Archived on 1 July 2021 – this content has expired.

New updated NPA malaria chart 2021

19th January 2021

An updated version of the “NPA Malaria prophylaxis information” leaflet, which expires 30 June 2021, has been published by the NPA Pharmacy Services team. The leaflet is available to download from the “Travel health” section of the NPA website; this can then be printed off if access to a hard copy is required. NPA members will not receive a hard copy of the updated leaflet because of the NPA’s continuing move towards making all documents available as electronic downloads, in-line with our environmental policy.

Advice for pharmacy teams

  • COVID-19 and malaria can have similar symptoms, such as a fever and cough, therefore it is important to act promptly if an individual, who has returned from an area with malaria in the last six months, develops such symptoms
  • Potential travellers should be informed to check the Foreign & Commonwealth Office (FCO) current advice for British people travelling abroad during the COVID-19 pandemic and for country-specific travelling advice
  • Travel advice should be given to the international traveller nearer to the time of their travel
  • Review up-to-date information from TravelHealthPro in relation to travelling during the COVID-19 pandemic
  • Advise the potential international traveller to monitor the FCO travel advice website in relation to COVID-19, country-specific advice and be aware that other countries may have different advice to the UK in relation to entry, shielding and social distancing
  • Advise potential international traveller to check with their travel insurance provider that they are covered to travel
  • The contents of the NPA malaria prophylaxis information leaflet should not be used for clinical decision making when following Patient Group Directions
  • Healthcare professionals, including pharmacists, based in Scotland, often use malaria prophylaxis advice from the Fitfortravel website; NPA members based in Scotland should be aware that the advice in the NPA malaria prophylaxis information leaflet is based on information from Public Health England’s (PHE’s) Advisory Committee on Malaria Prevention

 

Changes made to the updated NPA malaria prophylaxis information leaflet

General guidance and further information links have been added in relation to COVID-19 and travelling abroad.

There have been a number of major changes made to the malaria prophylaxis recommendations – see table below for details:

Country Prophylaxis
East Timor (Timor-Leste): •         All areas have a low risk of malaria – in exceptional circumstances, chemoprophylaxis may be required, alongside effective bite avoidance measures
Mayotte •         All areas have a low risk of malaria – in exceptional circumstances, chemoprophylaxis may be required, alongside effective bite avoidance measures
Namibia •         Caprivi Strip, Kavango and Kunene river regions all year round have a risk of malaria – prophylaxis regimen is mefloquine, or doxycycline, or atovaquone/proguanil

•         All other areas – very low risk, therefore, bite avoidance measures are to be used – no chemoprophylaxis required

Venezuela •         All areas, including Angel Falls, particularly in the states of Amazonas, Bolivar, Delta Amacuro and Sucre, now have a risk of malaria – prophylaxis regimen is mefloquine, or doxycycline, or atovaquone/proguanil

•         Caracas and Margarita Island have no risk; however, bite avoidance measures are to be used – no chemoprophylaxis required

 

Minor changes to aid clarification to wording used for chemoprophylaxis recommendations for some countries, have been made and some general information has been added/amended. These changes include:

  • Consideration needs to be undertaken to how early prophylaxis recommendations are being given as information can change – there is no recommended timeframe for this
  • Cyprus: there is no risk of malaria; however, bite avoidance measures are to be used – no chemoprophylaxis required

For country-/area-specific advice on malaria chemoprophylaxis, NPA members can contact the Pharmacy Services team, or use the latest version of the NPA Malaria prophylaxis information leaflet. Further information on malaria prophylaxis can also be found in the PHE document, Malaria prevention guidelines for travellers from the UK: 2019”.

 

Please contact the Pharmacy Services team for further advice and support: