| Afghanistan | If traveling from an endemic zone | None | Risk April-December in all areas at altitudes below 2,000m (<6,561ft) | Confirmed | Atovaquone/ proguanil, doxycycline, or mefloquine |
| Albania | If traveling from an endemic zone and >1 year of age | None | None | Not Applicable | Not Applicable
|
| Algeria | If traveling from an endemic zone and >1 year of age | None | Risk is limited to one small focus in Sahara region in Ihrir (Illizi Department). Risk is very limited; therefore, prophylaxis is not recommended. | None | None |
| Samoa, American | | | | | |
| Andorra | Not Required | None | None | Not Applicable | Not Applicable |
| Angola | Required upon arrival from all countries | For all travelers >9 months of age | All | Confirmed | Atovaquone/ proguanil, doxycycline, or mefloquine |
| Anguilla (U.K.) | If traveling from an endemic zone and >1 year of age | None | None | Not Applicable | Not Applicable |
| Antarctica | Not Required | None | None | Not Applicable | Not Applicable |
| Antigua and Barbuda | If traveling from an endemic zone and >1 year of age | None | None | Not Applicable | Not Applicable |
| Argentina | Not Required | For all travelers >9 months of age going to the northern and northeastern forested areas, including Iguaçu Falls and all parts of Misiones Province, as well as all areas bordering Paraguay and Brazil. These areas include: all departments of Misiones and Formosa Provinces; Department of Bermejo in Chaco Province; Departments of Berón de Astrada, Capital, General Alvear, General Paz, Ituzaingó, Itatí, Paso de los Libres, San Cosme, San Miguel, San Martín and Santo Tomé in Corrientes Province; Departments of Valle Grande, Ledesma, Santa Bárbara and San Pedro in Jujuy Province; and Departments of General José de San Martín, Oran, Rivadavia and Anta in Salta Province (see Updated yellow fever risk map for Argentina). Updated April 17, 2008 | Rural areas of Salta and Jujuy province (along border with Bolivia) and Misiones and Corrientes province (along border with Paraguay). | None | Chloroquine |
| Armenia | Not Required | None | Risk limited to the Ararat Valley in the Ararat and Artashat region; greatest risk in Masis district. | None | Chloroquine |
| Aruba | If traveling from an endemic zone and >6 months of age3. | None | None | Not Applicable | Not Applicable |
| Australia; Including Cocos (Keeling) Islands | All persons >1 year of age who, within 6 days of arrival in Australia, have been in or have passed through an endemic zone | None | None | Not Applicable | Not Applicable |
| Austria | Not Required | None | None | Not Applicable | Not Applicable |
| Azerbaijan | Not Required | None | Rural lowlands near Kura and Arax rivers in the provinces of Agcabadi, Barda, Beylaqan, Bilasuvar, Calilabad, Fuzuli, Imisli, Kurdamir, Nakhichivan, Sabirabad, Saatli and Zardab typically between July and October. | None | Chloroquine |
| Azores (Portugal) | If traveling from an endemic zone and >1 year of age | None | None | Not Applicable | Not Applicable |
| Bahamas, The | If traveling from an endemic zone and >1 year of age | None | Island of Great Exuma only. There is currently no known risk of malaria on other islands in The Bahamas. | None | Chloroquine |
| Bahrain | Not Required | None | None | Not Applicable | Not Applicable |
| Bangladesh | If traveling from an endemic zone. Any person (including infants)3 arriving by air or sea without a certificate within 6 days of departure from or transit through an infected area will be quarantined up to 6 days. Required also for travelers arriving from or transiting: Africa: Angola, Benin, Burkina Faso, Burundi, Cameroon, Central African Republic, Chad, Congo, Côte d’Ivoire, Democratic Republic of Congo, Equatorial Guinea, Ethiopia, Gabon, The Gambia, Ghana, Guinea, Guinea Bissau, Kenya, Liberia, Malawi, Mali, Mauritania, Niger, Nigeria, Rwanda, São Tomé and Principe, Senegal, Sierra Leone, Somalia, Sudan (south of 15° N), Tanzania, Togo, Uganda, and Zambia. Americas: Belize, Bolivia, Brazil, Colombia, Costa Rica, Ecuador, French Guiana, Guatemala,
Guyana, Honduras, Nicaragua, Panama, Peru, Suriname, and Venezuela. Caribbean: Trinidad and Tobago. | None | All, except no risk in city of Dhaka | Confirmed | Atovaquone/ proguanil, doxycycline, or mefloquine |
| Barbados | If coming from an endemic zone and >1 of age | None | None | Not Applicable | Not Applicable |
| Belarus | Not Required | None | None | Not Applicable | Not Applicable |
| Belgium | Not Required | None | None | Not Applicable | Not Applicable |
| Belize | If traveling from an endemic zone and >1 year of age | None | All, except no risk in Belize City | None | Chloroquine |
| Benin | Required upon arrival from all countries if traveler is > 1 year of age | For all travelers >9 months of age | All | Confirmed | Atovaquone/ proguanil, doxycycline, or mefloquine |
| Bermuda (U.K.) | Not Required | None | None | Not Applicable | Not Applicable |
| Bhutan | If traveling from an endemic zone | None | Risk in rural areas below 1,700 m (<5,577 ft) of the 5 southern belt districts of: Chirang, Samchi, Samdrup Jongkhar, Sarpang, and Shemgang | Confirmed | Atovaquone/ proguanil, doxycycline, or mefloquine |
| Bolivia | Required for all travelers >1 year of age. Medical waivers must be translated into Spanish and accompany the International Certificate of Vaccination or Prophylaxis (ICVP). Travelers who do not have a valid ICVP will still be allowed to enter Bolivia if they agree to sign an affidavit exempting the Bolivian state from any liability in the event the traveler gets sick with yellow fever within the Bolivian territory. This last option may cause delays at the point of entry. | For all travelers >9 months of age traveling to areas east of the Andes Mountains (see Map 4-16). Does not include the cities of La Paz or Sucre. | Risk in areas below 2,500 m (<8,202 ft) in the following departments:
Beni, Chuquisaca, Cochabamba, La Paz, Pando, Santa Cruz, and Tarija. No risk in city of La Paz. | Confirmed | Atovaquone/ proguanil, doxycycline, or mefloquine |
| Bosnia and Herzegovina | Not Required | None | None | Not Applicable | Not Applicable |
| Botswana | If traveling from an endemic zone and >1 year of age | None | Risk north of 22°S in the northern provinces of Central, Chobe, Ghanzi, Ngamiland, and including safaris to the Okavango Delta area. No risk in the city of Gaborone. | Confirmed | Atovaquone/ proguanil, doxycycline, or mefloquine |
