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Malaria RiskIndia, Asia
Malaria Risk Travel Information
Malaria is reported from all Indian states below 2000m. Overall 40-50% of cases are due to P.falciparum with a higher proportion of P.vivax in the south.
Risk to travellers:
Assam: High risk. If visiting Assam you will require either Mefloquine, Malarone, or Doxycycline.
Low risk in the southern states of Kerala, Tamil Nadu, Karnataka, Goa * ( please read latest detail below for Goa ) and southern Andhra Pradesh including Hyderabad and the city of Mumbai. Low risk also in the northern states of Rajasthan, Uttar Pradesh, Punjab and the cities of Delhi and Aggra. In these low risk areas it may not be necessary to take antimalarial medication though '' Bite avoidance '' measures should be adopted.
Very Low to No Risk areas include the high altitude Himalayan states of jammu and Kashmir, Himachal Pradesh and Sikkim ( bordering Tibet ).
Other areas to the above are considered variable risk and necessitate the taking of proguanil/chloroquine ( paludrine/avloclor travel pack ).
* 08/01/07 Due to a small cluster of Plasmodium falciparum malaria in European travellers returning from northern Goa, the ACMP has now advised antimalarial prophylaxis of chloroquine plus proguanil for travellerswho will be visiting Goa, particularly areas north of Panaji and who will be remote from medical care. This advise applies until further notice and will be reviewed based on surveillance for malaria cases.
Note that proguanil is not normally available in India and so adequate supplies should be carried.
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