Country		Malaria transmission areas (2-4)	Chemoprophylaxis recommended by CATMAT* (2-9)	Season (3,4)	Plasmodium falciparum (2-4), %
1	Mexico	Minimal or no malaria transmission in major resort areas on the coasts, including the city of Acapulco or along the Mayan Riviera, including the cities of Cancún, Cozumel, and Playa del Carmen. None along the border with the United States.	None.	Year-round	0
		Little malaria transmission in the states of Jalisco, Quintana Roo, Sonora and Tabasco.	Use PPM.
		Moderate risk in parts of the states of Chiapas and Oaxaca.	Chloroquine.
		Low risk in rural areas of the states of Nayarit, Sinaloa, Chihuahua, and Durango.	Chloroquine for stays > 1 week; chloroquine or PPM alone for stays of ≤ 1 week.
2	Dominican Republic	Little to no malaria transmission in the resort areas of Romana and Samaná and the cities of Santo Domingo, Santiago, and Puerto Plata.	None; use PPM.	Year-round	100
		Some transmission has previously occurred in La Altagracia province, including resort areas such as Punta Cana.	In the absence of any further outbreaks in La Altagracia, PPM alone for resorts in that province. Seek medical attention if a fever develops.
		Rural areas, with the highest risk in the provinces of Dajabón, Elias Piña, and San Juan bordering Haiti.	Chloroquine.
3	China	No malaria transmission in urban areas or northern China.	None.	n/a	n/a
		Limited transmission of P. vivax malaria occurs in the southern provinces and some central provinces, including Anhui, Ghuizhou, Henan, Hubei, and Jiangsu.	For travellers visiting major cities and making daytime excursions into the countryside or on Yangtze river cruises: none; use PPM.	Year-round	9
		The risk of contracting malaria in central China is small.	For those travelling extensively in or through rural southern China: chloroquine.
		Transmission of P.falciparum malaria occurs in the province of Yunnan and, to a lesser extent, in the province of Hainan. P. falciparum resistance to chloroquine and sulfadoxine-pyrimethamine reported.	ATQ-PG, DOXY or MFQ.
		P. falciparum resistance to mefloquine reported in the province of Yunnan in the areas bordering Burma (Myanmar).	ATQ-PG or DOXY.
4	India	No malaria transmission at elevations > 2000 m in parts of the states of Himachal Pradesh, Jammu and Kashmir, and Sikkim.	None.	n/a	n/a
		All other areas - including most urban areas such as Bombay (Mumbai) and Delhi. Risk is lower in most of the southernmost regions of India.	ATQ-PG, DOXY or MFQ.	Year-round	> 40
		Risk is low in central urban areas of Agra and Bangalore.	PPM alone can be considered for stays of <1 week in central urban areas of Delhi, Agra and Bangalore.
5	Costa Rica	Little to no risk of malaria transmission in most of the country, with exception noted below. No malaria transmission in the city of Limón (Puerto Limón).	None; use PPM.	Year-round	Predominantly P vivax
		Limón province (except the city of Limón), mostly in the canton of Matina.	Chloroquine.
6	Thailand	No malaria transmission in cities, including Bangkok, Chiang Mai, Chiang Rai, Pattaya, Koh Samui, Phang Nga, Town of Phuket and Koh Phangan, or in major tourist resorts.	None.	n/a	n/a
		Rural forested areas near the borders with Cambodia, Burma (Myanmar) and Laos. Rural forested areas in districts of Phang Nga and Phuket. Some islands have malaria risk.	ATQ-PG or DOXY.	Year-round	50–75
		Mefloquine resistance reported.
7	Philippines	Little to no malaria transmission in urban areas or on islands not listed below.	None; use PPM.	Year-round	70–80
		Rural areas at elevations < 600 m on islands of Basilu, Luzon, Mindanao, Mindoro, Palawan, Sulu (Jolo) and Tawi-Tawi.	ATQ-PG, DOXY or MFQ.