| Brazil | Not required | For all travelers ≥9 months of age going to the following areas at risk for yellow fever transmission, including the ENTIRE states of Acre, Amapá, Amazones, Distrito Federal (including the capital city of Brasília), Goiás, Maranhão, Mato Grosso, Mato Grosso do Sul, Minas Gerais, Pará, Rondônia, Roraima, Tocantins, and designated areas of the following states: northwest and west Bahia, central and west Paraná, southwest Piauí, northwest and west central Rio Grande do Sul, far west Santa Catarina, and north and west São Paulo. (See CDC Yellow Fever Risk Map for Brazil.) Vaccination is also recommended for travelers visiting Iguassu Falls. Vaccination is NOT recommended for travel to the following coastal cities: Rio de Janeiro, São Paulo, Salvador, Recife, and Fortaleza. | States of Acre, Rondônia, Amapá, Amazonas, Roraima, and Tocantins. Parts of states of Maranhaõ (western part), Mato Grosso (northern part), and Pará (except Belem City). There is also transmission in urban areas, including large cities such as Porto Velho, Boa Vista, Macapa, Manaus, Santarem, and Maraba, where transmission occurs on the periphery of these cities. | Confirmed | Atovaquone/ proguanil, doxycycline, or mefloquine |
| British Indian Ocean Territory; Includes Diego Garcia (U.K.) | Not Required | None | None | Not Required | Not Required |
| Brunei | If traveling from an endemic zone and >1 year of age | None | None | Not Applicable | Not Applicable |
| Bulgaria | Not Required | None | None | Not Applicable | Not Applicable |
| Burkina Faso | Required upon arrival from all countries if traveler is >1 year of age | For all travelers >9 months of age | All | Confirmed | Atovaquone/ proguanil, doxycycline, or mefloquine |
| Burma (Myanmar) | If traveling from an endemic zone. Required also for nationals and residents of Burma (Myanmar) departing for an endemic zone | None | Risk in rural areas throughout the country at altitudes below 1000 m (<3,281 ft). No risk in cities of Rangoon (Yangon) and Mandalay | Confirmed | Only atovaquone/ proguanil or doxycycline in the provinces of Shan, Kayah, Kachin, Kayin, and Tanintharyi. All other areas atovaquone/ proguanil, doxycycline, or mefloquine (see Map 4-9). |
| Burundi | Required upon arrival from all countries | For all travelers >9 months of age | All | Confirmed | Atovaquone/ proguanil, doxycycline, or mefloquine |
| Cambodia | If traveling from an endemic zone | None | Risk throughout the country, including risk in the temple complex at Angkor Wat. No risk in Phnom Penh and around Lake Tonle Sap. | Confirmed | Only atovaquone/ proguanil or doxycycline in the provinces of Preah Vihear, Siemreap, Oddar, Meanchey, Banteay Meanchey, Battambang, Pailin, Koh Kong, and Pursat bordering Thailand. All other areas atovaquone/ proguanil, doxycycline, or mefloquine. (see Map 4-9) |
| Cameroon | Required upon arrival from all countries if traveler is >1 year of age | For all travelers >9 months of age | All | Confirmed | Atovaquone/ proguanil, doxycycline, or mefloquine |
| Canada | Not required | None | None | Not applicable | Not applicable |
| Canary Islands (Spain) | Not required | None | None | Not applicable | Not applicable |
| Cape Verde | If traveling from an endemic zone and >1 year of age. | None | Risk limited to Saõ Tiago Island. | Confirmed | Atovaquone/ proguanil, doxycycline, or mefloquine |
| Cayman Islands (U.K.) | Not required | None | None | Not applicable | Not applicable |
| Central African Republic | Required upon arrival from all countries if traveler is >1 year of age | For all travelers >9 months of age | All | Confirmed | Atovaquone/ proguanil, doxycycline, or mefloquine |
| Chad | Required upon arrival from all countries if traveler is >1 year of age | For all travelers >9 months of age. | All | Confirmed | Atovaquone/ proguanil, doxycycline, or mefloquine |
| Chile | Not required | None | None | Not applicable | Not applicable |
| China | If traveling from an endemic zone | None | Travelers to cities and popular tourist areas, including Yangtze River cruises, are not at risk and do not need to take chemoprophylaxis. Rural areas only of the following provinces: Hainan, Yunnan, Fuijan, Guangdong, Guangxi, Guizhou, Sichuan, Tibet (in the Zangbo River valley only), Anhui, Hubei, Hunan, Jiangsu, Jiangxi, and Shandong. In provinces with risk, transmission exists in rural communities below 1,500 m only during warm weather: north of latitude 33°N, July-November; between latitude 25°N and 33°N, May-December. South of latitude 25°N, transmission occurs year-round. | Confirmed in the provinces of Hainin and Yunnan. Other provinces do not have chloroquine-resistant malaria. | Only atovaquone/ proguanil or doxycycline along China-Burma border in the western part of Yunnan province; Atovaquone/ proguanil, doxycycline or mefloquine in Hainan and the other parts of Yunnan province (see Map 4-9); Chloroquine in all other areas. |
| Christmas Island (Australia) | All travelers >1 year of age, who within the past 6 days have traveled or passed through an endemic area, as listed by WHO. | None | None | Not applicable | Not applicable |
| Cocos (Keeling) Islands | All persons >1 year of age who, within 6 days of arrival in Australia, have been in or have passed through an endemic zone | None | None | Not Applicable | Not Applicable |
| Colombia | Not required | For all travelers >9 months of age. Travelers whose itinerary is limited to the cities of Bogotá, Cali, or Medellín are at lower risk and may consider foregoing vaccination. | Risk in all rural areas at altitudes below 800 m (<2,624 ft). No risk in Bogotá and vicinity. | Confirmed | Atovaquone/ proguanil, doxycycline, or mefloquine |
| Comoros | Not required | None | All | Confirmed | Atovaquone/ proguanil, doxycycline, or mefloquine |
| Congo | Required upon arrival from all countries if traveler is >1 year of age | For all travelers >9 months of age | All | Confirmed | Atovaquone/ proguanil, doxycycline, or mefloquine |
| Cook Islands (New Zeland) | Not required | None | None | Not applicable | Not applicable |
| Costa Rica | If traveling from the endemic zones listed below:
Africa: Angola, Benin, Burkina Faso, Cameroon, Democratic Republic of Congo, Gabon, Gambia, Ghana, Guinea, Liberia, Nigeria, Sierra Leone, and Sudan. Americas: Bolivia, Brazil, Colombia, Ecuador, French Guiana, Peru, and Venezuela.
