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Geographical Disease Risk Index

GDRI 002 (Published 18 January 2016) Release 02 (Published 02 February 2016) page 1 of 125

United Kingdom Blood Transfusion Services (UKBTS)

&

National Institute for Biological Standards and Control (NIBSC)

Geographical Disease Risk Index (GDRI)

Edition 002 - Published 18 January 2016

Release 02 - Published 02 February 2016

Introduction

The GDRI is a constituent part of Chapter 3: Care and Selection of Whole Blood and Component Donors (including donors of pre-deposit autologous blood), Chapter 20: Tissue Banking: selection of donors and Chapter 22: Haemopoietic Progenitor Cells, of the Guidelines for the Blood Transfusion Services in the United Kingdom, 8th Edition 2013.

These criteria are reviewed regularly to ensure that the products collected are of the highest quality and of sufficient quantity to meet the needs of the United Kingdom Blood Transfusion & Tissue Transplantation Services.

The Joint Professional Advisory Committee (JPAC) of the UKBTS is responsible for this document. JPAC receives professional advice from the Standing Advisory Committees that form part of its structure. Users of these guidelines must ensure that they have the latest version and that recent changes have been implemented (usually within three months) by their national service.

Latest Updates lists alterations to the guidelines made since publication of this edition.

Advice on these guidelines can be obtained from:

Dr L Williamson, Medical and Research DirectorNational Health Service Blood & Transplant (NHSBT)E-mail [email protected]

Prof M Turner, Medical & Scientific DirectorScottish National Blood Transfusion Service (SNBTS)E-mail [email protected]

Dr SP Field, Medical DirectorWelsh Blood Service (WBS)E-mail [email protected]

Dr K Morris, Chief Executive OfficerNorthern Ireland Blood Transfusion Service (NIBTS)E-mail [email protected]

Comments about the content of these guidelines, including notification of errors, omissions and suggestions for improvements, should be sent to the Chair of the Standing Advisory Committee for the Care and Selection of Donors (SAC-CSD):

Dr Susan BarnesNHS Blood and TransplantBridle PathSeacroftLS15 7TW

Preferably by e-mail to with GDRI in the subject [email protected]

This section was last updated in GDRI Edition 002, Release 01



ContentsIntroduction .................................................................................................................................................. 1

Document and Change Control ................................................................................................................... 3

General Principles ....................................................................................................................................... 4

Use of this Index .......................................................................................................................................... 5

Malaria ......................................................................................................................................................... 6

Human Immunodeficiency Virus (HIV) / Acquired Immune Deficiency Syndrome (AIDS) .......................... 7

A-Z Index ..................................................................................................................................................... 8

A-Z Topics ................................................................................................................................................. 25

Latest Updates ......................................................................................................................................... 122

Changes to the Guidelines ...................................................................................................................... 125



Document and Change Control

The GDRI is under the continuing review of the Standing Advisory Committees for the Care and Selection of Donors (SAC-CSD) and for Transfusion Transmitted Infection (SAC-TTI). This is to ensure that they are accurate and up to date. All changes have the approval of the UKBTS Joint Professional Advisory Committee (JPAC).

Change Notification.Changes are notified to the Medical Director and to the Quality Manager of each of the four national services by a Change Notification from the Chairman of JPAC. All changes will have the approval of JPAC.

Implementation of changes is the responsibility of the individual national service.

Document version terminology.A version shall be any of the following:Extensive revisions of this document are known as ' '.EditionsChanges following the issue of 'Change Notification Letters' are known as ' '.ReleasesChanges to the website, which do not involve a change to the medical or scientific content, are given an ' ' number.Issue

Edition Date, Release Date and Issue Date is the date on which an Edition, Release or Issue is first published on the UKBTS website.

Changes to printed versions.The of each Blood Service will effect changes to the document. They will be informed when a new Quality Managerelectronic version is released. The is responsible for ensuring that there is an effective Document Quality ManagerControl and Document Change procedure in operation within their Blood Service to ensure that only up to date versions are in use and that all authorized copies, both electronic and paper, are traceable.

Individual users of the GDRI are responsible for ensuring that they are using an up-to-date version.

Changes to the website versions.The website will always display the up to date version. Any errors should be notified to the publisher, Caroline Smith, preferably by e-mail to with GDRI in the subject [email protected]

This section was last updated in GDRI Edition 001, Release 21 Issue 2



General Principles

The GDRI should be used to assist selection of donors giving whole blood, blood components (red cells, platelets, plasma and granulocytes), haemopoietic progenitor cells and tissues for therapeutic use.

Donor Selection Procedures aim to minimize the risk of transfusion transmitted infection. Travel to; birth/maternal birth or residency in; and in some cases sexual activity with residents of certain countries, is associated with an increased risk of exposure to infections such as malaria, T cruzi, WNV and HIV. These risks may vary over time and new diseases may occur. Where there is a rapidly emerging geographical disease risk (e.g. SARS or Pandemic Flu) these will be communicated via a to be used in conjunction with this document.Change Notification

This list is compiled specifically for risks to the blood and tissue supply in the United Kingdom and may vary from risks or recommendations provided for the protection of the traveller.

To assess the risk of an individual carrying such infections, look up the countries:

that they have visitedfor which they report sexual contact with a resident or former residentin which they were bornin which their mother was born

If a risk is shown for that country, look at the relevant entry in the appropriate Donor Selection Guidelines (DSG) for the donation type (e.g. Whole Blood & Components or the relevant Tissue DSG) to assess the individual’s suitability to donate.

Table of Donor Selection Guidelines (DSG) cross-references

Chikungunya Virus TDSG-BM TDSG-CB TDSG-DD TDSG-LD WB-DSG

Dengue TDSG-BM TDSG-CB TDSG-DD TDSG-LD WB-DSG

HIV TDSG-BM TDSG-CB TDSG-DD TDSG-LD WB-DSG

Malaria TDSG-BM TDSG-CB TDSG-DD TDSG-LD WB-DSG

T Cruzi TDSG-BM TDSG-CB TDSG-DD TDSG-LD WB-DSG

WNV TDSG-BM TDSG-CB TDSG-DD TDSG-LD WB-DSG

Viral Haemorrhagic Fever Risk TDSG-BM TDSG-CB TDSG-DD TDSG-LD WB-DSG

Zika Virus TDSG-BM TDSG-CB TDSG-DD TDSG-LD WB-DSG




Use of this Index

This index has been prepared to assist the accurate assessment of the geographical risks and contains information on:

MalariaT. cruziHIV risk in Sub Saharan AfricaWNVChikungunya virus (CHIKV)Viral Haemorrhagic Fever Risk (endemic countries only)

Table of Donor Selection Guidelines (DSG) cross-references

CHIKV TDSG-BM TDSG-CB TDSG-DD TDSG-LD WB-DSG

Dengue TDSG-BM TDSG-CB TDSG-DD TDSG-LD WB-DSG

HIV TDSG-BM TDSG-CB TDSG-DD TDSG-LD WB-DSG

Malaria TDSG-BM TDSG-CB TDSG-DD TDSG-LD WB-DSG

T Cruzi TDSG-BM TDSG-CB TDSG-DD TDSG-LD WB-DSG

WNV TDSG-BM TDSG-CB TDSG-DD TDSG-LD WB-DSG

Viral Haemorrhagic Fever Risk

TDSG-BM TDSG-CB TDSG-DD TDSG-LD WB-DSG

Zika Virus TDSG-BM TDSG-CB TDSG-DD TDSG-LD WB-DSG

This section was last updated in GDRI Edition 002, Release 002.



