Mexico North America And Caribbean

Mexico, North America and Caribbean

Malaria Risk & Vaccination Information for Mexico, North America and the Caribbean

What is the risk of malaria in Mexico?

Malaria risk is low and is present intermittently throughout the year in some rural areas not normally visited by tourists. There is a low risk in some localities of the state of Chiapas. There is a very low risk in other areas including Chihuahua, Durango, Nayarit, Quintana Roo and Sinaloa.

All other areas pose very little risk, adopt bite avoidance measures.

Please remember to also follow the bite avoidance measures below in all areas.

Please check HERE to see a malaria map of Mexico on fitfortravel (an NHS website).

What is the risk of malaria in the Caribbean

Malaria is rarely a concern in the Carribean for areas visited by tourists. The island of Haiti and the Dominican Republic probably reports the most cases.

Current guidelines suggest the following:

The Dominican Republic - No risk in the cities of Santiago and Santo Domingo. The rest of the Dominican Republic is low risk and antimalarial tablets are not usually advised unless you are at risk of complications from a malaria infection.

Haiti - Malaria is present throughout Haiti. The recommended anti malaria tablet for this region is Chloroquine and Proguanil.

What else can I do to prevent malaria?

For more information and advice on how to prevent malaria, see our How To Avoid Insect & Mosquito Bites page.

Chikungunya virus infection in the Caribbean islands and the Americas

This is a virus passed on by being bitten by infected mosquitos. The incubation period is typically 3–7 days and symptoms include acute onset of fever and joint pain. Other symptoms may include headache, conjunctivitis, nausea/vomiting, or rash. The symptoms usually go within 10 days but in some may last months especially the elderly and people with underlying health issues such as high blood pressure and diabetes.

As this is a virus, there is no medication to prevent or treat the disease and anti-malarial tablets such as Chloroquine will not have an effect on it.

Bite avoidance measures should be taken and followed firmly to reduce the likelihood of being bitten.

The affected mosquitoes tend to bite during the day so wear long-sleeved clothing and trousers wherever possible and ensure that a strong insect repellent is used and reapplied regularly, especially after swimming.

You should also sleep under a mosquito net and if you are staying for a long time or are unsure of the hotel/hostel, it would be advisable to take a battery operated or plug-in mosquito killer for your room to kill any lingering mosquitos.

What Vaccines do I need for Mexico?

Below is a table designed to show you what vaccines are mandatory, recommended or ones to consider when visiting Mexico:

CholeraHepatitis AHepatitis BJapanese EncephalitisMeningitisRabies

RecCon Con

TetanusTick Borne EncephalitisTuberculosisTyphoidYellow Fever CertificateYellow Fever Vaccine

Rec Rec

Man = Mandatory

Con = Consider

Rec = Recommended

Req = Required if visiting from an area with risk of transmission

Other countries in North America and the Caribbean »