN ENC DIP RAB HEP B Japan No malaria risk - - - - - R R - R L L L Jordan No malaria risk - - C R R R R - - L L L Kazakhstan No malaria risk - - C R R R R - - L L L Korea (North) No malaria risk - - - R R R R - R L L L Korea (South) No malaria risk - - - R R R R - R L L L Kuwait No malaria risk - - - R R R R - - L L L Kyrgystan No malaria risk - - - R R R R - - L L L Laos malaria risk in the whole country (regimen 1), except Vientiane (regimen 4) 1 2 C R R R R - - L L L Lebanon No malaria risk - - C R R R R - - L L L Malaysia malaria risk in deep forests of peninsular Malaysia, Borneo including Sarawak and Sabah, regimen 1 or 2, all other areas including Kuala Lumpur & Penang, regimen 4 1/4 2 C R R R R - R L L L Maldives No malaria risk - - C R R R R - - L L L Mongolia No malaria risk - - - R R R R R - L L L Myanmar (Burma) malaria risk on Thai border areas 1 2 C R R R R - - L L L Nepal malaria risk in areas below 1200 metres, regimen 2, all other areas, regimen 4 2/4 - C R R R R R R L L L Oman malaria risk in rural areas 2 - C R R R R - - L L L Pakistan malaria risk in areas below 2000 metres 2 1 C R R R R - R L L L COUNTRY MAL 1 MAL 2 YEL HEP A TYP TET POL MEN ENC DIP RAB HEP B Philippines malaria risk in rural areas below 600 metres, regimen 2 or 1, no risk in Manilla, Cebu, Leyte, Bohol & Cantanduanes 2 1 C R R R R - R L L L Qatar No malaria risk - - - R R R R - - L L L Russia No malaria risk - - - R R R R - - R L L Saudi Arabia malaria risk in all areas (regimen 2) except Northern, Eastern and Central provinces & the Asir Plateau. Western border cities, very little risk (regimen 4) *meningococcal vaccination is now mandatory for pilgrims on Hajj to Mecca, otherwise recommended for stays of one month or more 2/4 - C R R R R M* R* - L L L Singapore No malaria risk - - C R R R R - - L - L Sri Lanka malaria risk in the whole country except Colombo, Kalutara & Nuwara Eliya 2 - C R R R R - R L L L Syria malaria risk in northern borders from May to Oct 3 - C R R R R - - L L L Taiwan No malaria risk - - - R R R R - - L L L Tajikistan malaria risk from June to Oct 3 - - R R R R - - L L L Thailand malaria risk in border areas with Cambodia, Laos & Myanmar and Koh Chang Island - regimen 1 but mefloquine resistance present. All other areas including Bangkok, Pattaya, Phuket, Chiang Mai & River Kwai Bridge, regimen 4 1/4 - C R R R R - R L L L Turkey malaria risk in Antalya, Side, Alanya, the east coast, south east Anatolia and the plain around Adona from May to October. No risk west of Antalya 3 - - R R R R - - L L L Turkmenistan malaria risk from June to Oct 3 - - R R R R - - L L L United Arab Emirates malaria risk in the northern rural areas 2 - - R R R R - - L L L Uzbekistan No malaria risk - - - R R R R - - L L L Vietnam malaria risk in the whole country except major cities, the Red River delta area and the coastal plain north of Nha Trang 1 - C R R R R - R L L L Yemen Malaria risk in the whole country all year round except Aden and the airport perimeter where the risk is minimal. 2 1 - R R R R - - L L L

YEL Yellow Fever HEP A Hepatitis A TYP Typhoid TET Tetanus POL Polio MEN Meningitis ENC Encephalitis B DIP Diphtheria RAB Rabies HEP B Hepatitis B M Vaccination is mandatory and a certificate of vaccination is required for entry. C A certificate of vaccination may be required if entering from an endemic country, (except for children <1 year old). R Vaccination is recommended for the country but no evidence is required for entry. L Long Term. Vaccination recommended for travellers staying in endemic areas for 3 months or more.   