Malaria

Information concerning malaria risk has been sourced from Health Protection Scotland ( ) with some www.travax.nhs.uk/modifications to account for typical donor travel patterns, entry points to the countries concerned, areas where reporting is compromised and ease of use for end users. They are not identical to those found on the ‘Fit for Travel’ website which is designed to inform travellers decisions about anti-malarial therapy rather than give assurance of safety of blood donations for recipient patients.

Countries with malarial risk have been categorised into three groups:

A. Countries where the malarial risk is present in the whole country all year or with very clear seasonal guidance.

B. Countries where only parts of the country are affected.

C. Indicates that only part of the country is affected in discrete pockets, or the risk of infection is low or that there are few visitors to the affected areas. It is likely that tourists who visit these countries will be able to donate but individual assessment must be applied. Donors are likely to have detailed knowledge of the malarial areas visited. The health care professional should establish whether the donor sought advice prior to travel or not and if they were advised to take anti malarial precautions.

Malaria Maps

The maps included are to be used to accompany the GDRI when assessing the malaria risk for a donor. They have been sourced from the Fit for travel website. It is important to apply the GDRI guidance for infection risks; these maps allonly provide advice for malaria risk.

Use Of Maps

Maps are provided to allow staff to assess the malaria risk for the areas within these countries that a donor has visited. The maps present information about The text of the GDRI should be taken as the main source to make decisions.

neighbouring countries but this should not be used for malarial assessment. The advice below each map relates to the Fit for travel website. Decisions regarding malaria guidance should be made using the template below.

The colours used in the maps are presented below.

Colour Sample Text Action

Red High risk Apply Malaria Donor Selection Guideline

Dark pink/hatched

Variable risk/low risk Apply Malaria Donor Selection Guideline

Light pink Low to no risk Can donate

Yellow Surrounding country with malaria risk Do not use for malaria assessment

Green (Surrounding country with no malaria risk)

Do not use for malaria assessment

All maps were downloaded from the Fit for travel website ( )www.fitfortravel.nhs.uk

Airport Stopovers

The definition of an Airport Stopover, as approved by The Standing Advisory Committee on Transfusion Transmitted Infections, is:A transit through an airport during which the traveller has not left the airport.

When the donor's visit has consisted of an airport stopover there is no need to refer to the Geographical Disease only Risk Index.

This section was last updated in GDRI Edition 001, Release 28 Issue 01

http://www.fitfortravel.nhs.uk



Human Immunodeficiency Virus (HIV) / Acquired Immune Deficiency Syndrome (AIDS)

HIV/AIDS is common in some areas of the world, and sexual activity with partners in these countries carries a risk of infection. This Index identifies the countries of Sub Saharan Africa to facilitate interpretation of the guidance. However the health care professional should consider all other risks of HIV associated with travel and remember that this is not restricted to Sub Saharan Africa.

If the donor reports sexual activity with a partner in one of the countries listed as Sub Saharan Africa in the table, or with a partner who may have been sexually active in one of these areas, refer to the Blood Safety Entry in the Donor Selection Guidelines.




A-Z Index

AAbu Dhabi United Arab Emirates 115Acre (Brazil) Brazil 36Acre (Israel) Israel 67Adana Turkey 113Addis Ababa Ethiopia 51Aden Yemen 119Afghanistan Afghanistan 25Ahē French Polynesia 54Ajman United Arab Emirates 115Aklan Philippines 94Al Hoceima Morocco 84Alajuela Costa Rica 44Alaska United States of America 116Albania Albania 25Algeria Algeria 26Alto Parana Paraguay 92Amacuro Venezuela 117Amapa Brazil 36Amazon Brazil 36Amazon River (Brazil) Brazil 36Amazon River (Peru) Peru 93Amazonas Brazil 36Amazonia (Brazil) Brazil 36Amazonia (Venezuela) Venezuela 117American Samoa American Samoa 26Amikova Plain Turkey 113Andaman and Nicobar Islands India 63Andorra Andorra 26Anegada British Virgin Islands 36Angola Angola 27Anguilla Anguilla 27Antalya Turkey 113Antarctica Antarctica 27Antigua Antigua and Barbuda 27Antigua and Barbuda Antigua and Barbuda 27Apure Venezuela 117Ararat Valley Armenia 28Argentina Argentina 28Armenia Armenia 28



For See PageAruba Aruba 28Ascension Islands Saint Helena 98Ashmore and Cartier Islands Ashmore and Cartier Islands 29Asir Saudi Arabia 100Asmara Eritrea 50Austral Islands (The) French Polynesia 54Australia Australia 29Austria Austria 29Ayacucho Peru 93Azerbaijan Azerbaijan 30Azores Portugal 95

BBahamas (The) Bahamas (The) 30Bahrain Bahrain 30Baker Island Baker Island 31Baku Azerbaijan 30Balearic Islands Spain 106Bali Indonesia 64Bangkok Thailand 110Bangladesh Bangladesh 31Bara Nepal 86Barbados Barbados 32Barbuda Antigua and Barbuda 27Basra Iraq 65Bass Islands (The) French Polynesia 54Beijing China 41Belarus Belarus 32Belem City Brazil 36Belgium Belgium 32Belize Belize 32Belorussia Belarus 32Beni Bolivia 34Benin Benin 33Bermuda Bermuda 33Bhutan Bhutan 33Bilaran Philippines 94Boa Vista (Brazil) Brazil 36Boa Vista (Cape Verde) Cape Verde 39Bohol Philippines 94Bolivar Venezuela 117Bolivia Bolivia 34



For See PageBonaire Former Netherlands Antilles 53Bora Bora French Polynesia 54Borneo Borneo 34Bosnia Bosnia and Herzegovina 35Bosnia and Herzegovina Bosnia and Herzegovina 35Boteti Botswana 35Botswana Botswana 35Bouvet Island Bouvet Island 35Brazil Brazil 36British Antarctic Antarctica 27British Virgin Islands British Virgin Islands 36Brunei Brunei 37Bulgaria Bulgaria 37Burkina Faso Burkina Faso 37Burma Myanmar 84Burundi Burundi 38Bushehr Iran 65

