Chloroquine Resistance


Countries not mentioned are regarded as non-infected from Malaria

Afghanistan Emirates (United Arab) Pakistan
Algeria French Guiana Panama
Angola Gabon Papua New Guinea
Argentina Gambia Paraguay
Azerbaijan Ghana Peru
Bangladesh Guatemala Philippines
Belize Guinea Rep. Of Korea (South-Korea)
Benin Guinea-Bissau Rwanda
Bhutan Guyana Sao Tome og Principe
Bolivia India Senegal
Botswana Indonesia Sierra Leone
Brazil Iran Solomon Islands
Burkina Faso Irak Somalia
Burma Kenya Sri Lanka
Burundi Kina Sudan
Cambodia Laos Suriname
Cameroun Liberia Soutn Arica
Cap Verde Libya South-Korea
Central African Rep Madagascar Swaziland
Chad Malawi Syria
China Malaysia Tajikistan
Colombia Mali Tanzania
Comoros Marocco Thailand
Congo Mauritaniab Togo
Costa Rica Mauritius Turkey
Cote d'Ivory Mayotte Turkmenistan
Democratic Rep. Korea (North-Korea) Mexico Uganda
Djibouti Mozambique United Arab Emirates
Dominican Rep. Myanmar/Burma Vanuata
Ecuador Namibia Venezuela
Egypt Nepal Vietnam
El Salvador Nicaragua Yemen
Equatorial Guinea Niger Zaire
Eritrea Nigeria Zambia
Ethiopia Oman Zimbabwe

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Country/region Chloroquine Resistance Comment
Afghanistan
Yes
Chloroquine and proagunil recommended

Algeria

Reduced risk in Sahara

No
Prophylaxis not recommended
Angola
Yes
Mefloquine recommended

Argentina

Salta and Jujuy

No
Chloquine is recommended in risk areas

Azerbaijan

Little risk in the lowland between the rivers Kura and Arax

No
Prophylaxis not recommended

Bangladesh

Everywhere except Dhaka

Vast areas in the north and east
Chloroquine and proguanil recommended, in the woodlands Mefloquine is recommended

Belize

Remote areas outside Belize district

No
Chloroquine is recommended
Benin
Yes
Mefloquine recommended

Bhutan

Areas to the border of India

Yes
Chloroquine and proagunil recommended in risk areas
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Bolivia

Malaria risk in the lowlands below 2500 m altitude in the regions Beni, Pando, Santa Cruz , Tarija, Lacareja, Rurenabaque, Yungas.

Yes
Chloroquine, but mefloquine in the Northern Departments

Botswana

North of 21. degree of latitude

Suspected
Mefloquine recommended

Brazil

In woodlands below 900 m in the provins of "Legal Amazonas"(Acre, Rondonia, Amapa, Roraima,in the rural part of Amazonas, Goias, Maranhao, Mato Grosso, Tocantis and Para)

Yes
Mefloquine recommended in risk areas
Burkina
Yes
Mefloquine recommended

Burma

Only in remote areas. Below1000m in Karen state all year, from March to December in Chin, Kachin, Kayah, Mon, Rakhine, Shan states, Pegu Div. Hlegu, Hmawbi, Taikkyi, from April to December in Tennaserim, Frab; May to December in Irrawadi and Mandalay, from June to December in Magwe and Sagaing

Yes
Mefloquine recommended, please notice that Malaria exists in remote areas where turists are not present
Burundi
Yes
Mefloquine is recommended
Cambodia
Yes
Mefloquine is recommended but in the western part to the border of Thailand Doxycycline is recommended
Cameroon
Yes
Mefloquine is recommended
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Cape Verde

Little risk on Sao Tiago from September to October

No
No prophylaxis is nedeed
Central African Rep
Yes
Mefloquine is recommended
Chad
Yes
Mefloquine is recommended

China

Rural areas except in the northern provinses near Mongolia and in the western provinses of Heilungkiang, Kirin, Nigsia, Hui, Tibet, and Tsinghaii. North of 33. latitude only from July tol November; between 33. og 25. latitude only between May and December; South of 25. latitude the whole year

Yes

Hainan and Yunan.