(Updated September 24, 2007) | None | Risk in Alajuela, Limón, Guanacaste, and Heredia provinces. No risk in Limón city (Puerto Limón). | None | Chloroquine |
| Côte d'Ivoire (Ivory Coast) | Required upon arrival from all countries if traveler is >1 year of age | For all travelers >9 months of age | All | Confirmed | Atovaquone/ proguanil, doxycycline, or mefloquine |
| Croatia | Not required | None | None | Not applicable | Not applicable |
| Cuba | Not required | None | None | Not applicable | Not applicable |
| Cyprus | Not required | None | None | Not applicable | Not applicable |
| Czech Republic | Not required | None | None | Not applicable | Not applicable |
| Democratic Republic of the Congo | Required upon arrival from all countries if traveler is >1 year of age | For all travelers >9 months of age | All | Confirmed | Atovaquone/ proguanil, doxycycline, or mefloquine |
| Denmark | Not required | None | None | Not applicable | Not applicable |
| Djibouti | If traveling from an endemic zone and >1 year of age | None | All | Confirmed | Atovaquone/
proguanil, doxycycline,
or mefloquine |
| Dominica | If traveling from an endemic zone and >1 year of age | None | None | Not applicable | Not applicable |
| Dominican Republic | Not required | None | Rural, with highest risk in provinces bordering Haiti. In addition, risk in all areas of La Altagracia Province, including resort areas. | None | Chloroquine |
| Easter Island (Chile) | Required for travelers coming from an endemic zone | None | None | Not applicable | Not applicable |
| Ecuador, including the Galápagos Islands | If traveling from an endemic zone and >1 year of age | For all travelers >9 months of age who are traveling to the following provinces in the Amazon Basin: Morona-Santiago, Napo, Orellana, Pastaza, Sucumbíos, and Zamora-Chinchipe, and all other areas in the eastern part of the Andes Mountains, NOT including the cities of Quito and Guayaquil or the Galápagos Islands (see Updated yellow fever risk map for Ecuador). Updated May 5, 2008 | Risk in all areas at altitudes below 1,500 m (<4,921 ft). No risk in the cities of Guayaquil and Quito, the central highland tourist areas, and the Galápagos Islands. | Confirmed | Atovaquone/ proguanil, doxycycline, or mefloquine |
| Egypt | If traveling from an endemic zone and >1 year of age. Air passengers in transit but coming from these countries or areas without a certificate will be detained in the precincts of the airport until they resume their journey. All travelers arriving from Sudan are required to have a vaccination certificate or a location certificate issued by a Sudanese official center, stating that they have not been in Sudan south of 15° N within the previous 6 days. Required also for travelers arriving from or transiting: Africa: Angola, Benin, Burkina Faso, Burundi, Cameroon, Central African Republic, Chad, Congo, Côte d’Ivoire, Democratic Republic of Congo, Equatorial Guinea, Ethiopia, Gabon, Gambia, Ghana, Guinea, Guinea Bissau, Kenya, Liberia, Mali, Niger, Nigeria, Rwanda, São Tomé and Principe, Senegal, Sierra Leone, Somalia, Sudan (south of 15° N), Tanzania, Togo, Uganda, and Zambia. Americas: Belize, Bolivia, Brazil, Colombia, Costa Rica, Ecuador, French Guiana, Guyana, Panama, Peru, Suriname, and Venezuela. Caribbean: Trinidad and Tobago. | None | Very limited risk in El Faiyûm area only. No risk in tourist areas, including Nile River cruises. Risk is very limited; therefore, prophylaxis is not recommended. | None | None |
| El Salvador | If traveling from an endemic zone and >6 months of age3 | None | Rural areas of Santa Ana, Ahuachapán, and La Unión departments. No risk in the city of San Salvador. | None | Chloroquine |
| Equatorial Guinea | If traveling from an endemic zone | For all travelers >9 months of age. | All | Confirmed | Atovaquone/ proguanil, doxycycline, or mefloquine |
| Eritrea | If traveling from an endemic zone | None | All areas at altitudes below 2,200 m (<7,218 ft). No risk in Asmara. | Confirmed | Atovaquone/ proguanil, doxycycline, or mefloquine |
| Estonia | Not required | None | None | Not applicable | Not applicable |
| Ethiopia | If traveling from an endemic zone and >1 year of age | For all travelers >9 months of age. | All areas at altitudes below 2,000 m (<6,561 ft). No risk in Addis Ababa. | Confirmed | Atovaquone/ proguanil, doxycycline, or mefloquine |
| Falkland Islands (U.K.) | Not required | None | None | Not applicable | Not applicable |
| Faroe Islands (Denmark) | Not required | None | None | Not applicable | Not applicable |
| Fiji | If traveling from an endemic zone and >1 year of age, and within 10 days of having stayed overnight or longer in an endemic zone. | None | None | Not applicable | Not applicable |
| Finland | Not required | None | None | Not applicable | Not applicable |
| France | Not required | None | None | Not applicable | Not applicable |
| French Guiana | Required upon arrival from all countries if traveler is >1 year of age | For all travelers >9 months of age | Risk in all areas except no risk on Devil’s Island (Ile du Diable) and the other coastal islands. | Confirmed | Atovaquone/
proguanil, doxycycline,
or mefloquine |
| French Polynesia, includes the island groups of Society Islands (Tahiti, Moorea, and Bora-Bora); Marquesas Islands (Hiva Oa and Ua Huka); and Austral Islands (Tubuai and Rurutu) | If traveling from an endemic zone and >1 year of age | None | None | Not applicable | Not applicable |
| Gabon | Required upon arrival from all countries if traveler is >1 year of age | For all travelers >9 months of age | All | Confirmed | Atovaquone/ proguanil, doxycycline, or mefloquine |
| Gambia, The | If traveling from an endemic zone and >1 year of age | For all travelers >9 months of age | All | Confirmed | Atovaquone/
proguanil, doxycycline,
or mefloquine |
| Georgia | Not required | None | Risk in southeastern part of the country near Azerbaijan border and Kura River and risk in the districts of Gardabanis, Marneulis, and Sighnaghis in the Kakheti and Kveno Kartli regions. No risk in Tbilisi. | None | Chloroquine |
| Germany | Not required | None | None | Not applicable | Not applicable |
| Ghana | Required upon arrival from
all countries | For all travelers >9 months of age | All | Confirmed | Atovaquone/
proguanil, doxycycline,
or mefloquine |
| Gibraltar (U.K.) | Not required | None | None | Not applicable | Not applicable |
| Greece | Not required | None | None | Not applicable | Not applicable |
| Greenland (Denmark) | Not required | None | None | Not applicable | Not applicable |
| Grenada | If traveling from an endemic zone and >1 year of age | None | None | Not applicable | Not applicable |
| Guadeloupe, including St. Barthelemy and Saint Martin (France) | If traveling from an endemic zone and >1 year of age | None | None | Not applicable | Not applicable |
| Guam (U.S.) | Not required | None | None | Not applicable | Not applicable |
| Guatemala | If traveling from an endemic zone and >1 year of age | None | Rural areas only at altitudes below 1,500 m (<4,921 ft). No risk in Guatemala City, Antigua or Lake Atitlán. | None | Chloroquine |
| Guinea | If traveling from an endemic zone and >1 year of age. | For all travelers >9 months of age | All | Confirmed | Atovaquone/ proguanil, doxycycline, or mefloquine |
| Guinea-Bissau | If traveling from an endemic zone and >1 year of age. Required also for travelers arriving from: Africa: Angola, Benin, Burkina Faso, Burundi, Cape Verde, Central African Republic, Chad, Congo, Côte d’Ivoire, Democratic Republic of Congo, Djibouti, Equatorial Guinea, Ethiopia, Gabon, Gambia, Ghana, Guinea, Kenya, Liberia, Madagascar, Mali, Mauritania, Mozambique, Niger, Nigeria, Rwanda, São Tomé and Principe, Senegal, Sierra Leone, Somalia, Tanzania, Togo, Uganda, and Zambia. Americas: Bolivia, Brazil, Colombia, Ecuador, French Guiana, Guyana, Panama, Peru, Suriname, and Venezuela. | For all travelers >9 months of age. | All | Confirmed | Atovaquone/ proguanil, doxycycline, or mefloquine |
| Guyana | If traveling from an endemic zone. Required also for travelers arriving from: Africa: Angola, Benin, Burkina Faso, Burundi, Cameroon, Central African Republic, Chad, Congo, Côte d’Ivoire, Democratic Republic of Congo, Gabon, Gambia, Ghana, Guinea, Guinea- Bissau, Kenya, Liberia, Mali, Niger, Nigeria, Rwanda, São Tomé and Principe, Senegal, Sierra Leone, Somalia, Tanzania, Togo, and Uganda Americas: Belize, Bolivia, Brazil, Colombia, Costa Rica, Ecuador, French Guiana, Guatemala, Honduras, Nicaragua, Panama, Peru, Suriname, and Venezuela | For all travelers >9 months of age. | Risk in all rural areas below 900 m (<2,953 ft) | Confirmed | Atovaquone/ proguanil, doxycycline, or mefloquine |
| Haiti | If traveling from an endemic
zone | None | All | None | Chloroquine |
| Honduras | If traveling from an endemic
zone | None | Risk throughout the country at altitudes below 1000 m (<3,281 ft) and in Roatán and other Bay Island. Risk exists in the outskirts of Tegucigalpa and San Pedro Sula. | None | Chloroquine |
| Hong Kong SAR (China) | Not required | None | None | Not applicable | Not applicable |
| Hungary | Not required | None | None | Not applicable | Not applicable |
| Iceland | Not required | None | None | Not applicable | Not applicable |
| India | If traveling from an endemic zone. Required also for travelers arriving from or transiting: Africa: Angola, Benin, Burkina Faso, Burundi, Cameroon, Central African Republic, Chad, Congo, Côte d’Ivoire, Democratic Republic of Congo, Equatorial Guinea, Ethiopia, Gabon, Gambia, Ghana, Guinea, Guinea- Bissau, Kenya, Liberia, Mali, Niger, Nigeria, Rwanda, São Tomé and Principe, Senegal, Sierra Leone, Somalia, Sudan, Togo, Uganda, Tanzania, and Zambia Americas: Bolivia, Brazil, Colombia, Ecuador, French Guiana, Guyana, Panama, Peru, Suriname, and Venezuela Caribbean: Trinidad and Tobago Any person (except infants ≤6 months) arriving without a certificate within 6 days of departure from or transit through an endemic area will be isolated for up to 6 days.3 | None | Risk in all areas throughout country except no risk in areas above 2,000 m (>6,561 ft) in Himachal Pradesh, Jammu, Kashmir, and Sikkim. Risk also exists in urban areas below 2000 m, including Delhi and Mumbai (Bombay). | Confirmed | Atovaquone/ proguanil, doxycycline, or mefloquine |
| Indonesia | If traveling from an endemic zone | None | Risk in rural Sumatra, Sulawesi, Kalimantan and Nusa Tenggara Barat. No risk in urban areas.Risk in all areas of eastern Indonesia (provinces of Papua Indonesia, Irian Jaya Barat, Nusa Tenggara Timur, Maluku, and Maluku Utara). No risk in Jakarta, resort areas of Bali and the island of Java, except for the Menoreh Hills in central Java. | Confirmed | Atovaquone/ proguanil, doxycycline, or mefloquine |
| Iran | If traveling from an endemic
zone | None | Risk in rural areas of Sistan- Baluchestan, the southern tropical part of Kerman, and Hormozgan province. Risk in Ardebil and East Azerbijan provinces north of the Zagros mountains during March through November. | Confirmed | Atovaquone/
proguanil, doxycycline,
or mefloquine |
| Iraq | If traveling from an endemic zone | None | Risk in Basrah province and in areas at altitudes below 1,500 m (<4,921 ft) in provices of Duhok, Erbil, Ninawa, Sulaimaninya, and Ta’mim. No risk in Baghdad, Tikrit, and Ramadi. | None | Chloroquine |
| Ireland | Not required | None | None | Not applicable | Not applicable |
| Israel | Not required | None | None | Not applicable | Not applicable |
| Italy | Not required | None | None | Not applicable | Not applicable |
| Jamaica | If traveling from an endemic zone and >1 year of age | None | Very limited risk in Kingston; therefore prophylaxis is not recommended. | None | None |