CCaaguazú Paraguay 92Cabina Congo 44Cajamarca Peru 93Cambodia Cambodia 38Cameroon Cameroon 38Camiguin Philippines 94Campeche Mexico 81Canada Canada 39Canal zone Panama 91Canary Islands Spain 106Cancun Mexico 81Canendiyu Paraguay 92Cape Verde Cape Verde 39Capiz Philippines 94Caracas Venezuela 117Caribbean See specific island(s) visitedCatanduanes Philippines 94Cayman Islands Cayman Islands 40Cebu Philippines 94Central African Republic Central African Republic 40Cerro de Pasco Peru 93Chachapoyas Peru 93Chad Chad 40



For See PageChahar Mahal va Bakhtiari Iran 65Chanca-Andahuaylas Peru 93Chang Jiang River China 41Chiang Mai Thailand 110Chiapas Mexico 81Chihuahua Mexico 81Chile Chile 41China China 41China (Hong Kong) Hong Kong (S.A.R.) 62Chirang Bhutan 33Chobe Botswana 35Christmas Island Christmas Island 42Chuquisaca Bolivia 34Clipperton Island Clipperton Island 42Cochabamba Bolivia 34Cocos (Keeling) Islands Cocos (Keeling) Islands 42Colombia Colombia 43Colombo Sri Lanka 107Comoros Comoros 43Congo Congo 44Cook Islands Cook Islands 44Corfu Greece 57Corrientes Argentina 28Corsica France 53Costa Rica Costa Rica 44Cote D'Ivoire Cote D'Ivoire 45Crete Greece 57Croatia Croatia 45Cuba Cuba 46Cukurova Turkey 113Curacao Curacao 46Cusco Peru 93Cutervo Peru 93Cuzco City Peru 93Cyprus Cyprus 46Czech Republic Czech Republic 46Czechoslovakia Czech Republic 46

DDemocratic Republic of the Congo Congo 44Denmark Denmark 47Dhaka City Bangladesh 31



For See PageDhanukha Nepal 86Diego Garcia Diego Garcia 47Djibouti Djibouti 47Dominica Dominica 48Dominican Republic Dominican Republic 48Dubai United Arab Emirates 115Duhok Iraq 65Durango Mexico 81Dushanbe Tajikistan 110Dutch Antilles Former Netherlands Antilles 53

EEast Timor Timor 111Easter Island Chile 41Ecuador Ecuador 48Egypt Egypt 49El Faiyum Egypt 49El Oro Ecuador 48El Salvador El Salvador 49Ellice Islands Kiribati 70Equatorial Guinea Equatorial Guinea 50Erbil Iraq 65Eritrea Eritrea 50Esmeraldas Ecuador 48Estonia Estonia 51Ethiopia Ethiopia 51

FFalkland Islands (Islas Malvinas) Falkland Islands (Islas Malvinas) 52Faroe Islands Faroe Islands 52Fars Iran 65Federated States of Micronesia Micronesia (Federated States of) 81Fiji Fiji 52Finland Finland 53Former Netherlands Antilles Former Netherlands Antilles 53France France 53French Guiana French Guiana 53French Polynesia French Polynesia 54French Southern Territories and Antarctic Lands French Southern Territories and Antarctic Lands 55Fuerteventura Spain 106Fujian China 41

GGabon Gabon 55Galapagos Islands Ecuador 48Gambia (The) Gambia (The) 55



For See PageGambier Islands (The) French Polynesia 54Gangwon-do (N Korea) North Korea (Democratic Peoples Republic of) 89Gangwon-do (S Korea) South Korea (Republic of) 105Gansu China 41Gaza Strip West Bank, Gaza Strip and Palestine Occupied

Territories119

Gelephu (Gelyephug) Bhutan 33Georgia Georgia 56Germany Germany 56Ghana Ghana 56Gibraltar Gibraltar 57Gilbert Islands Kiribati 70Glorioso Islands Glorioso Islands 57Goa India 63Golan Heights Golan Heights 57Gomera Spain 106Gorno-Badakhshan Tajikistan 110Gran Canaria Spain 106Greece Greece 57Greenland Greenland 58Grenada Grenada 58Grenadines Saint Vincent and the Grenadines 99Guadeloupe Guadeloupe 58Guam Guam 59Guanacaste Costa Rica 44Guangdong China 41Guangxi China 41Guatemala Guatemala 59Guayaramerin Bolivia 34Guayas Ecuador 48Guernsey Guernsey 59Guerrero Mexico 81Guimaras Philippines 94Guinea Guinea 60Guinea-Bissau Guinea-Bissau 60Guizhou China 41Guyana Guyana 60

HHainan island China 41Haiti Haiti 61Hawaii United States of America 116Heard and McDonald Islands Heard and McDonald Islands 61



For See PageHeilongjiang China 41Herzegovina Bosnia and Herzegovina 35Hierro Spain 106Himachal Pradesh India 63Hiva 'Oa French Polynesia 54Holland Netherlands 86Honduras Honduras 61Hong Kong (S.A.R.) Hong Kong (S.A.R.) 62Hormozgan Iran 65Howland Island Howland Island 62Huahine French Polynesia 54Huancavelica Peru 93Huang He River China 41Hungary Hungary 62

IIbiza Spain 106Iceland Iceland 63Ihrir Algeria 26Ilam Iran 65Illizi Algeria 26Iloilo Philippines 94Inca Trail Peru 93India India 63Indonesia Indonesia 64Indonesian Timor Timor 111Iran Iran 65Iraq Iraq 65Ireland Ireland 66Irian Jaya Island Indonesia 64Island of Dominica Dominica 48Isle of Man Isle of Man 66Israel Israel 67Italy Italy 67Ivory Coast Cote D'Ivoire 45

JJaen (Peru) Peru 93Jaen (Spain) Spain 106Jakarta Indonesia 64Jalisco Mexico 81Jamaica Jamaica 67Jammu and Kashmir India 63Jan Mayen Jan Mayen 67



For See PageJapan Japan 68Jarvis Island Jarvis Island 68Java Indonesia 64Jeddah Saudi Arabia 100Jersey Jersey 68Jilin China 41Johnston Atoll Johnston Atoll 69Jordan Jordan 69Jost Van Dyke British Virgin Islands 36Jujuy Argentina 28Junin (Colombia) Colombia 43Junin (Ecuador) Ecuador 48Junin (Peru) Peru 93

KKalimantan Indonesia 64Kalutara Sri Lanka 107Kampuchea Cambodia 38Kapilvastu Nepal 86Kavango River Namibia 85Kazakhstan Kazakhstan 69Keeling Islands Cocos (Keeling) Islands 42Kenya Kenya 70Kerman Iran 65Khachmas Azerbaijan 30Khatlon Tajikistan 110Khuzestan Iran 65Kingman Reef Kingman Reef 70Kiribati Kiribati 70Kirkuk Iraq 65Koh Samui Thailand 110Kohgiluyeh va Buyer Ahmad Iran 65Korea (North) North Korea (Democratic Peoples Republic of) 89Korea (South) South Korea (Republic of) 105Kosovo Kosovo 71Kruger Park South Africa 104Kunene River Namibia 85Kuwait Kuwait 71Kwazulu Natal South Africa 104Kyrgyzstan Kyrgyzstan 71Kyunggi-do (N Korea) North Korea (Democratic Peoples Republic of) 89Kyunggi-do (S Korea) South Korea (Republic of) 105