Travellers to popular rural areas are in general out of risk and prophylaxis is not recommended. Travellers to risk areas which include night exponing are recommended malaria prophylaxis. Chloroquine is recommended except in areas resistance to Chloroquine where Mefloquine is recommended. ( Lariam )

Colombia

High risk in rural and jungle areas below 800m altitue especially in the regions Amazonia , Pacifico and Uraba-Bajo Couco

Yes
In Amazonia Chloroquine is recommended. In Pacifico and Uraba-Bajo Couco Mefloquine is recommended.
Comoros
Yes
Mefloquineis recommended
Congo
Yes
Mefloquine is recommende
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Costa Rica

Little risk in the rural areas except in the central highlands

No
Prophylaxis not recommended
Cote d'Ivory
Yes
Mefloquine is recommended

Democratic Rep. Korea (North-Korea)

Little risk in the southern rural areas

No
Prophylaxis not recommended
Djibouti
Yes
Mefloquine is recommeded
Dominikanske rep. Rural areas except turist areas. Great risk in the provins near the border of Haiti
No
Chloroquine s recommended in areas of risk

Ecuador

Everywhere near the eastern border and th soutn pacific coast ( Esmeraldas, El Orao, Gyayas, Los Rios, Manabi, Napo, Pastaza, Morona-Santiago, Pichincha and Zamora-Chinchipe

Yes
Travellers to Quito and the central highland or Galapagos are not in risk

Egypt

Rural areas in the Nile-delta, El Faiyum , the oases and a part of the southern regions

No
Prophylaxis not recommended

El Salvador

Only in rural areas

No
Chloroquine is recommended
Equatorial Guinea
Possible
Mefloquine is recommended
To top Chlorquine Resistance Comment
Eritrea
Yes
Mefloquine is recommended

Ethiopia

Everywhere except Addis Ababa oand in altitudes over 2000 m.

Yes
Mefloquine is recommended

Emirates United Arab

The northern emirates, except the cities Dubai, Sharjah, Ajman og Umm al Quiwan and the emirate Abu Dhabi

No
Prophylaxis not recommended
Frence Guiana
Yes
Mefloquine is recommended
Gabon
Yes
Mefloquine is recommended
Gambia
Yes
Mefloquine is recommended
Ghana
Yes
Mefloquine is recommended

Guatemala

Rural areas except in the central highlands

No
Chloroquine is recommended
Guinea
Yes
Mefloquine is recommended
Guinea-Bissau
Yes
Mefloquine is recommended

Guyana

Rural areas in the southern central areas and along the north west coast e.g. Rupununi

Yes
Mefloquine is recommended

India

All regions except the provins Himechel Pradech, Jammu, Kashmir and Sikkim

Yes
Chloroquine and Proguanil is recommended in risk areas

Indonesia

In general only in rural areas. High risk areas are Irian Jaya ( western part of New Guinea ) . No risk in the big cities and popular turist destinations as Bali and Java

Yes
In Irian Jaya Mefloquine is recommended else Chloroquine and Proguanil is recommended in risk areas
To top Chloroquine resistance Comment

Iran

Rural areas only in the provinces Sistan-Baluchestan, Kerman og Hormozgan, in north in Zagros mountains and some areas in southwest

Yes
In south and southwest Chloroquine is recommended may be in combination with proguanil

Iraq

All regions in the northern provinces Duhok, Erbil, Kirkuk, Ninawa, Sulaimaniya )

Yes
Chloroquine is recommended in risk areas

Kenya

All regions inclusive Safari National Parks, except Nairobi and areas higher than 2500 m

Yes
Mefloquine is recommended

China

Rural regions except the northern provinces near Mongolia and the western provinces Heilungkiang, Kirin, Nigsia, Hui, Tibet, and Tsinghaii. North of 33. latitude only from July to November and between 33. and 25. latitude only from May to December south of 25. latitude all year

Yes

Hainan andYunan.

