Malaria Information and Prophylaxis, by Country1 [G]
The information presented in this table is consistent with the information in the Health Information for International Travel 2010 (CDC's Yellow Book).
Country | Areas with Malaria | Estimated relative risk of Malaria for US Travelers2 | Drug Resistance3 | Malaria Species4 | Recommended Chemoprophlaxis5 | Helpful links for Select Countries |
---|---|---|---|---|---|---|
Gabon | All | High | Chloroquine | P. falciparum 95% P. malariae, P. ovale, P. vivax 5% |
Atovaquone/ proguanil, doxycycline, or mefloquine | |
Gambia, The | All | High | Chloroquine | P. falciparum 85% P. malariae, P. ovale, P. vivax 15% |
Atovaquone/ proguanil, doxycycline, or mefloquine | |
Georgia | Present June–Oct in the southeastern part of the country near the Azerbaijan border mainly in the Kakheti and Kveno Kartli regions. None in Tbilisi | Very Low | None | P. vivax 100% | Atovaquone/ proguanil, chloroquine, doxycycline, mefloquine, or primaquine7 | |
Germany | None | None | Not Applicable | Not Applicable | Not Applicable | |
Ghana | All | High | Chloroquine | P. falciparum 85% P. ovale 5-10% P. vivax rare |
Atovaquone/ proguanil, doxycycline, or mefloquine | |
Gibraltar (U.K.) | None | None | Not Applicable | Not Applicable | Not Applicable | |
Greece | Locally transmitted cases identified in agricultural areas of Evrotas in the Laconia (southeastern Peloponnese) region, and Marathon and Markopoulo in the East Attica region. | Very Low | None | P. vivax | Atovaquone/proguanil, chloroquine, doxycyline, mefloquine, and primaquine for agricultural areas of Evrotas, Laconia. Mosquito avoidance only for Marathon and Markopoulo. | Regions of Greece |
Greenland (Denmark) | None | None | Not Applicable | Not Applicable | Not Applicable | |
Grenada | None | None | Not Applicable | Not Applicable | Not Applicable | |
Guadeloupe, including St. Barthelemy and Saint Martin (France) | None | None | Not Applicable | Not Applicable | Not Applicable | |
Guam (U.S.) | None | None | Not Applicable | Not Applicable | Not Applicable | |
Guatemala | Rural areas only at altitudes below 1,500 m (4,921 ft). None in Guatemala City, Antigua, or Lake Atitlán | Moderate | None | P. vivax 97% P. falciparum 3% |
Atovaquone/ proguanil, chloroquine, doxycycline, mefloquine, or primaquine7 | Altitude information for Guatemala |
Guinea | All | High | Chloroquine | P. falciparum 85% P. ovale 5-10% P. vivax rare |
Atovaquone/ proguanil, doxycycline, or mefloquine | |
Guinea-Bissau | All | No data | Chloroquine | P. falciparum 85% P. ovale 5-10% P. vivax rare |
Atovaquone/ proguanil, doxycycline, or mefloquine | |
Guyana | Present in all rural areas below 900 m (2,953 ft). | Moderate | Chloroquine | P. falciparum 50% P. vivax 50% |
Atovaquone/ proguanil, doxycycline, or mefloquine | Altitude information for Guyana |
- The information presented herein was accurate at the time of publication; however, factors that can change rapidly and from year to year, such as local weather conditions, mosquito vector density, and prevalence of infection, can markedly affect local malaria transmission patterns. Updated information may be found on the CDC Travelers' Health website at www.cdc.gov/travel.
- This estimate of risk is based on numbers of cases of malaria reported in US travelers and the estimated volume of travel to these countries. In some instances the risk may be low because the actual intensity of transmission is low in that country. In other instances, significant malaria transmission may occur only in small focal areas of the country where US travelers seldom go. Thus even though the risk for the average traveler to that country may be low, the risk for the rare traveler going to the areas with higher transmission intensity will of course be higher. For some countries that are rarely visited by US travelers, there is insufficient information to make a risk estimate.
- Refers to P. falciparum malaria unless otherwise noted.
- Estimates of malaria species are based on best available data from multiple sources.
- Several medications are available for chemoprophylaxis. When deciding which drug to use, consider specific itinerary, length of trip, cost of drug, previous adverse reactions to antimalarials, drug allergies, and current medical history. All travelers should seek medical attention in the event of fever during or after return from travel to areas with malaria.
- This risk estimate is based largely on cases occurring in US military personnel who travel for extended periods of time with unique itineraries that likely do not reflect the risk for the average US traveler.
- Primaquine can cause hemolytic anemia in persons with glucose-6-phosphate dehydrogenase (G6PD) deficiency. Patients must be screened for G6PD deficiency prior to starting primaquine.