BNF for Children (BNFC) 2018-2019

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

Colombia Low risk in rural areas below 1600 m 1

Very low risk above 1600 m and in Cartagena 1

Comoros High risk 4

Congo High risk 4

Costa Rica Low risk in Limon province (but not city of Limon) 1

Very low risk in areas other than those above 1

Cote d’Ivoire (Ivory Coast) High risk 4

Democratic Republic of the

Congo

High risk 4

Djibouti High risk 4

Dominican Republic Low risk 1

No risk in cities of Santiago and Santo Domingo -

East Timor (Timor-Leste) Risk present 4

Ecuador Low risk in areas below 1500 m including coastal provinces and Amazon basin 1

No risk in Galapagos islands or city of Guayaquil -

Egypt No risk 1

El Salvador Low risk in rural areas of Santa Ana, Ahuachapán, and La Unión provinces in

western part of country; very low risk in other areas

1

Equatorial Guinea High risk 4

Eritrea High risk below 2200 m 4

Ethiopia High risk below 2000 m 4

No risk in Addis Ababa or in areas above 2000 m-

French Guiana Risk present (particularly in border areas) except city of Cayenne or Devil’s Island

(Ile du Diable)

4

Low risk in city of Cayenne or Devil’s Island (Ile du Diable) 1

Gabon High risk 4

Gambia High risk 4

Georgia Very low risk in rural south east from June–October 1

Ghana High risk 4

Guatemala Low risk below 1500 m 1

No risk in Guatemala City, Antigua, or Lake Atitlan and above 1500 m-

Guinea High risk 4

Guinea-Bissau High risk 4

Guyana Risk present in all interior regions 4

Very low risk in Georgetown and coastal region 1

Haiti Risk present 3

Honduras Low risk below 1000 m and in Roatán and other Bay Islands 1

No risk in San Pedro Sula or Tegucigalpa and areas above 1000 m-

India Risk present in states of Assam and Orissa, districts of East Godavari, Srikakulam,

Vishakhapatnam, and Vizianagaram in the state of Andhra Pradesh, and districts of

Balaghat, Dindori, Mandla, and Seoni in the state of Madhya Pradesh

4

Low risk in areas other than those above or below (including Goa, Andaman and

Nicobar islands)

1

Exceptional circumstances in low risk areas (dependent on individual risk

assessment)

3

No risk in Lakshadweep islands -

Indonesia High risk in Irian Jaya (Papua) 4

Low risk in Bali, Lombok and islands of Java and Sumatra 1

No risk in city of Jakarta -

Indonesia (Borneo) Low risk 1

Iran Low risk from March–November in rural south eastern provinces and in north, along

Azerbaijan border in Ardabil, and near Turkmenistan border in North Khorasan

1

Very low risk in areas other than those above 1

Iraq Very low risk from May–November in rural northern area below 1500 m 1

No risk in areas other than those above -

388 Protozoal infection BNFC 2018 – 2019

Infection

5