| Japan | Not required | None | None | Not applicable | Not applicable |
| Jordan | If traveling from an endemic zone and >1 year of age | None | None | Not applicable | Not applicable |
| Kazakhstan | If traveling from an endemic zone | None | None | Not applicable | Not applicable |
| Kenya | If traveling from an endemic zone and >1 year of age | For all travelers >9 months of age. The cities of Nairobi and Mombasa have lower risk of transmission than rural areas. | Risk in all areas (including game parks) at altitudes below 2,500 m (<8,202 ft). No risk in Nairobi. | Confirmed | Atovaquone/
proguanil, doxycycline,
or mefloquine |
| Kiribati (formerly Gilbert Islands), includes Tarawa, Tabuaeran (Fanning Island), and Banaba (Ocean Island) | If traveling from an endemic zone and >1 year of age | None | None | Not applicable | Not applicable |
| Kosovo | Not required | None | None | Not applicable | Not applicable |
| Kuwait | Not required | None | None | Not applicable | Not applicable |
| Kyrgyzstan | Not required | None | Risk in some southern and western parts of the country, mainly in the provinces of Batken, Osh, and Jalal-Abad in the areas bordering Tajikistan and Uzbekistan. Risk also in the capital city Bishkek. | None | Chloroquine |
| Laos | If traveling from an endemic zone | None | All, except no risk in the city of Vientiane. | Confirmed | Only atovaquone/ proguanil or doxycycline in the provinces of Bokèo and Louang Namtha along the Laos- Burma border and along the Laos- Thailand border in the province of Saravane and Champassack. All other areas atovaquone/ proguanil, doxycycline, or mefloquine (See Map 4-9). |
| Latvia | Not required | None | None | Not applicable | Not applicable |
| Lebanon | If traveling from an endemic zone | None | None | Not applicable | Not applicable |
| Lesotho | If traveling from an endemic zone | None | None | Not applicable | Not applicable |
| Liberia | Required upon arrival from all countries if traveler is >1 year of age | For all travelers >9 months of age | All | Confirmed | Atovaquone/ proguanil, doxycycline, or mefloquine |
| Libya | If traveling from an endemic zone | None | None | Not applicable | Not applicable |
| Liechtenstein | Not required | None | None | Not applicable | Not applicable |
| Lithuania | Not required | None | None | Not applicable | Not applicable |
| Luxembourg | Not required | None | None | Not applicable | Not applicable |
| Macau SAR (China) | Not required | None | None | Not applicable | Not applicable |
| Macedonia | Not required | None | None | Not applicable | Not applicable |
| Madagascar | If traveling from an endemic zone | None | All | Confirmed | Atovaquone/ proguanil, doxycycline, or mefloquine |
| Madeira Islands (Portugal) | If traveling from an endemic zone and >1 year of age | None | None | Not applicable | Not applicable |
| Malawi | If traveling from an endemic zone | None | All | Confirmed | Atovaquone/ proguanil, doxycycline, or mefloquine |
| Malaysia | If traveling from an endemic zone and >1 year of age. A certificate is also required from travelers who have transited an endemic area within the preceding 6 days. | None | Risk in rural areas, particularly in the forested, hilly, and underdeveloped interior areas. No risk in urban and coastal areas. Note: No risk in Republic of Singapore. | Confirmed | Atovaquone/ proguanil, doxycycline, or mefloquine |
| Maldives | If traveling from an endemic zone | None | None | Not applicable | Not applicable |
| Mali | Required upon arrival from all countries if traveler is >1 year of age | For all travelers >9 months of age | All | Confirmed | Atovaquone/ proguanil, doxycycline, or mefloquine |
| Malta | If traveling from an endemic zone and >9 months of age. Children <9 months of age arriving from an endemic zone may be subject to isolation or surveillance. | None | None | Not applicable | Not applicable |
| Marshall Islands | Not required | None | None | Not applicable | Not applicable |
| Martinique (France) | Not required | None | None | Not applicable | Not applicable |
| Mauritania | Required upon arrival from all countries if traveler is >1 year of age. Exception: Not required for travelers from a non-endemic zone who stay <2 weeks | For all travelers >9 months of age | All, except no risk in Dakhlet- Nouadhibou and Tiris-Zemmour region. | Probable | Atovaquone/ proguanil, doxycycline, or mefloquine |
| Mauritius | If traveling from an endemic
zone | None | Rural only. No risk
on Rodrigues Island. | None | Chloroquine |
| Mayotte (French territorial collectivity) | Not required | None | All | Confirmed | Atovaquone/ proguanil, doxycycline, or mefloquine |
| Mexico | Not required | None | Risk is limited to areas infrequently visited by travelers including small foci along the Guatemala and Belize borders in the states of Chiapas, Quintana Roo, and Tabasco; rural areas in the states of Nayarit, Oaxaca, Sinaloa; and in an area between 24°N and 28°N latitude, and 106°W and 110°W longitude, which lies in parts of Sonora, Chihuahua, and Durango. No malaria risk exists along the United States-Mexico border. No malaria risk exists in the major resorts along the Pacific and Gulf coasts. Risk is very limited; therefore, prophylaxis is not recommended for most travelers to Mexico. Travelers should use personal protection measures such as insect repellents for malaria prevention. Chemoprophylaxis is recommended for the rare traveler going to the risk areas. | None | Chloroquine |
| Micronesia, Federated States of; Includes Yap Islands, Pohnpei, Chuuk, and Kosrae | Not required | None | None | Not applicable | Not applicable |
| Moldova | Not required | None | None | Not applicable | Not applicable |
| Monaco | Not required | None | None | Not applicable | Not applicable |
