BNF for Children (BNFC) 2018-2019

Key to recommended regimens for prophylaxis against malaria

Codes for regimens Details of regimens for prophylaxis against malaria

• No risk

1 Chemoprophylaxis not recommended, but avoid mosquito bites and consider malaria if fever presents

2 Chloroquine only

3 Chloroquine with proguanil

4 Atovaquone with proguanil hydrochloride or doxycycline or mefloquine

Specific recommendations

Country Comments on risk of malaria and regional or seasonal variation Codes for regimens

Kenya High risk (except city of Nairobi) 4

Very low risk in the highlands above 2500 m and in city of Nairobi 1

Lao People’s Democratic
Republic (Laos)

Low risk 1

Very low risk in city of Vientiane 1

Liberia High risk 4

Libya No risk 1

Madagascar High risk 4

Malawi High risk 4

Malaysia Low risk in mainland Malaysia 1

Malaysia (Borneo) Low risk in inland areas of Sabah and in inland, forested areas of Sarawak 1

Very low risk in areas other than those above, including coastal areas of Sabah and

Sarawak

1

Mali High risk 4

Mauritania High risk all year in southern provinces, and from July–October in the northern
provinces

4

Low risk from November–June in the northern provinces 1

Mauritius No risk 1

Mayotte Risk present 4

Mexico Very low risk 1

Mozambique High risk 4

Myanmar Low risk 1

Namibia High risk all year in regions of Caprivi Strip, Kavango, and Kunene river, and from
November–June in northern third of country

4

Very low risk in areas other than those above; low risk from July–October in

northern third of country

1

Nepal Low risk below 1500 m, including the Terai district 1

No risk in city of Kathmandu and on typical Himalayan treks -

Nicaragua Low risk (except Managua) 1

Very low risk in Managua 1

Niger High risk 4

Nigeria High risk 4

North Korea Very low risk in some southern areas 1

Pakistan Low risk below 2000 m 1

Very low risk above 2000 m 1

Panama Low risk east of Canal Zone 1

Very low risk west of Canal Zone 1

No risk in Panama City or Canal Zone itself -

Papua New Guinea High risk below 1800 m 4

Very low risk above 1800 m 1

Paraguay Very low risk 1

Peru Low risk in Amazon basin along border with Brazil, particularly in Loreto province
and in rural areas below 2000 m including the Amazon basin bordering Bolivia

1

No risk in city of Lima and coastal region south of Chiclayo -

BNFC 2018 – 2019 Malaria 389

Infection

5