Malaria is transmitted at night – from dusk to dawn – and bites female Anopheles mosquitoes.
The risk is present across the country, including urban areas. The risk is present at all altitudes.

The high risk months for malaria are: January to December

Malaria transmission vector (s): A. gambiae, A. arabiensis, A. melas

Incidence of Plasmodium falciparum malaria:> 85%
Of the five types of human malaria parasites, Plasmodium falciparum is the most dangerous.

The remaining percentage represents malaria infections that can be caused by one or more of the following parasites:
Plasmodium vivax,
Plasmodium ovale,
Plasmodium malariae,
and Plasmodium knowlesi.

Drug Resistant Malaria Areas: Multi-resistant P. falciparum malaria is present in all malignant areas of the Gambia.

The antimalarial drugs listed below are effective for the Gambia.

Guide to suppressive drugs

All malaria infections are serious diseases and must be treated as a medical emergency. When choosing antimalarial drugs, the main focus is on protecting against Plasmodium falciparum malaria, the most dangerous and often deadliest form of the disease.

Regardless of the medication being taken, it is of paramount importance for travelers and their doctor to consider fever and flu-like symptoms that occur 7 days to several months after leaving a malignant area as a breakthrough malaria. Early diagnosis is essential for successful treatment.

In addition to recommended antimalarial drugs, use a mosquito net and effective repellent to avoid the nocturnal Anopheles mosquito bite.

The drugs listed below are effective against malaria in The Gambia.

Discuss with your doctor which antimalarial drug is best for your needs. Do one of the following:

Atovaquone proguanil

Brand Names: Malarone, Malanil, and Others; Generic drugs available.

TAKE 1 TABLET DAILY (ATOVAQUONE 250 mg + PROGUANIL 100 mg).

Start 1-2 days before entering the scenic area, continue daily during your stay, and continue 7 days after leaving.

Note: Take at the same time each day with food or milk.

Doxycycline

Brand Names: Vibramycin and Others; Generic drugs available.

Take 1 100 mg tablet a day.

START 1 DAY BEFORE ENTERING A MALARIOUS AREA, CONTINUE DAILY DURING YOUR STAY AND CONTINUE 4 WEEKS AFTER LEAVING.

Note: Avoid direct sunlight when taking this drug and use sunscreens with protection against UV rays (UVA) to minimize the risk of a photosensitive reaction.

Take with large amounts of water to prevent irritation of the esophagus and stomach.

Mefloquine hydrochloride

Brand Names: Lariam, Mephaquin, Mefliam and Others; Generic drugs available.

Take 1 tablet of 250 mg (228 mg base) once a week.

START 1-2 WEEKS BEFORE ENTERING THE MALARIOUS AREA.

Note: Side effects include nausea and headache, including neurological side effects such as dizziness, ringing in the ears, and loss of balance. Psychiatric side effects include anxiety, depression, suspicion, and hallucinations. Neurological side effects can occur at any time during use and can persist over a longer period of time or become permanent after discontinuing the drug. See a doctor if you experience any neurological or psychiatric side effects.

The recommendations for malaria prophylaxis listed here serve only as guidelines and may vary depending on where you live, your state of health, age, travel destination, route, type of trip and length of stay.

Seek further advice from your doctor to determine the most appropriate prophylactic malaria regimen for your needs.