South Africa Malaria Risk Areas

South Africa Malaria Risk Areas shown on a Map and Precautions to take when travelling to the high risk Malarial areas of South Africa

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South Africa Malaria Risk Areas: Malaria is endemic in the Lowveld of Mpumalanga and in Limpopo and in KwaZulu Natal, malaria is endemic on the Maputaland coast. So if you are travelling to the far north of South Africa, please consult a heath-care professional for the latest advice on malaria prophylaxis as it changes regularly.

Protection: To protect yourself, always use mosquito repellent (even during the day) wear light, long sleeved shirts, long pants and shoes and socks at night, and sleep under a net or in a mosquito-proof room. Even if you are taking oral malaria prophylactic, you can still get malaria if you are bitten by an infected anopheles mosquito, so a good repellent is your easiest and most effective precaution.

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Taking Malaria Prophylactics: If you do decide to take malaria prophylaxis, it is essential to take the drugs according to the directions on the package insert. You need to start a week or two before entering the malaria-endemic area and it is also essential that you continue to take the drugs for four weeks after leaving the malaria risk area. Please consult your physician or a registered health-care professional about the possible side-effects of the drugs.

Pre-cautions: If you are pregnant it is advisable to avoid malaria areas but you can still have a great holiday (including some excellent game viewing) without setting a foot in a malaria-endemic area. Some medical conditions are contra-indications for malaria prophylactic drugs, so consult your regular doctor if you have any pre-existing conditions.

Intermediate Risk Areas: In intermediate risk areas (Kosi Bay, Sodwana Bay, Mkuze Game Reserve and St Lucia Lake (not the town of St Lucia and the river mouth), the use of anti-malarial drugs is advisable only for high risk people from October to May. Check with your physician or travel clinic.

Low Risk Areas: In low risk areas no anti-malaria drugs are necessary. In the North West Province and the Northern Cape along the Molopo and Orange Rivers, including the Augrabies Falls and the Kgalagadi Transfrontier Park, malaria is only occasionally locally transmitted. It is not necessary to take anti-malaria drugs when visiting these areas, but precautionary measures to prevent mosquito bites should be taken.

Important: It is important to note that a person may still contract malaria even though all precautionary measures have been taken. If any flu-like symptoms namely, headache, fever, muscular and joint pains, sweating, shivering attacks, nausea, diarrhoea and fatigue occur after a visit to a malaria risk area (and for up to six months there-after) consult a doctor immediately and advise the doctor of your visit to the malaria area in order to ensure that malaria is diagnosed and treated in time. Malaria attacks can occur up to six months after leaving a malaria area.

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Visitors to high risk Malaria areas should personally take precautions between dawn and dusk by:

ť apply insect repellent to exposed skin

ť if possible remain indoors

ť close windows and doors at night unless they are screened

ť spraying an aerosol insecticide inside the sleeping area

ť burning mosquito coils and mosquito mats in sleeping areas

ť sleeping under a mosquito-proof bed-net

ť wearing long-sleeved clothing, trousers and socks if outdoors during this time

ť In high-risk areas (Kruger National Park, northern parts of Limpopo and northern parts of KwaZulu-Natal) the use of anti-malaria drugs is recommended from October to May.

People at particular risk who should take extra precautions:

ť Children under 5
ť Adults over 65
ť Pregnant women
ť People on long term steroids
ť People receiving chemotherapy
ť Aids patients
ť People who had their spleens removed
ť People with porphyria, epilepsy and chronically ill patients

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South Africa Malaria Risk Areas | Precautions to take when travelling to high risk Malarial areas of southern Africa (far north)

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