The first thing to know about malaria in South Africa is that it’s prevalent only in the country’s three north easternmost provinces - KwaZulu Natal, Mpumalanga and Limpopo - and only in their outermost regions. See the map (provided by malaria.org.za) for SA malaria risk areas.
You do not need to take precautions against malaria for trips to SA that are limited to Cape Town, Durban, Johannesburg, or any of the country’s six malaria-free provinces: North West, Northern Cape, Western Cape, Eastern Cape, Free State, Gauteng.
(Note that parts of the North West and Northern Cape provinces, in certain areas along the borders with Botswana and Namibia - including the Kalahari desert - sometimes require seasonal malaria precautions. Check in advance with your local contact.)
You do need to take precautions if you plan to enter a malaria-prevalent zone, including the Kruger National Park, during any part of your trip here.
* Risk of malaria infection in prevalent areas is highest between October and May.
* Kruger National Park malaria information hotline: +27 (0) 82 234 1800.
Precautions and Advice
Visitors to high risk Malaria areas should personally take precautions between dawn and dusk.
• apply insect repellent to exposed skin such as tabard, peaceful sleep or citronella based products
• if possible remain indoors
• close windows and doors at night unless they are screened
• spray an aerosol insecticide inside the sleeping area again burning citronella candles can help.
• burn mosquito coils and mosquito mats in sleeping areas
• sleep under a mosquito-proof bed-net
• wear long-sleeved clothing, trousers and socks if outdoors during this time
• in high-risk areas (Kruger Park, northern parts of Limpopo and northern parts of KwaZulu Natal) the use of anti-malaria drugs is recommended from October to May.
People at particular risk who should take extra precautions are:
• children under 5
• adults over 65
• pregnant women
• people on long term steroids
• people receiving chemotherapy
• people with Aids / HIV, porphyria or epilepsy
• people who have had their spleens removed
• chronically ill patients