Assam: High risk. If visiting Assam you will
require either Lariam ( Mefloquine ), Malarone
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 Paludrine/Avloclor
( Proguanil plus Chloroquine ).
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 travellers who 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
- On the streets, wear shoulder bags across
the body (impossible to snatch), and keep
all money and valuables out of sight (never
in unzipped pockets). Beware of being
frisked by beggars pretending a friendly
hug. Never give anyone your camera, radio
or walk man to 'look at',unless you feel
quite sure of getting it back again.
- On trains, where there is much robbery,
use your ruck-sack or bag as a pillow(or
stash it under your knees)when sleeping.
If going to the bathroom, bolt your bag
to a fixed compartment attachment or to
a window bar.
- On crowded local buses, keep a constant
eye on your luggage. You may be asked
to put your bags under a seat to make
room for other passenger. Don't do it.
- In cheap lodging, double-lock the door(with
combination padlock) and secure all windows
before retiring for the night-thieves
are adept at creeping into unsecured hotel
- If leaving your luggage for anywhere,
for any reason, padlock it to a pipe,
a bedstead, or anything that cannot be
moved. Some hotels will remind it for
you-but always get a receipt, and always
check nothing's missing on your return.
- Don't accept any food or drink from
total strangers, especially on trains
or buses. There are good chances that
it might be drugged.
Fear, anger or carelessness all attract
theft; calm confidence and alertness deter
it. If you become a victim, report your
loss to the police by all means(you will
need their report for any insurance claim),
but do not expect a lot of sympathy. India
is for the self-reliant -a quality that
some travellers have to learn the hard way.
Stay Healthy, Do:
- Wash your hands often with soap and
water or, if hands are not visibly soiled,
use a waterless, alcohol-based hand rub
to remove potentially infectious materials
from your skin and help prevent disease
- In developing countries, drink only
bottled or boiled water, or carbonated
(bubbly) drinks in cans or bottles. Avoid
tap water, fountain drinks, and ice cubes.
If this is not possible, learn how to
make water safer to drink.
- Take your malaria prevention medication
before, during, and after travel, as directed.
(See your health care provider for a prescription.)
- To prevent fungal and parasitic infections,
keep feet clean and dry, and do not go
barefoot, even on beaches.
- Always use latex condoms to reduce
the risk of HIV and other sexually transmitted
- Protect yourself from mosquito insect
- Wear long-sleeved shirts, long pants,
and hats when outdoors.
- Wear long-sleeved shirts, long pants,
- Use insect repellents that contain
DEET (N, N-diethylmethyltoluamide). For
more information about insect repellents
and correct use, see What You Need to
Know about Mosquito Repellent on the CDC
West Nile Virus site.
- If no screening or air conditioning
is available: use a pyrethroid-containing
spray in living and sleeping areas during
evening and night-time hours; sleep under
bed nets, preferably insecticide-treated
- If you are visiting friends and relatives
in your home country, see additional special
information about malaria prevention in
Recent Immigrants to the U.S. from Malarious
Countries Returning 'Home' to Visit Friends
and Relatives on the CDC Malaria site.
Do not :
- Do not eat food purchased from street
vendors or food that is not well cooked
to reduce risk of infection (i.e., hepatitis
A and typhoid fever).
- Do not drink beverages with ice.
- Avoid dairy products, unless you know
they have been pasteurized.
- Do not swim in fresh water to avoid
exposure to certain water-borne diseases
such as schistosomiasis. (For more information,
please see Swimming and Recreational Water
- Do not handle animals, especially monkeys,
dogs, and cats, to avoid bites and serious
diseases (including rabies and plague).
Consider pre-exposure rabies vaccination
if you might have extensive unprotected
outdoor exposure in rural areas. For more
information, please see Animal-Associated
- Do not share needles for tattoos, body
piercing or injections to prevent infections
such as HIV and hepatitis B.
You Return Home
If you have visited a malaria-risk area,
continue taking your antimalarial drug for
4 weeks (doxycycline or mefloquine) or seven
days (atovaquone/proguanil) after leaving
the risk area.
Malaria is always a serious disease and
may be a deadly illness. If you become ill
with a fever or flu-like illness either
while traveling in a malaria-risk area or
after you return home (for up to 1 year),
you should seek immediate medical attention
and should tell the physician your travel