For See Page

LLa Desirade Guadeloupe 58La Libertad Peru 93La Paz Bolivia 34Lacareja Bolivia 34Lake Titikaka Peru 93Lambayeque Peru 93Lanzarote Spain 106Lao Peoples Republic Laos 72Laos Laos 72Latvia Latvia 72Lebanon Lebanon 72Leeward Islands (Caribbean) Leeward Islands (Caribbean) 73Leeward Islands (Pacific) French Polynesia 54Leninabad Tajikistan 110Les Saintes Guadeloupe 58Lesotho Lesotho 73Lesser Antilles Lesser Antilles 73Leyte Philippines 94Liberia Liberia 73Libya Libya 74Liechtenstein Liechtenstein 74Limon (Costa Rica) Costa Rica 44Limon (Dominican Republic) Dominican Republic 48Lithuania Lithuania 74Lombok Indonesia 64Lorestan Iran 65Loreto (Italy) Italy 67Loreto (Mexico) Mexico 81Loreto (Peru) Peru 93Los Rios Ecuador 48Luciano Castillo Peru 93Luxembourg Luxembourg 75

MMacao Macau (S.A.R.) 75Macapa Brazil 36Macau (S.A.R.) Macau (S.A.R.) 75Macedonia - Former Yugoslav Republic of Macedonia

Macedonia - Former Yugoslav Republic of Macedonia

75

Macedonia - Greek Macedonia Greece 57Machu Picchu Peru 93Madagascar Madagascar 76Madeira Portugal 95



For See PageMahotari Nepal 86Mai'ao French Polynesia 54Majorca Spain 106Malawi Malawi 76Malaysia Malaysia 76Maldives Maldives 78Mali Mali 78Malta Malta 79Manabi Ecuador 48Manaus Brazil 36Manila Philippines 94Maraba Brazil 36Maranhao Brazil 36Margarita Venezuela 117Margarita island Venezuela 117Marie-Galante Guadeloupe 58Marquesas Islands (The) French Polynesia 54Marshall Islands Marshall Islands 79Martinique Martinique 79Mary Turkmenistan 114Masbate Philippines 94Mato Grosso Brazil 36Maupiti French Polynesia 54Mauritania Mauritania 80Mauritius Mauritius 80Mayotte Mayotte 80Mecca Saudi Arabia 100Medina Saudi Arabia 100Meheti'a French Polynesia 54Mexico Mexico 81Michoacán Mexico 81Micronesia (Federated States of) Micronesia (Federated States of) 81Midway Islands Midway Islands 82Minorca Spain 106Misiones Argentina 28Mo'orea French Polynesia 54Moldova Moldova 82Monaco Monaco 82Mongolia Mongolia 83Montenegro Montenegro 83



For See PageMontserrat Montserrat 83Morocco Morocco 84Morona-Santiago Ecuador 48Mozambique Mozambique 84Mpumalanga South Africa 104Musandam Oman 90Myanmar Myanmar 84

NNamibia Namibia 85Napo Ecuador 48Nauru Nauru 85Navassa Island Navassa Island 86Nayarit Mexico 81Nei Mongol China 41Nepal Nepal 86Netherlands Netherlands 86Nevis Saint Kitts and Nevis 98New Caledonia New Caledonia 87New Hebrides Vanuatu 117New Zealand New Zealand 87Ngamiland Botswana 35Nicaragua Nicaragua 87Nicobar Islands India 63Niger Niger 88Nigeria Nigeria 88Ninawa Iraq 65Ningxia China 41Niue Niue 88Norfolk Island Norfolk Island 89North Batinah China 41North Korea (Democratic Peoples Republic of) North Korea (Democratic Peoples Republic of) 89Northern Mariana Islands Northern Mariana Islands 89Norway Norway 90Nuku Hiva French Polynesia 54Nuwara Eliya Sri Lanka 107

OOaxaca Mexico 81Okavango Botswana 35Omaheke Namibia 85Oman Oman 90Otjozondjupa Namibia 85

PPakistan Pakistan 90



For See PagePalau Palau 91Palestine Occupied Territories West Bank, Gaza Strip and Palestine Occupied

Territories119

Palmyra Atoll Palmyra Atoll 91Panama Panama 91Pando Bolivia 34Papua New Guinea Papua New Guinea 92Para Brazil 36Paracel Islands Paracel Islands 92Paraguay Paraguay 92Parsa Nepal 86Pastaza Ecuador 48Patagonia (Argentina) Argentina 28Pategonia (Chile) Chile 41Pattaya Thailand 110Peru Peru 93Philippines Philippines 94Phuket Thailand 110Pichincha Ecuador 48Pitcairn Islands Pitcairn Islands 94Piura Peru 93Poland Poland 95Polynesia French Polynesia 54Porto Velho Brazil 36Portugal Portugal 95Puerto Rico Puerto Rico 95Puntarenas Costa Rica 44

QQatar Qatar 96Qinghai China 41Quintana Roo Mexico 81

RRaiatea French Polynesia 54Rautahat Nepal 86Redonda Antigua and Barbuda 27Republic of the Congo Congo 44Reunion Reunion 96Rhodes Greece 57Riberalta Bolivia 34Rodriguez Island Mauritius 80Romania Romania 96Rondonia Brazil 36Roraima Brazil 36



For See PageRumania Romania 96Rupendehi Nepal 86Rurenabaque Bolivia 34Russia Russia 97Rwanda Rwanda 97

SSaba Former Netherlands Antilles 53Sabah Malaysia 76Saint Bathelemy Saint Bathelemy 97Saint Croix United States of America 116Saint Helena Saint Helena 98Saint John United States of America 116Saint Kitts Saint Kitts and Nevis 98Saint Kitts and Nevis Saint Kitts and Nevis 98Saint Lucia Saint Lucia 98Saint Martin Saint Martin 98Saint Pierre and Miquelon Saint Pierre and Miquelon 99Saint Thomas United States of America 116Saint Vincent and the Grenadines Saint Vincent and the Grenadines 99Salta Argentina 28Samar Philippines 94Samchi Bhutan 33Samdrupjongkhar Bhutan 33Samoa Samoa 99Samut Thailand 110San Marino San Marino 100San Martin Peru 93Santa Ana El Salvador 49Santa Cruz Bolivia 34Santarem Brazil 36Sao Tiago Island Cape Verde 39Sao Tome and Principe Sao Tome and Principe 100Sarawak Malaysia 76Sardinia Italy 67Sarlahi Nepal 86Saudi Arabia Saudi Arabia 100Senegal Senegal 101Sequijor Philippines 94Serbia Serbia 101Serbia and Montenegro (Montenegro) Montenegro 83Serbia and Montenegro (Serbia) Serbia 101



For See PageSeychelles Seychelles 101Shanxi China 41Sharjah United Arab Emirates 115Shemgang Bhutan 33Sichuan China 41Sicily Italy 67Side Turkey 113Sierra Leone Sierra Leone 102Sikkim India 63Sinaloa Mexico 81Singapore Singapore 102Sint Eustatius Former Netherlands Antilles 53Sint Maarten Sint Maarten 102Sistan-Baluchestan Iran 65Slovakia Slovakia 103Slovenia Slovenia 103Society Islands (The) French Polynesia 54Solomon Islands Solomon Islands 103Somalia Somalia 104Sonora Mexico 81South Africa South Africa 104South Georgia and the South Sandwich Islands South Georgia and the South Sandwich Islands 105South Korea (Republic of) South Korea (Republic of) 105South Sudan South Sudan 106Spain Spain 106Spratly Islands Spratly Islands 106Sri Lanka Sri Lanka 107Sucumbios Ecuador 48Sudan Sudan 107Sulaimaniya Iraq 65Sumatra Indonesia 64Sun City South Africa 104Suriname Suriname 107Svalbard Svalbard 108Swaziland Swaziland 108Sweden Sweden 108Switzerland Switzerland 109Syria Syria 109

TTa'mim Iraq 65Tabasco Mexico 81



For See PageTaha'a French Polynesia 54Tahiti French Polynesia 54Taif Saudi Arabia 100Taiwan Taiwan 109Tajikistan Tajikistan 110Taman Negara National Park Malaysia 76Tanzania Tanzania 110Taounate Morocco 84Tarija Bolivia 34Taza Morocco 84Tenerife Spain 106Terai Nepal 86Tetiaroa French Polynesia 54Thailand Thailand 110The Bahamas Bahamas (The) 30The Gambia Gambia (The) 55Tiago Island Cape Verde 39Tibet China 41Timor Timor 111Timor East Timor 111Timor-Leste Timor 111Tobago Trinidad and Tobago 112Tocantins Brazil 36Togo Togo 111Tokelau Tokelau 112Tonga Tonga 112Toronto Canada 39Tortola British Virgin Islands 36Transjordan Jordan 69Transvaal South Africa 104Trinidad and Tobago Trinidad and Tobago 112Tristan da Cunha Saint Helena 98Tromelin Island Tromelin Island 113Tuamotu Archipelago (The) French Polynesia 54Tugela River South Africa 104Tumbes Peru 93Tunisia Tunisia 113Tupua'i French Polynesia 54Turkey Turkey 113Turkmenistan Turkmenistan 114



For See PageTurks and Caicos Islands Turks and Caicos Islands 114Tutume Botswana 35Tuvalu Tuvalu 114Tūpai French Polynesia 54

UU.S. Virgin Islands United States of America 116Ucayali Peru 93Uganda Uganda 115Ukraine Ukraine 115Umm al Qaiwain United Arab Emirates 115United Arab Emirates United Arab Emirates 115United Kingdom United Kingdom 116United States of America United States of America 116Upper Volta Burkina Faso 37Uruguay Uruguay 117Uzbekistan Uzbekistan 117

VVanuatu Vanuatu 117Venezuela Venezuela 117Vientiane Laos 72Vietnam Vietnam 118Virgin Gorda British Virgin Islands 36

WWake Atoll Wake Atoll 118Wallis and Futuna Wallis and Futuna 118Water Island United States of America 116West Bank West Bank, Gaza Strip and Palestine Occupied

Territories119

West Bank, Gaza Strip and Palestine Occupied Territories


119

West Indies See specific island(s) visitiedWest Papua Indonesia 64West Timor Timor 111Windward Islands (Caribbean) Windward Islands (Caribbean) 119Windward Islands (Pacific) French Polynesia 54

XXinjiang China 41Xizang China 41

YYangtze River China 41Yellow River China 41Yemen Yemen 119Yunnan China 41

ZZagros mountains Iran 65Zaire Congo 44Zambia Zambia 120Zamora-Chinchipe Ecuador 48



For See PageZangbo River China 41Zanzibar Tanzania 110Zimbabwe Zimbabwe 120Zululand South Africa 104



Afghanistan

Malaria YesMay - November in all areas except the central highlands.

Malaria Risk Category

B

Trypanasoma Cruzi Risk

No

Sub Saharan Africa No

West Nile Virus Risk No

Tropical Virus Risk No

Malarial Map

This map is only intended as a guide and is not exact. The map must always be used in conjunction with the malaria advice text. Map downloaded from on 01 October 2015.http://www.fitfortravel.nhs.uk

Update InformationThis entry was last updated inGDRI Edition 002 Release 01

Albania

Malaria No


No


West Nile Virus Risk YesDonors who have visited between 1st May and the 30th November must have the WNV Donor Selection Guideline applied.


http://www.fitfortravel.nhs.uk/destinations/asia-(central)/afghanistan/afghanistan-malaria-map.aspx





Update Information This entry was last updated inGDRI Edition 002 Release 01

Algeria

Malaria YesRisk is very limited, to all year in the dessert oasis of Ihrir (Illizi Department) in the south east of the country


C


No





American Samoa

Malaria No


No



Tropical Virus Risk Yes Chikungunya Virus, Dengue and Zika Virus


Andorra

Malaria No


No




Update Information This entry was last updated in




Angola

Malaria YesAll year in whole country


A


No

Sub Saharan Africa Yes


Tropical Virus Risk Yes Dengue


Anguilla

Malaria No


No



Tropical Virus Risk Yes Chikungunya Virus


Antarctica

Malaria No


No





Antigua and Barbuda



Malaria No


No





Argentina

Malaria YesThe risk is small and is confined to rural areasAll year in provinces of Salta, Jujuy, Misiones and Corrientes.


C


Yes





Armenia

Malaria No


No





Aruba

Malaria No


No








Ashmore and Cartier Islands

Malaria No


No





Australia

Malaria No


No



Tropical Virus Risk Yes Dengue Virus all year north of Alice Springs.


Austria

Malaria No


No







Azerbaijan

Malaria YesRisk occurs from June to October mostly south of the Kura river but occasionally in other low-lying rural areas and cities


C


No





Bahamas (The)

Malaria No


No





Bahrain

Malaria No


No







Baker Island

Malaria No


No





Bangladesh

Malaria YesAll year in the districts south and east of Comilla city.


C


No



Tropical Virus Risk Yes Chikungunya Virus and Dengue

Malarial Map

http://www.fitfortravel.nhs.uk/destinations/asia-(east)/bangladesh/bangladesh-malaria-map.aspx





Barbados

Malaria No


No



Tropical Virus Risk Yes, Dengue and Zika virus


Belarus

Malaria No


No





Belgium

Malaria No


No





Belize






A


Yes





Benin



A


No





Bermuda

Malaria No


No





Bhutan

Malaria YesAll year in low lying southern districts of Chukha, Dagana, Samtse, Sandrup, Jonkar and Zhemgang.

Most northern regions are at high altitude where transmission is very unusual.



Most northern regions are at high altitude where transmission is very unusual.


