Chloroquine Resistance![]() |
| Country/region | Chloroquine Resistance | Comment |
| Afghanistan |
Yes
|
Chloroquine and proagunil recommended |
|
Reduced risk in Sahara |
No
|
Prophylaxis not recommended |
| Angola |
Yes
|
Mefloquine recommended |
|
Salta and Jujuy |
No
|
Chloquine is recommended in risk areas |
|
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 |
|
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 |
| To top | Chloroquine Resistance | Comment |
|
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 |
|
North of 21. degree of latitude |
Suspected
|
Mefloquine recommended |
|
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 |
|
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 |
| To top | Chloroquine Resistance | Comment |
|
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 |
|
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 ) |
|
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 |
| To top | Chloroquine Resistance | Comment |
|
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 |
|
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 |
|
Rural areas in the Nile-delta, El Faiyum , the oases and a part of the southern regions |
No
|
Prophylaxis not recommended |
|
Only in rural areas |
No
|
Chloroquine is recommended |
| Equatorial Guinea |
Possible
|
Mefloquine is recommended |
| To top | Chlorquine Resistance | Comment |
| Eritrea |
Yes
|
Mefloquine is recommended |
|
Everywhere except Addis Ababa oand in altitudes over 2000 m. |
Yes
|
Mefloquine is recommended |
|
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 |
|
Rural areas except in the central highlands |
No
|
Chloroquine is recommended |
| Guinea |
Yes
|
Mefloquine is recommended |
| Guinea-Bissau |
Yes
|
Mefloquine is recommended |
|
Rural areas in the southern central areas and along the north west coast e.g. Rupununi |
Yes
|
Mefloquine is recommended |
|
All regions except the provins Himechel Pradech, Jammu, Kashmir and Sikkim |
Yes
|
Chloroquine and Proguanil is recommended in risk areas |
|
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 |
|
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 |
|
All regions in the northern provinces Duhok, Erbil, Kirkuk, Ninawa, Sulaimaniya ) |
Yes
|
Chloroquine is recommended in risk areas |
|
All regions inclusive Safari National Parks, except Nairobi and areas higher than 2500 m |
Yes
|
Mefloquine is recommended |
|
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 ) |
|
All regions except Vientane |
Yes
|
Mefloquine is recommended |
| To top | Chloroquine resistance | Comment |
| Liberia |
Yes
|
Mefloquine is recommended |
|
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 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 |
|
All regions except the northern region Dakhlet-Nouadhibou, (Inchiri,Adrar in rain season), Tiris-Zemour) |
Possible
|
Mefloquine is recommended |
|
rural areas except Roddriguez Island |
No
|
Prophylaxis is not recommended |
| Mayotte |
Yes
|
Mefloquine is recommended |
| To top | Chloroquine resistance | Comment |
|
Rural areas in the provinces : Oaxaca, Chiapas, Colima, Guerrero, Campeche, Quintana, Sinaloa, Michoacan, Nayarit, Tabasco |
No
|
In risk area chloroquine is recommended. Use bednets |
|
Very little risk in rural coast areas. |
Yes
|
Prophylaxis is not recommended |
| Mozambique |
Yes
|
Mefloquine is recommended |
|
Only in rural areas. |
Yes
|
Mefloquine is recommended, notice that malaria in general occurs in rural areas, where turists usually not stay. |
|
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. |
|
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. |
|
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 |
|
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 |
|
Rural areas to the border of brazil |
No
|
Chloroquine is recommeded in risk areas |
|
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 |
| To top | Chloroquine Resistance | Comment |
|
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 |
|
Little risk in the north |
No
|
Prophylaxis is not recommended |
| Rwanda |
Yes
|
Mefloquine is recommended |
| Sao Tome og Principe |
Yes
|
Mefloquine is recommended |
|
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 |
|
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 |
|
All regions except Colombo |
Yes
|
Chloroquine and proguanil is recommended |
| To top | Chloroquine resistance | Comment |
| Sudan |
Yes
|
Mefloquine is recommended |
|
Rural regions except Paramaribo District and the coast areas north of 5. latitude |
Yes
|
Mefloquine is recommended |
|
Restricted to the northern part |
No
|
Prophylaxis is not recommended |
|
All lowlands |
Yes
|
Mefloquine is recommended |
|
Rural areas except in the southern and western part of Dier-es-zor and Sweida. |
Yes
|
Chloroquine is recommended in risk areas |
|
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 |
|
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 |
|
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 |
|
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 |
|
Northern emirates except the cities Dubai, Sharjah, Ajman and Umm al Quiwan and emirates Abu Dhabi |
No
|
Prophylaxis is not recommended |
|
Except in Fortuna Island |
Yes
|
Chloroquine and proguanil is recommended |
|
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 |
|
Except in Red delta and Mekong delta |
Yes
|
Mefloquine is recommended |
|
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 |
Updated 28-May-2002 ©traveldoctorOnline 2001 Disclaimer webmaster
The contents within traveldoctoronline are presented only for informational purposes and cannot substitute for professional health care or any other medical treatment. All users of this website with health problems should be oblige always to consult their medical doctor before starting any treatment.