Countries requiring malaria prophyllaxis should be regarded as being at risk all year round and you should also assume that the whole country is at risk unless otherwise indicated. The 1st malaria regimen (MAL 1) is the preferred regimen for a country. The 2nd malaria regimen (MAL 2) is an alternative that should only be used when the 1st Regimen is either unavailable or badly tolerated. The preferred regimen should always be used whenever possible. Use of the 2nd regimen in some instances may not provide adequate cover. When there are two different regimens for the same country, they are area specific. Read the text to find out which regimen is suitable for the area you require. Where regimen 1 is indicated there is Chloroquine resistance in that region and it is very likely to be the Falciparum malaria which is the most serious form of the disease. In this instance it is vitally important that travellers take adequate prophylaxis. Remember:- No prophylaxis is 100% effective but not taking anti-malarials where they are indicated will put you at greater risk should you get the disease. Malaria is a killer!   The Different Drug Regimens Regimen 1 Mefloquine one 250mg tablet weekly. OR Doxycycline one 100mg capsule daily. OR Malarone one tablet daily. Regimen 2 Chloroquine 300mg weekly (2x150mg tablets). PLUS Proguanil 200mg daily (2x100mg tablets). Regimen 3 Chloroquine 300mg weekly (2x150mg tablets) OR Proguanil 200mg daily (2x100mg tablets). Regimen 4 No prophylactic tablets required but anti mosquito measures such as insect repellents, mosquito nets, long sleeved clothing, etc. should be strictly observed. .   Proguanil 100mg tablets are supplied as Paludrine Tablets Chloroquine 150mg tablets are supplied as Nivaquine or Avloclor Tablets Mefloquine 250mg tablets are supplied as Lariam Tablets   Malarone is a combination of Atovaquone 250mg and Proguanil 100mg   Length of Prophylaxis Chloroquine, Proguanil & Maloprim Start one week before travel, throughout your stay in an endemic area and continue for four weeks after return. Mefloquine (Lariam) Start two and a half weeks before travel, throughout your stay in an endemic area and continue for four weeks after return. Doxycycline Start two days before travel, throughout your stay in an endemic area and continue for four weeks after return. Malarone Start two days before travel, throughout your stay in an endemic area and continue for one week after return. IMPORTANT! Take the tablets absolutely regularly, preferably with or after a meal.   Long Term Use of Anti-Malaria Drugs Chloroquine May be taken for periods exceeding five years. Paludrine May be taken for periods exceeding five years. Maloprim Can be taken for periods up to one year. Mefloquine Can be taken for periods up to one year. Doxycycline Can be taken for periods up to six months. Malarone Can be used for travel periods up to three months.   Compatibility of Anti-Malaria Drugs   Pregnancy Breast Feeding Epilepsy Psoriasis Altitude Scuba Diving Chloroquine OK OK NO NO OK OK Paludrine OK OK OK OK OK OK Mefloquine OK* NO NO OK NO NO Doxycycline NO NO OK OK OK OK Malarone NO NO OK OK OK OK * These drugs are not suitable during the first trimester of pregnancy.   Childrens' Dosages: Calculate the dose by weight rather than by age if possible Age/Weight Chloroquine (once weekly) Proguanil (once daily) Mefloquine (once weekly) Doxycycline (once daily) Malarone (once daily) 0 - 12 weeks under 6kg ¼ tablet ¼ tablet - - - 3 - 12 months 6 - 10kg ½ tablet ½ tablet ¼ tablet - - 1 - 3 years 10 - 16kg ¾ tablet ¾ tablet ¼ tablet - 1 child's tablet 4 - 7 years 16 - 25kg 1 tablet 1 tablet ½ tablet - 1 child's tablet 8 - 12 years 25 - 45 Kg 1½ tablets 1½ tablets ¾ tablet - 2 child's tablets 13 years and over 45kg and over 2 tablets 2 tablets 1 tablet 1 capsule 1 adult tablet The above dosages are based upon the guidelines issued by the Advisory Committee on Malaria Prevention.   Adult Dosages Regimen Dose for Chemoprophylaxis Usual amount per tablet (mg) Areas without drug resistance: Chloroquine Proguanil 2 tablets weekly 2 tablets daily 150mg (base) 100mg Areas of little chloroquine resistance (poorly effective where marked resistance): Chloroquine plus Proguanil 2 tablets weekly 2 tablets daily 150mg (base) 100mg Areas of chloroquine resistant P. falciparum: Mefloquine Doxycycline Malarone (atovaquone & proguanil) 1 tablet weekly 1 tablet/capsule daily 1 tablet daily 250mg (228 in USA) 100mg 250mg atovaquone & 100mg proguanil