8	South Africa	No malaria transmission in most of the country including the Garden Route and major cities.	None.	n/a	n/a
		Low-altitude areas in the provinces of Mpumalanga (including the Kruger National Park), Limpopo (formerly Northern), and north-eastern Kwa Zulu-Natal as far south as the Tugela River.	ATQ-PG, DOXY or MFQ.	Year-round	90
				(risk is highest from Oct– May)
9	Peru	No malaria risk at elevations > 2000 m, including the highland tourist areas (Machu Picchu, Lake Titicaca, and the cities of Arequipa, Cuzco, Puno) or in the cities of Limaand south of Lima including Moquegua, Nazca, and Tacna.	None.	n/a	n/a
		All areas < 2000 m (except cities listed above). This includes the cities of Puerto Maldonado and Iquitos. Most P.falciparum cases occur in the region of Loreto.	ATQ-PG, DOXY or MFQ.	Year-round	15
10	Turkey	No malaria transmission in western and northeastern parts of the country, including the common tourist destinations of the cities of Izmir and Istanbul and the Cappadocia region.	None.	n/a	n/a
		Limited malaria transmission in the southeastern part of the country.	Chloroquine for stays > 2 weeks; chloroquine or PPM alone for stays of ≤2 weeks.	May–Oct	Sporadically
11	Argentina	No malaria transmission in urban areas, Iguassu Falls, or provinces not listed below.	None.	n/a	n/a
		Rare in Misiones province along the border with Paraguay.	None; use PPM.	Oct–May	0
		Rural areas of northern Jujuy and Salta Province (along Bolivian border).	Chloroquine for stays > 2 weeks; chloroquine or PPM alone for stays of 2 weeks.
12	Brazil	Little to no malaria transmission at Iguazu Falls; in the Pantanal region; in the cities of Brasília, Recife, Rio de Janeiro, São Paulo, and Salvador; or in other areas not listed below.	None; use PPM.	Year-round	15
		Areas at elevations < 900 m in most forested areas of the states of Acre, Amapá, Amazonas, Rondônia, Roraima and Tocantins (western part) and parts of states of Maranhāo (western part), Mato Grosso (northern part), Pará (except Belém City) and Tocantins (western part). Transmission also occurs in some peripheral urban areas of - Boa Vista, Cruziero do Sul, Macapá, Manaus, Maraba, Pôrto Velho, Rio Branco, and Santarém.	ATQ-PG, DOXY or MFQ.
13	Belize	No malaria transmission in Belize City and islands frequented by tourists.	None.	n/a	n/a
		Low risk in Belize, Corozal, and Orange Walk Districts.	None; use PPM.	Year-round	0–5
		Moderate risk in Cayo, Stann Creek, and Toledo Districts.	Chloroquine.
14	Ecuador	No malaria transmission at elevations > 1500 m, including Cuenca, Quito, and other cities and villages in the Andean highlands; in the city of Guayaquil or on the Galápagos Islands.	None.	n/a	n/a
		All other areas at elevations < 1500 m. Higher risk along the coast, in the north.	ATQ-PG, DOXY or MFQ.	Year-round	10
15	Colombia	No malaria transmission in urban areas, including Bogotá and vicinity and Cartagena; at elevations > 1600 m; or on the islands of San Andrés and Providencia in the Caribbean Sea.	None.	n/a	n/a
		Rural or jungle areas at elevations < 1600m.	ATQ-PG, DOXY or MFQ.	Year-round	35–40
16	Guatemala	No malaria transmission in urban areas or areas at elevations > 1500 m none in Guatemala City, Antigua, and Lake Atitlán.	None.	n/a	n/a
		Rural areas at elevations < 1500 m.	Chloroquine.	Year-round	3
17	Honduras	No malaria transmission - in the cities of Tegucigalpa and San Pedro Sula. Risk is low in higher mountainous areas in the west where PPM can be considered.	None.	n/a	n/a
		Risk is high in departments of Gracias a Dios and Islas de la Bahia (Bay Islands), and moderate in Atlantida, Colon, Olancho, and Yoro.	Chloroquine.	Year-round	7
18	Vietnam	None in urban areas, Red River Delta and coastal plain of central Vietnam. Rare cases in Mekong Delta. The common coastal itinerary between Ho Chi Minh City and Hanoi with overnights mainly in urban areas does not typically require chemoprophylaxis.	Use PPM.	Year-round	50–90
		Rural areas, excluding those listed above. Risk in the town of Sapa in the hills to the northwest of Hanoi is lower; PPM can be considered for stays <1 week, particularly in the winter months.	ATQ-PG, DOXY or MFQ.
