Should I avoid malaria zones entirely?
Baseline decision available
The Decision in One Line
Malaria prophylaxis recommended for most safari destinations
What This Depends On
Key Assumptions
Tanzania, Kenya, Botswana, and Zimbabwe have significant malaria transmission.
High confidenceModern prophylaxis (Malarone, doxycycline) is highly effective when taken correctly.
High confidenceRisk tolerance, health conditions, and previous exposure affect the decision.
High confidenceThis might change if...
If visiting malaria-free areas (Cape Town, some Namibia), prophylaxis may not be needed.
If you have contraindications to all prophylaxis options, discuss alternatives with your doctor.
If visiting during dry season in low-risk areas, risk is reduced but not eliminated.
If pregnant or with young children, consult specialist for specific guidance.
Trade-offs to Understand
What you gain
+
Protection against potentially fatal disease+
Peace of mind during travel+
Modern drugs have manageable side effectsWhat you accept
-
Daily medication regimen-
Potential side effects vary by drug-
Cost of prescription medicationsEvidence to Know
Tanzania, Kenya, Botswana, and Zimbabwe have significant malaria transmission.
Well-established pattern
Safari planningModern prophylaxis (Malarone, doxycycline) is highly effective when taken correctly.
Well-established pattern
Safari planningRisk tolerance, health conditions, and previous exposure affect the decision.
Common but variable
Safari planningProtection against potentially fatal disease
Trade-off considerationDaily medication regimen
Trade-off considerationRelated Decisions
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