Travellers to cities, popular rural areas the usual turist destinations er in general no-risk areas where prophylaxis is not recommended. Travellers with risks from night-expostion prophylaxis is recommended. Chloroquine is recommended in general except in areas with chloroquine resistance where mefloquine is recommended ( Lariam )

Laos

All regions except Vientane

Yes
Mefloquine is recommended
To top Chloroquine resistance Comment
Liberia
Yes
Mefloquine is recommended

Libya

restricted to two areas in the southern part of the country

No
Prophylaxis is not recommended
Madagascar
Yes
Mefloquine is recommeded
Malawi
Yes
Mefloquineis recommended

Malaysia

Malaysia and Sarawak ( NW part of Borneo ). Malaria is restricted to remote areas

Yes
Restricted to rural areas not visited by travellers except Sabahto. prophylaxis is not recommended but in risk areas chloroquine and Proguanil is recommended
Mali
Yes
Mefloquine is recommended

Mauritania

All regions except the northern region Dakhlet-Nouadhibou, (Inchiri,Adrar in rain season), Tiris-Zemour)

Possible
Mefloquine is recommended

Mauritius

rural areas except Roddriguez Island

No
Prophylaxis is not recommended
Mayotte
Yes
Mefloquine is recommended
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Mexico

Rural areas in the provinces : Oaxaca, Chiapas, Colima, Guerrero, Campeche, Quintana, Sinaloa, Michoacan, Nayarit, Tabasco

No
In risk area chloroquine is recommended. Use bednets

Marocco

Very little risk in rural coast areas.

Yes
Prophylaxis is not recommended
Mozambique
Yes
Mefloquine is recommended

Myanmar/Burma

Only in rural areas.

Yes
Mefloquine is recommended, notice that malaria in general occurs in rural areas, where turists usually not stay.

Namibia

Risk from November to May in the nortern regions and in Omaheke and Okjozondjupa and all year near the rivers Kavango and Kunene

Yes
Chloroquine and Proguanil is recommended in risk areas.

Nepal

Rural areas in Terai District and Hill District below 1200 m altitude. No risk in Katmandu

Yes
Chloroquine and Proguanil is recommended in risk areas.

Nicaragua

Only in rural areas, but little risk in the fringes of Chinandega Leon, Granada, Managua, Nandaime, Tpitapa

No
Chloroquine is recommended in risk areas.
To top Chloroquine resistance Comment
Niger
Yes
Mefloquine is recommended
Nigeria
Yes
Mefloquine is recommended
Oman
Yes
Prophylaxis is not recomended
Pakistan
Yes
Chloroquine and proguanil is recommended

Panama

Rural areas of the provinces Dearien ,San Blas, Boca del Tora, Veraguas. No risk in Canal Zone or in Panama City and surburb

Yes in the regions east of the Canal Zone , also San Blas Islands..
Chloroquine is recommended in Bocas de Toro and mefloquine in Darién and San Blas
Papua New Guinea
Yes
Mefloquine is recommended

Paraguay

Rural areas to the border of brazil

No
Chloroquine is recommeded in risk areas

Peru

Ayacucho, Cajamarca, Cerro de Pasco, Chachapoyas Chanca-Andahuaylas, Cutervo, Cusco, Huancavelica, Jaen, Junin, La Libertad, Lambayeque, Loreto, Madre de Dios, Piura, San Martín, Tumbes ogUcayali findes fortrinsvis P. Vivax. I Jaen, Lambayeque, Loreto, Luciano, Castillo, Piura, San Martín, Tumbes and Ucayali findes P. falciparum