C


No





Bolivia

Malaria YesAll year in areas below 2500m in the regions of Beni, Pando and Santa Cruz.


B


Yes



Tropical Virus Risk Yes Chikungunya Virus, Dengue and Zika virus


Borneo

Malaria Yes

Borneo has three territorial areas.

Malaria is present all year in the Malaysian and Indonesian territories which comprise the majority of the island.

Malaria is not normally present in the small territory of Brunei unless the illness was contracted abroad.

See

Brunei and/or and/or Indonesia Malaysia


B


No



Tropical Virus Risk Yes Chikungunya, Dengue and Zika virus




Bosnia and Herzegovina

Malaria No


No





Botswana

Malaria YesRisk exists throughout the year but especially from November to June in the northern parts of the country including the regions along the Zimbabwean border, the Zambezi river and all the Game Parks to the north of the Kalahari desert


B


No





Bouvet Island

Malaria No


No







Brazil

Malaria YesAll year in the states of:

Amazonia (Acre, Amapa, Amazonas, Maranhäo (west)), Mato Grosso (north), Para (except Belem City on the coast), Rondônia, Roraima and Tocantins including the urban areas Porto Velho, Boa Vista, Cruzeiro do sol, Rio Branco, Macapa, Manaus, Santarém and Maraba.

All year on cruises up the Amazon including the city of Manaus.

All year in the jungle and rural areas outside the resort Iguaçu Falls especially towards Paraguay.


B


Yes



Tropical Virus Risk Yes Chikungunya Virus, Dengue and Zika virus

Malarial Map



British Virgin Islands

http://www.fitfortravel.nhs.uk/destinations/south-america--antarctica/brazil/brazil-malaria-map.aspx




British Virgin Islands

Malaria No


No





Brunei

Malaria No


No



Tropical Virus Risk Yes Zika virus


Bulgaria

Malaria No


No





Burkina Faso



A

Trypanasoma Cruzi

Risk

No



Risk





Burundi



A


No





Cambodia

Malaria YesAll year, most of the country.

Visitors to Phnom Penh and Angkor Wat only, accept


B


No





Cameroon


Malaria Risk

Category

A



Category


No





Canada

Malaria No


No





Cape Verde

Malaria Yes

There is a risk of malaria all year in Boa Vista and Sao Tiago Island, including the capital city Praia.

The risk is minimal in the other islands. Tourists who travel to resorts on Sal Islands can be accepted.


C


No





Caribbean

See See specific island(s) visited



Cayman Islands

Malaria No


No





Central African Republic



A


No





Chad



A


No







Chile

Malaria No


Yes





China

Malaria Yes

There is an all year risk in Yunnan Province, Hainan Island, in Anhui, Ghuizhou, Henen, Hubei and Jiangsu Provinces.

There is a very low to no risk of malaria on Yellow and Yangtze River cruises and no risk in urban areas, visitors on these river cruises and visitors to Behjing, Shanghai, The Great Wall, and to the Terracotta Warriors in Xian can be accepted.


B


No




Malarial Map

http://www.fitfortravel.nhs.uk/destinations/asia-(east)/china/china-malaria-map.aspx





Christmas Island

Malaria No


No





Clipperton Island

Malaria No


No





Cocos (Keeling) Islands

Malaria No


No








Colombia

Malaria YesAll year in most of the country.

Visitors to areas over 1600m and the cities of Bogota and Cartagena only, accept.


B


Yes




Malarial Map

This map is only intended as a guide and is not exact. The map must always be used in conjunction with the malaria advice text. Map downloaded from on 03 February 2015.http://www.fitfortravel.nhs.uk


Comoros

http://www.fitfortravel.nhs.uk/destinations/south-america--antarctica/colombia/colombia-malaria-map.aspx






A


No





Congo



A


No





Yes


Cook Islands

Malaria No


No





Costa Rica

Malaria Yes



Malaria YesAll year in province of Limon, on the Caribbean coast. Visitors to the rest of the country including the Pacific coast may be accepted


B


Yes



Tropical Virus Risk Yes Dengue and Zika virus


Cote D'Ivoire



A


No





Croatia

Malaria No


No







Cuba

Malaria No


No





Curacao

Malaria No


No



Tropical Virus Risk Yes Zika Virus


Cyprus

Malaria No


No





Czech Republic

Malaria No

Trypanasoma Cruzi

Risk

No



Risk





Denmark

Malaria No


No





Diego Garcia

Malaria No


No





Djibouti



A


No







Dominica

Malaria No


No





Dominican Republic



A


No





Ecuador


Visitors to Guayaquil, Quito, and other cities in the inter-Andean region and the Galapagos Islands, accept.


B

Trypanasoma Cruzi

Risk

Yes



Risk




Malarial Map



Egypt

Malaria No


No





El Salvador

http://www.fitfortravel.nhs.uk/destinations/south-america--antarctica/ecuador/ecuador-malaria-map.aspx




Malaria YesAll year in Santa Ana Province and the borders with Guatemala and Honduras.Risk is very small


C


Yes





Equatorial Guinea



A


No





Eritrea

Malaria YesAll year in whole country, visitors to Asmar and the central highlands only, accept.


B


No




Malarial Map





Estonia

Malaria No


No





Ethiopia

Malaria YesAll year in whole country. Visitors to city of Addis Ababa only, accept


B


No

http://www.fitfortravel.nhs.uk/destinations/africa/eritrea/eritrea-malaria-map.aspx








Falkland Islands (Islas Malvinas)

Malaria No


No





Faroe Islands

Malaria No


No





Fiji

Malaria No


No



Tropical Virus Risk Yes Chikungunya virus and Zika virus





Finland

Malaria No


No





Former Netherlands Antilles

Malaria No


No



Tropical Virus Risk Yes Chikungunya virus


France

Malaria No


No





French Guiana

MalariaYes



YesAll year in the area west of the Mana river and south east of the other main river systems.

Visitors to Cayenne, Devils islands and the central area of the country only, accept.


B


Yes




Malarial Map



French Polynesia

Malaria No


No




Update InformationThis entry was last updated in

http://www.fitfortravel.nhs.uk/destinations/south-america--antarctica/french-guiana/french-guiana-malaria-map.aspx




This entry was last updated inGDRI Edition 002 Release 01

French Southern Territories and Antarctic Lands

Malaria No


No





Gabon



A


No





Gambia (The)

Malaria YesAll year in whole country.


A


No







Georgia

Malaria YesJuly - October in the south-east of the country


C


No





Germany

Malaria No


No





Ghana



A


No







Gibraltar

Malaria No


No





Glorioso Islands

Malaria No


No





Golan Heights

Malaria No


No





Greece

Malaria No




No





Greenland

Malaria No


No





Grenada

Malaria No


No





Guadeloupe

Malaria No


No







Guam

Malaria No


No





Guatemala

Malaria YesAll year most of the country.

Visitors to Guatemala City, Antigua and Lake Atitlan only, accept.