		Mefloquine resistance reported in the southern part of the country in the provinces of Dac Lac, Gia Lai, Khanh Hoa (western part), Kon Tum, Lam Dong, Ninh Thuan (western part), Song Be, and Tay Ninh.	ATQ-PG or DOXY.
19	Cambodia	No malaria transmission in the city of Phnom Penh and the area around Lake Tonlé Sap (Siem Reap). Negligible transmission in the tourist area of Angkor Wat and Siem Reap.	None; use PPM.	Year-round	86
		Mefloquine resistance is reported in the western provinces of Banteay Meanchey, Battambang, Koh Kong, Odder Meanchey, Pailin, Kampot, PreahVihear, Pursat, and Siemreap bordering Thailand.	Doxycycline or atovaquone–proguanil.
		All other areas.	ATQ-PG, DOXY or MFQ.
20	Panama	Little to no malaria transmission in Panama City, the Canal zone, or regions not listed below.	None; use PPM.	Year-round	1
		Provinces and indigenous territories (comarcas) along the Caribbean coast and the borders with Costa Rica and Colombia: Bocas del Toro, Chiriquí, Colón, Ngöbe-Buglé, Panamá, and Veraguas.	Chloroquine for stays > 1 week; chloroquine or PPM alone for stays of <1 week.
		Most transmission in provinces east of the Panama Canal toward the border with Colombia.P. falciparum resistance to chloroquine has been reported in Darién and Kuna Yala (San Blas).	ATQ-PG, DOXY or MFQ.
21	Pakistan	All areas at elevations < 2000 m. Risk is due to both P. vivax and P. falciparum. Risk lower in the north, including Islamabad, especially during winter months because of cool temperatures.	ATQ-PG, DOXY or MFQ.	Year-round	30
22	Kenya	Little to no malaria transmission at elevations > 2500 m or in the city of Nairobi.	None; use PPM.	Year-round	85
		All areas at elevations < 2500 m, except the city of Nairobi.	ATQ-PG, DOXY or MFQ.
23	Tanzania, United Republic of	All areas at elevations < 1800 m.	ATQ-PG, DOXY or MFQ.	Year-round	> 85
24	Indonesia	No malaria transmission in Jakarta Municipality, major metropolitan areas including Ubud, or major tourist resorts in Bali and Java.	None.	n/a	n/a
		In general, risk is higher in more easterly regions of Indonesia: in particular, the provinces of East Nusa Tenggara, Maluku, North Maluku, Papua (Irian Jaya) and West Papua. There is also risk on LombokIsland and the rural areas of KalimantanIsland (Borneo). There is a low risk of transmission in rural Java and Bali and sporadic cases reported among travellers to rural areas of Bali. In the other parts of the country, there is malaria risk in some districts.	ATQ-PG, DOXY or MFQ.	Year-round	66
25	Nicaragua	Little to no malaria transmission in departments not listed below.	None; use PPM.	Year-round	10
		Departments of Chinandega, Léon, Managua, and Matagalpa and the autonomous regions of Atlántico Norte (RAAN) and Atlántico Sur (RAAS).	Chloroquine.

* Chemoprophylaxis is recommended only in the risk areas identified during the transmission season identified.
   Chemoprophylaxis should always be used in conjunction with PPM.
   ATQ-PG, atovaquone-proguanil; DOXY, doxycycline; MFQ, melfloquine