Yes in the northern part near the border to Brazil
Chloroquine is recommended but in Jaen, Lambayeque, Loreto, Luciano Castillo, Piura, San Martín, Tumbes and Ucayali Mefloquine is recommended
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Philippinerne

Only in rural areas except the Provinces of Bohol, Catanduanes, Cebu, Leyte

Yes

The islands Luzon, Basilan, Mindoro, Palawan, og Mindanao; and Sulu Archipelago

Prophylaxis is recommended in remote areas

Chloroquine and proguanil is recommended

Rep. Of Korea (Syd-Korea)

Little risk in the north

No
Prophylaxis is not recommended
Rwanda
Yes
Mefloquine is recommended
Sao Tome og Principe
Yes
Mefloquine is recommended

Saudi Arabia

All regions in the vestern provinces except in the highland Asir and in the cities Jeddah, Mecca, Medina, Taif

Suspected
Chloroquine and proguanil is recommended in risk regions
Senegal
Yes
Mefloquine is recommended
Sierra Leone
Yes
Mefloquine is recommended
Somalia
Yes
Mefloquine is recommended
Solomon Islands
Yes

Chloroquine and proguanil is recommended

South Afrika (Rep.)

Rural areas including the safari parks in north, east and western lowlands of Tranvaal and in Natal coastareast north of 28. latitude.

Yes
Mefloquine is recommended

Sri Lanka

All regions except Colombo

Yes
Chloroquine and proguanil is recommended
To top Chloroquine resistance Comment
Sudan
Yes
Mefloquine is recommended

Suriname

Rural regions except Paramaribo District and the coast areas north of 5. latitude

Yes
Mefloquine is recommended

South Korea

Restricted to the northern part

No
Prophylaxis is not recommended

Swaziland

All lowlands

Yes
Mefloquine is recommended

Syrien

Rural areas except in the southern and western part of Dier-es-zor and Sweida.

Yes
Chloroquine is recommended in risk areas

Tajikistan

From June to October risk is high in the southern part (Khatlon reg) and in (Dushan)

No
Chloroquine resistance is suspected in some regiones, but Chloroquine is recommended
Tanzania
Yes
Mefloquine is recommended

Thailand

Rural regions

Yes
Malaria is restricted to areas along the border to Kampuchia and Myanmar (Burma). Doxycycline is recommended to travellers exposed in the night.
Togo
Yes
Mefloquine is recommended

Tyrkey

The southestern part of Anatolia from the city Mersin to the border to Irak (Cukorova/Amikova)

No
No risk in turist areas. Chloroquine is recommended in risk areas
To top Chloroquine resistance Commentr

Turkmenistan

From June to Octoberin the sout southeastern part , spec.in the Mary-region

No
Chloroquine is recommended in risk areas
Uganda
Yes
Mefloquine is recommended

United Arabiske Emirater

Northern emirates except the cities Dubai, Sharjah, Ajman and Umm al Quiwan and emirates Abu Dhabi

No
Prophylaxis is not recommended

Vanuata

Except in Fortuna Island

Yes
Chloroquine and proguanil is recommended

Venezuela

Malaria risk zone (P.vivax) inApure, Amazonas, Barinas, Bolívar,Sucre and Táchira states. Risk of P.falciparum malaria is restricted to the jungle Amazonas (Atabapo), Bolívar, (Cedeno, Gran Sabana, Raul Leoni, Sifontes and Sucre) and Delta Amacuro (Antonia Diaz, Casacoima and Pedernales)

Yes
Chloroquine is recommended in regions with P. Vivax and mefloquine is recommended in regions with P. falciparum

Vietnam

Except in Red delta and Mekong delta

Yes
Mefloquine is recommended

Yemen

Except in Aden and near the airport

Yes
Chloroquine og proguanil is recommended
Zaire
Yes
Mefloquine is recommended
Zambia
Yes
Mefloquine is recommended except in Harare
Zimbabwe
Yes
Mefloquine is recommended

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