B


Yes





Guernsey

Malaria No


No







Guinea



A


No





Yes


Guinea-Bissau



A


No





Guyana

Malaria YesThere is a risk of malaria all year for most of the country, visitors to the coast and Georgetown only, accept.




B


Yes



Tropical Virus Risk Yes Chikungunya Virus and Zika virus


Haiti



A


No





Heard and McDonald Islands

Malaria No


No





Honduras

Malaria Yes





A


Yes





Hong Kong (S.A.R.)

Malaria No


No





Howland Island

Malaria No


No





Hungary

Malaria No


No



Risk





Iceland

Malaria No


No





India

Malaria YesAll year in affected areas. Due to the complexity of the distribution the map below should be used. Visitors to 'Low to no risk' areas (pale pink) only, accept.


B


No




Malarial Map





Indonesia

Malaria YesAll year in most of the country.Visitors to islands of Bali, Java and the city of Jakarta, accept


B


No





http://www.fitfortravel.nhs.uk/destinations/asia-(east)/india/india-malaria-map.aspx




Iran

Malaria YesMalaria risk exists from March to November in rural Iran south of Kerman City


C


No





Iraq

Malaria YesMalaria risk May to November in areas north and east of Mosul and Kirkuk Cities along the Turkish and Iranian borders.


C


No




Malarial Map





Ireland

Malaria No


No





Isle of Man

Malaria No


No




Update Information

This entry was last updated in

http://www.fitfortravel.nhs.uk/destinations/middle-east/iraq/iraq-malaria-map.aspx





Israel

Malaria No


No





Italy

Malaria No


No





Jamaica

Malaria No


No





Jan Mayen



Jan Mayen

Malaria No


No





Japan

Malaria No


No





Jarvis Island

Malaria No


No





Jersey

Malaria No


No







Johnston Atoll

Malaria No


No





Jordan

Malaria No


No





Kazakhstan

Malaria No


No




Update Information





Kenya


Visitors to Nairobi, the highlands (above 2500m) of Central, Eastern, Nyanza, Rift Valley and West Provinces only accept.


B


No





Kingman Reef

Malaria No


No





Kiribati

Malaria No


No







Kosovo

Malaria No


No





Kuwait

Malaria No


No





Kyrgyzstan



A


No








Laos


Visitors to Vientiane only, accept


B


No





Latvia

Malaria No


No





Lebanon

Malaria No


No







Leeward Islands (Caribbean)

Malaria No


No





Lesotho

Malaria No


No





Lesser Antilles

Malaria No


No





Liberia



A


No







Yes


Libya

Malaria No


No





Liechtenstein

Malaria No


No





Lithuania

Malaria No


No








Luxembourg

Malaria No


No





Macau (S.A.R.)

Malaria No


No





Macedonia - Former Yugoslav Republic of Macedonia

Malaria No


No








Madagascar



A


No





Malawi



A


No





Malaysia

Malaria YesAll year in central Peninsular Malaysia and the Taman Negara National Park and provinces of Sabah and Sarawak (on the island of Borneo)


B


No






Malaria Maps



http://www.fitfortravel.nhs.uk/destinations/asia-%28east%29/malaysia/malaysia-malaria-map.aspx








Maldives

Malaria No


No





Mali



A


No









Malta

Malaria No


No





Marshall Islands

Malaria No


No





Martinique

Malaria No


No







Mauritania



A


No





Mauritius

Malaria No


No





Mayotte



A


No







Mexico

Malaria YesThere is an all year risk in some rural areas not normally visited by tourists, from the central area around Chihuahua, south of the US border, south to the coast between Culiacan and Mazatlan and stretching to, but not including Zacatecas.

Malaria is present along the costal strip of the Mayan Rivera.

There is no malaria in the major tourist resorts of Cancun and Playa del Carmen.


B


Yes




Malarial Map



Micronesia (Federated States of)

http://www.fitfortravel.nhs.uk/destinations/north-america/mexico/mexico-malaria-map.aspx




Malaria No


No





Midway Islands

Malaria No


No





Moldova

Malaria No


No





Monaco

Malaria No


No







Mongolia

Malaria No


No





Montenegro

Malaria No


No





Montserrat

Malaria No


No








Morocco

Malaria No


No





Mozambique



A


No





Myanmar



A


No




Update Information





Namibia

Malaria YesAll year in the area north of Windhoek except the narrow coastal strip.


B


No




Malarial Map

This map is only intended as a guide and is not exact. The map must always be used in conjunction with the malaria advice text. Map downloaded from on 08 May 2015.http://www.fitfortravel.nhs.uk


Nauru

Malaria No

Trypanasoma Cruzi

Risk

No

http://www.fitfortravel.nhs.uk/destinations/africa/namibia/namibia-malaria-map.aspx




Risk





Navassa Island

Malaria No


No





Nepal

Malaria YesAll year in districts of Bara, Dhanukha, Kapilvastu, Mahotari, Parsa, Rautahat, Rupendehi and Sarlahi.

May - October in Kavre district.

Donors who have flown to Kathmandu and stayed within the Himalaya area, accept.

Donors who have travelled overland from the Indian border and have travelled in the Southern lower plains along the Indian border, treat as malaria risk.


B


No





Netherlands



Malaria No


No




No


New Caledonia

Malaria No


No





New Zealand

Malaria No


No





Nicaragua


Visitors to Managua only, accept

Malaria Risk

Category

B



Category


Yes



Tropical Virus Risk Yes Chikungunya Virus, Dengue and Zika Virus


Niger



A


No





Nigeria



A


No





Yes


Niue



Niue

Malaria No


No





Norfolk Island

Malaria No


No





North Korea (Democratic Peoples Republic of)

Malaria YesAll year in the de-militarized zone between North and South Korea (Kyunggi-do and Gangwon-do provinces)


C


No





Northern Mariana Islands



Northern Mariana Islands

Malaria No


No





Norway

Malaria No


No





Oman

Malaria YesRisk is restricted to limited foci in remote areas in the north, including Musandam provinces all year.

Muscat is normally considered to be malaria free


C


No





Pakistan



Pakistan



A


No





Palau

Malaria No


No





Palmyra Atoll

Malaria No


No





Panama

Malaria Yes




Travellers who visited the Canal Zone and Panama City exclusively may be accepted.


B


Yes



Tropical Virus Risk Yes Dengue and Zika virus


Papua New Guinea



A


No





Paracel Islands

Malaria No


No





Paraguay



Paraguay

Malaria YesRisk all year in the Alto Parana and Caaguazú departments (along the south eastern border with Brazil).


C


Yes





Peru

Malaria Yes

Malaria is present in the country East of the Andes below 2000m.

There is virtually no risk above this altitude in the Andes. No risk to the West of the Andes along the Pacific coast (except in the extreme northern coastal area).

Travellers to Lima, the Inca trail routes taken by trekkers to Cuzco City, Machu Picchu, and Lake Titicaca can be accepted.