| Mongolia | Not required | None | None | Not applicable | Not applicable |
| Montenegro | Not required | None | None | Not applicable | Not applicable |
| Montserrat (U.K.) | If traveling from an endemic zone and >1 year of age | None | None | Not applicable | Not applicable |
| Morocco | Not required | None | Risk in rural areas of Chefchaouen province. No risk in Tangier, Rabat, Casablanca, Marrakech, and Fès. Risk is very limited; therefore, prophylaxis is not recommended. | None | None |
| Mozambique | If traveling from an endemic zone and >1 year of age | None | All | Confirmed | Atovaquone/ proguanil, doxycycline, or mefloquine |
| Namibia | If traveling from an endemic zone and >1 year of age. Required also for travelers on unscheduled flights who have transited an infected area. Children <1 year of age may be subject to surveillance. | None | Risk in the provinces of Kunene, Ohangwena, Okavango, Omaheke, Omusati, Oshana, Oshikoto, Otjozondjupa, and the Caprivi Strip. | Confirmed | Atovaquone/ proguanil, doxycycline, or mefloquine |
| Nauru | If traveling from an endemic zone and >1 year of age | None | None | Not applicable | Not applicable |
| Nepal | If traveling from an endemic zone | None | Risk in rural areas at altitudes below 1,200 m (<3,937 ft) in the Tarai and Hill districts bordering India and in the areas of the inner Tarai valley areas of Udaypur Sindhupalchowk, Makwanpur, Chitwan, and Dang. No risk in Kathmandu or on typical Himalayan treks. | Confirmed | Atovaquone/ proguanil, doxycycline, or mefloquine |
| Netherlands Antilles (Bonaire, Curaçao, Saba, St. Eustasius, and St. Maarten) | If traveling from an endemic zone and >6 months of age3 | None | None | Not applicable | Not applicable |
| Netherlands | Not required | None | None | Not applicable | Not applicable |
| New Caledonia (France) | If traveling from an endemic zone and >1 year of age. Note: In the event of an epidemic threat to the territory, a specific vaccination certificate may be required. | None | None | Not applicable | Not applicable |
| New Zealand | Not required | None | None | Not applicable | Not applicable |
| Nicaragua | If traveling from an endemic zone and >1 year of age | None | Risk in rural areas and in outskirts of Managua. | None | Chloroquine |
| Niger | Required upon arrival from all countries if traveler is >1 year of age | For all travelers >9 months of age | All | Confirmed | Atovaquone/ proguanil, doxycycline, or mefloquine |
| Nigeria | If traveling from an endemic zone and >1 year of age | For all travelers >9 months of age | All | Confirmed | Atovaquone/ proguanil, doxycycline, or mefloquine |
| Niue (New Zealand) | If traveling from an endemic zone and >1 year of age | None | None | Not applicable | Not applicable |
| Norfolk Island (Australia) | If traveling from an endemic zone and >1 year of age | None | None | Not applicable | Not applicable |
| Korea, North | Not required | None | Limited malaria risk in some southern areas. | None | Chloroquine |
| Northern Mariana Islands (U.S.), includes Saipan, Tinian, and Rota Island | Not required | None | None | Not applicable | Not applicable |
| Norway | Not required | None | None | Not applicable | Not applicable |
| Oman | If traveling from an endemic zone | None | Limited risk in remote areas of Musandam Province. Risk is very limited; therefore, prophylaxis is not recommended. | Confirmed | None |
| Pakistan | If traveling from an endemic zone. Not required for infants <6 months of age if the mother’s certificate shows she was vaccinated before the child’s birth.3 | None | Risk in all areas (including all cities) at altitudes below 2,000 m (<6,562 ft). | Confirmed | Atovaquone/ proguanil, doxycycline, or mefloquine |
| Palau | If traveling from an endemic zone and >1 year of age | None | None | Not applicable | Not applicable |
| Panama | If traveling from an endemic zone | For all travelers >9 months of age traveling to the provinces of Darien, Kunayala (San Blas) and Panama (see Map 4-16), excluding the Canal Zone, Panama City and the San Blas Islands. | Risk exists in rural areas of Bocas Del Toro, Darién, San Blas provinces and San Blas Islands. No risk in Panama City or in the former Canal Zone. | Confirmed in Darién and San Blas provinces, including San Blas islands. | Chloroquine in Bocas Del Toro. Atovaquone/ proguanil; doxycycline; or mefloquine in Darién and San Blas. |
| Papua New Guinea | If traveling from an endemic zone and >1 year of age | None | Risk throughout at altitudes below 1,800 m (<5,906 ft). | Confirmed | Atovaquone/ proguanil, doxycycline, or mefloquine |
| Paraguay | If traveling from an endemic zone | For all travelers >9 months of age traveling to all areas of Paraguay. | Risk in the departments of Alto Paraná, Caaguazú, and Canendiyú. | None | Chloroquine |
| Peru | Not required | For all travelers >9 months of age traveling to the areas east of the Andes Mountains (see Map 4-16). Travelers who are limiting travel to the cities of Cuzco and Machu Picchu do not need vaccination. Peru recommends vaccination for those who intend to visit any jungle areas of the country <2,300 m (<7,546 ft.). | Risk in all departments below 2000 m (6,561 ft) except no risk in Arequipa, Moquegua, Puno, and Tacna. Risk in Puerto Maldonado. Travelers who will visit only in Lima and its vicinity, coastal areas south of Lima, or the highland tourist areas (Cuzco, Machu Picchu, and Lake Titicaca) are not at risk and need no prophylaxis. | Confirmed | Atovaquone/ proguanil, doxycycline, or mefloquine |
| Philippines | If traveling from an endemic zone and >1 year of age | None | Risk exists in areas below 600 m (<1,969 ft), except no risk in Bohol Island, Borocay Island, Catanduanes Island, and Cebu Island. No risk is considered to exist in Manila or other urban areas. | Confirmed for P. falciparum | Atovaquone/ proguanil, doxycycline, or mefloquine |
| Pitcairn Islands (U.K.) | If traveling from an endemic zone and >1 year of age | None | None | Not applicable | Not applicable |
| Poland | Not required | None | None | Not applicable | Not applicable |
| Portugal | Required only for travelers >1 year of age arriving from an endemic zone and destined for the Azores and Madeira. However, no certificate is required for travelers in transit at Funchal, Santa Maria, and Porto Santo. | None | None | Not applicable | Not applicable |
| Puerto Rico (U.S.) | Not required | None | None | Not applicable | Not applicable |
| Qatar | Not required | None | None | Not applicable | Not applicable |
| Réunion (France) | If traveling from an endemic zone and >1 year of age | None | None | Not applicable | Not applicable |
| Romania | Not required | None | None | Not applicable | Not applicable |
| Russia | Not required | None | None | Not applicable | Not applicable |
| Rwanda | Required upon arrival from all countries if traveler is >1 year of age | For all travelers >9 months of age | All | Confirmed | Atovaquone/ proguanil, doxycycline, or mefloquine |
| Saint Helena (U.K.) | If traveling from an endemic zone and >1 year of age | None | None | Not applicable | Not applicable |
| Saint Kitts (Saint Christopher) and Nevis (U.K.) | If traveling from an endemic zone and >1 year of age | None | None | Not applicable | Not applicable |
| Saint Lucia | If traveling from an endemic zone and >1 year of age | None | None | Not applicable | Not applicable |
| Saint Pierre and Miquelon (France) | Not required | None | None | Not applicable | Not applicable |
| Saint Vincent and the Grenadines | If traveling from an endemic zone and >1 year of age | None | None | Not applicable | Not applicable |
| Samoa (formerly Western Somoa) | If traveling from an endemic zone and >1 year of age | None | None | Not applicable | Not applicable |
| San Marino | Not required | None | None | Not applicable | Not applicable |
| São Tomé and Príncipe | Required upon arrival from all countries if traveler is >1 year of age | For all travelers >9 months of age | All | Confirmed | Atovaquone/
proguanil, doxycycline,
or mefloquine |
| Saudi Arabia | If traveling from an endemic
zone | None | Risk in Al Bahah, Al Madinah, Asir (excluding the highaltitude areas above 2,000 m), Jizan, Makkah, Najran, and Tabuk province. No risk in urban areas of Jeddah, Mecca, Medina, and Ta’if. | Confirmed | Atovaquone/ proguanil, doxycycline, or mefloquine |
| Senegal | If traveling from an endemic zone | For all travelers >9 months of age | All | Confirmed | Atovaquone/ proguanil, doxycycline, or mefloquine |
| Serbia | Not required | None | None | Not applicable | Not applicable |
| Seychelles | If traveling from an endemic zone and >1 year of age | None | None | Not applicable | Not applicable |
| Sierra Leone | Required upon arrival from all countries | For all travelers >9 months of age | All | Confirmed | Atovaquone/ proguanil, doxycycline, or mefloquine |
| Singapore | If traveling from an endemic zone and >1 year of age | None | None | Not applicable | Not applicable |
| Slovakia | Not required | None | None | Not applicable | Not applicable |
| Slovenia | Not required | None | None | Not applicable | Not applicable |
| Solomon Islands | If traveling from an endemic zone | None | Risk in all areas except for the southern province of Rennell and Bellona, the eastern province of Temotu, and the outer islands of Tikopia, Anuta, and Fatutaka. | Confirmed | Atovaquone/ proguanil, doxycycline, or mefloquine |
| Somalia | If traveling from an endemic zone | For all travelers >9 months of age | All | Confirmed | Atovaquone/ proguanil, doxycycline, or mefloquine |
| South Africa | If traveling from an endemic zone and >1 year of age | None | Risk exists in the low-altitude areas of the Mpumalanga Province, Northern Province (Limpopo), and northeastern Kwa- Zulu-Natal as far south as the Tugela River. Risk in Kruger National Park. | Confirmed | Atovaquone/ proguanil, doxycycline, or mefloquine |
| South Georgia & South Sandwich Islands | Not required | None | None | Not applicable | Not applicable |
| Korea, South | Not required | None | Risk limited to demilitarized zone (DMZ) and to rural areas in the northern parts of Kyonggi and Kangwon provinces. | None | Chloroquine |
| South Sandwich Islands | Not required | None | None | Not applicable | Not applicable |
| Spain | Not required | None | None | Not applicable | Not applicable |
| Sri Lanka | If traveling from an endemic zone and >1 year of age | None | Risk in all areas, except no risk in the districts of Colombo, Galle, Kalutara, and Nuwara Eliya. | Confirmed | Atovaquone/ proguanil, doxycycline, or mefloquine |
| Sudan | If traveling from an endemic zone and >1 year of age. May be required for travelers leaving Sudan. | For all travelers >9 months of age | All | Confirmed | Atovaquone/ proguanil, doxycycline, or mefloquine |
| Suriname | If traveling from an endemic zone | For all travelers >9 months of age. | Risk in all areas, except no risk in Paramaribo and coastal districts of Nickerie, Coronie, Saramacca, Wanica, Commewijne, and Marowijne north of latitude 5°N. | Confirmed | Atovaquone/ proguanil, doxycycline, or mefloquine |
| Swaziland | If traveling from an endemic zone | None | Risk in the northern and eastern lowland areas bordering Mozambique in the Lubombo district, particularly around the villages/towns of Big Bend, Mhlume, Simunye, and Tshaneni. | Confirmed | Atovaquone/ proguanil, doxycycline, or mefloquine |
| Sweden | Not required | None | None | Not applicable | Not applicable |
| Switzerland | Not required | None | None | Not applicable | Not applicable |
| Syria | If traveling from an endemic zone | None | Risk along the northern border in El Hassaka province. | None | Chloroquine |
| Taiwan | Not required. (Updated February 6, 2008) | None | None | Not applicable | Not applicable |
| Tajikistan | Not required | None | Risk in all areas below 2,500 m (<8,202 ft) particularly along the southern border in Khatlon Oblast; central (Dushanbe), western (Gorno- Badakhshan), and northern (Leninabad) areas. | Confirmed | Atovaquone/ proguanil, doxycycline, or mefloquine |
| Tanzania | If traveling from an endemic zone and >1 year of age (Updated July 29, 2008) | For all travelers >9 months of age. The city of Dar es Salaam has a lower risk of transmission than rural areas | All areas at altitudes below 1,800 m (<5,906 ft). | Confirmed | Atovaquone/ proguanil, doxycycline, or mefloquine |
| Thailand | If traveling from an endemic zone and >1 year of age | None | Risk in rural areas that border Cambodia, Laos, and Myanmar (Burma). Very limited risk in Phang Nga and Phuket therefore prophylaxis is not recommended for these two areas. No risk in cities and in major tourist resorts. No risk in Bangkok, Chiang Mai, Chiang Rai, Pattaya, Koh Samui, and Koh Phangan. (Updated September 19, 2007) | Confirmed | Atovaquone/ proguanil or doxycycline. (see Map 4-9). |
| Timor-Leste (East Timor) | Required for travelers coming from an endemic zone | None | All | Confirmed | Atovaquone/
proguanil, doxycycline,
or mefloquine |
| Togo | Required upon arrival from all countries if traveler is >1 year of age | For all travelers >9 months of age | All | Confirmed | Atovaquone/ proguanil, doxycycline, or mefloquine |
| Tokelau (New Zealand) | Not required | None | None | Not applicable | Not applicable |
| Tonga | If traveling from an endemic zone and >1 year of age | None | None | Not applicable | Not applicable |
| Trinidad and Tobago | If traveling from an endemic zone and >1 year of age | For all travelers >9 months of age whose itinerary includes Trinidad. Port of Spain has lower risk of transmission than rural or forested areas. Cruise ship passengers who do not disembark from the ship or travelers visiting only the urban area of Port of Spain (including passengers in-transit only) may consider foregoing vaccination. Vaccination is NOT recommended for those visiting only Tobago. (Updated February 17, 2009) | None | Not applicable | Not applicable |
| Tunisia | If traveling from an endemic zone and >1 year of age | None | None | Not applicable | Not applicable |
| Turkey | Not required | None | Risk in the provinces of Adana, Adryaman, Batman, Bingol, Bitlis, Diyarbakar, Elazig, Gaziantep, Hakkari, Hatay, Icel, Kahraman Maras, Kilis, Mardin, Mus, Osmaniyeh, , Sanliurfa, Siirt, Sirnak, and Van. No risk on the Incirlik U.S. Air Force base and on typical cruise itineraries. | None | Chloroquine |
| Turkmenistan | Not required | None | Risk in southeast Mary Region and in the flood plains between the Murgab and Tedzhen Rivers. | None | Chloroquine |
| Turks and Caicos Islands (U.K.) | If traveling from an endemic zone and >1 year of age | None | None | Not applicable | Not applicable |
| Tuvalu | Not required | None | None | Not applicable | Not applicable |
| Uganda | If traveling from an endemic zone and >1 year of age | For all travelers >9 months of age. | All | Confirmed | Atovaquone/ proguanil, doxycycline, or mefloquine |
| Ukraine | Not required | None | None | Not applicable | Not applicable |
| United Arab Emirates | Not required | None | None | Not applicable | Not applicable |
| United Kingdom (with Channel Islands and Isle of Man) | Not required | None | None | Not applicable | Not applicable |
| United States | Not required | None | None | Not applicable | Not applicable |
| Uruguay | If traveling from an endemic zone | None | None | Not applicable | Not applicable |
| Uzbekistan | Not required | None | Sporadic cases reported in Uzunskiy, Sariassiskiy, and Shurchinskiy districts (Surkhanda-Rinskaya Region). | None | Chloroquine |
| Vanuatu | Not required | None | All | Confirmed | Atovaquone/ proguanil, doxycycline, or mefloquine |
| Venezuela | Not required | For all travelers >9 months of age traveling to Venezuela, except the northern coastal area (see Map 4-16). The cities of Caracas and Valencia are not in the endemic zone. | Risk exists in rural areas of the following states: Apure, Amazonas, Barinas, Bolivar, Sucre, Tachira, and Delta Amacuro. Risk in Angel Falls. | Confirmed | Atovaquone/ proguanil, doxycycline, or mefloquine |
| Vietnam | If traveling from an endemic zone and >1 year of age | None | Rural only, except no risk in the Red River delta and the coastal plain north of the Nha Trang. No risk in Hanoi, Ho Chi Minh City (Saigon), Da Nang, Nha Trang, Qui Nhon, and Haiphong. | Confirmed | Only atovaquone/ proguanil or doxycycline in the southern part of the country in the provinces of Tay Ninh, Song Be, Lam Dong, Ninh Thuan, Khanh Hoa, Dac Lac, Gia Lai, and Kon Tum. All other areas atovaquone/ proguanil, doxycycline, or mefloquine (see Map 4-9). |
| Virgin Islands, British | Not required | None | None | Not applicable | Not applicable |
| Virgin Islands, U.S. | Not required | None | None | Not applicable | Not applicable |
| Wake Island, U.S. | Not required | None | None | Not applicable | Not applicable |
| Western Sahara | Not required | None | Risk is very limited; therefore, prophylaxis is not recommended. | None | None |
| Yemen | If traveling from an endemic zone and >1 year of age | None | All areas at altitudes below 2,000 m (<6,561 ft). No risk in Sana’a. | Confirmed | Atovaquone/ proguanil, doxycycline, or mefloquine |
| Zambia | Not required | None | All | Confirmed | Atovaquone/ proguanil, doxycycline, or mefloquine |
| Zimbabwe | If traveling from an endemic zone and >1 year of age | None | All, except no risk in cities of Harare and Bulawayo. | Confirmed | Atovaquone/ proguanil, doxycycline, or mefloquine |