B


Yes




Malarial Map





Philippines

Malaria YesRisk present below 600m in rural areas, except in the island provinces of Aklan, Albay, Benguet, Bilaran, Bohol, Camiguin, Capiz ,Catanduanes, Cavite,Cebu, Guimaras, Iloilo, Leyte, Masbate, North East and West Samar, Sequijor, Sorsogon, Surigao Del Norte and the metropolitan area of Manila.

Risk is small in the plains to the north of Manila and in other major cities:


C


No





Pitcairn Islands

Malaria No

http://www.fitfortravel.nhs.uk/destinations/south-america--antarctica/peru.aspx




Malaria No


No





Poland

Malaria No


No





Portugal

Malaria No


No



Tropical Virus Risk Yes Dengue in Maderia. Donors who have visited this island must have the Tropical Virus Donor Selection Guideline applied.


Puerto Rico

Malaria NoN.B. there is a Puerto Rico airport in Bolivia.


No








Qatar

Malaria No


No





Reunion

Malaria No


No





Romania

Malaria No


No







Russia

Malaria No


No


West Nile Virus Risk Yes

Donors who have visited the following regions of Russia between 1st May and the 30th November must have the WNV Donor Selection Guideline applied. Altayskiy Kray, Adygeya republic, Lipetskaya, Novosibirskaya, Voronezhskaya, Volgogradskaya, Rostovskaya, Astrakhanskaya, Belgorodskaya, Samarskaya, Saratovskaya, Chelyabinskya oblasts and the Tatarstan Republic.

These oblasts are also known as the regions of Altai, Astrakhan, Rostov, Volgograd, Lipetsk, Novosibirsk, Voronezhthese, Belgorod, Samara, Saratov, and Chelyabinsk and which are in the south west of the Russian Federation just north of the Black and Caspian seas.



Rwanda



A


No





Saint Bathelemy

Malaria No


No




Update InformationThis entry was last updated in




Saint Helena

Malaria No


No





Saint Kitts and Nevis

Malaria No


No





Saint Lucia

Malaria No


No





Saint Martin



Malaria No


No





Saint Pierre and Miquelon

Malaria No


No





Saint Vincent and the Grenadines

Malaria No


No





Samoa

Malaria No


No








San Marino

Malaria No


No





Sao Tome and Principe



A


No





Saudi Arabia

Malaria YesRisk in the South and West provinces.

No risk in the Eastern, Northern and Central provinces, Jeddah, Mecca, Medina and Taif.


B


No







See Specific Island(s) Visited

See See Specific Island(s) Visited

Senegal



A


No





Yes


Serbia

Malaria No


No





Seychelles

Malaria No

Trypanasoma Cruzi No




No





Yes


Sierra Leone



A


No





Yes

Update InformationThis entry was last updated inGDRI Edition 002 Release 01

Singapore

Malaria No


No





Sint Maarten

Malaria No





No





Slovakia

Malaria No


No





Slovenia

Malaria No


No





Solomon Islands



A


No







Somalia



A


No





South Africa

Malaria YesThere is an all year risk in some rural areas in the North East of the country including the Kruger National Park and Limpopo Transfrontier Park.

No risk in Sun City.


B


No




Malarial Map





South Georgia and the South Sandwich Islands

Malaria No


No





South Korea (Republic of)

Malaria YesAll year in the de-militarized zone between North and South Korea (Kyunggi-do and Gangwon-do provinces).

No risk in the main tourist destinations including Seoul.


C


No


http://www.fitfortravel.nhs.uk/destinations/africa/south-africa/south-africa-malaria-map.aspx








South Sudan



A


No





Spain

Malaria No


No





Spratly Islands

Malaria No


No








Sri Lanka

Malaria No


No





Sudan



A


No





Yes


Suriname


Visitors to the seven coastal districts and savannah areas and Paramaribo City only, accept.


B


Yes







Svalbard

Malaria No


No





Swaziland


Visitors to airport of Manzine and western half of country only, accept.


B


No





Sweden

Malaria No


No







Switzerland

Malaria No


No





Syria

Malaria YesMust be considered to be all year in whole country in view of current situation.


A


No





Taiwan

Malaria No


No







Tajikistan

Malaria YesJune - October particularly in southern border areas (Khatlon region) central region (Dushanbe) western region (Gorno-Badakhshan) and northern region (Leninabad)


C


No





Tanzania



A


No





Thailand

Malaria YesAll year in areas along the Cambodian, Laos and Myanmar borders.

Visitors to all other areas including the cities of Bangkok, Chiang Mai, Chiang Rai, Pattaya, Phuket and the islands of Ko Samui and Ko Chang and the River Quai bridge area, accept


B


No



Tropical Virus Risk Yes Chikungunya Virus and Dengue Virus

Malarial Map



Malarial Map



Timor



A


No





Togo



A


http://www.fitfortravel.nhs.uk/destinations/asia-%28east%29/thailand/thailand-malaria-map.aspx





No





Tokelau

Malaria No


No





Tonga

Malaria No


No





Trinidad and Tobago

Malaria No


No







Tromelin Island

Malaria No


No





Tunisia

Malaria No


No





Turkey

Malaria Yes

Malaria occurs from May to October, mainly in the south-eastern part of the country, the Syria and Iraq borders and in the Cukurova Plain east of Adana.

There is no malaria risk in the main tourist areas in the west and south-west of the country.

Visitors to the popular tourist resorts served by the airports in Bodrum, Antalya and Dalaman can be accepted.


B


No







Malarial Map



Turkmenistan

Malaria No


No





Turks and Caicos Islands

Malaria No


No





Tuvalu

http://www.fitfortravel.nhs.uk/destinations/europe--russia/turkey/turkey-malaria-map.aspx




Malaria No


No





Uganda



A


No



Chikungunya Virus Risk

Yes



Yes


Ukraine

Malaria No


No





United Arab Emirates



Malaria No


No





United Kingdom

Malaria No


No





United States of America

Malaria No


No


West Nile Virus Risk Yesin all regions of the USA except Hawaii, Alaska and US Virgin Islands (St Choix, St John and St Thomas in the Leeward Islands)

Donors who have visited between 1st May and the 30th November must have the WNV Donor Selection Guideline applied.

Tropical Virus Risk Yes Chikungunya Virus and Zika virus in the US Virgin Islands (St Choix, St John and St Thomas in the Leeward Islands).

Donors who have visited these islands must have the Tropical Virus Donor Selection Guideline applied.




Uruguay

Malaria No


Yes





Uzbekistan

Malaria No


No





Vanuatu



A


No





Venezuela

Malaria YesAll year in Amazonia, Apure, Bolivar and delta Amacuro states. Also along the border with Guyana Brazil and Colombia.

No risk in the city of Caracas or on Margarita island.



No risk in the city of Caracas or on Margarita island.


B


Yes





Vietnam


Visitors to Ho Chi Min City, Hanoi, Da Nang and their 4 international airports only, accept.


B


No





Wake Atoll

Malaria No


No





Wallis and Futuna

Malaria No




No






Malaria No


No





West Indies

See See specific island(s) visitied

Windward Islands (Caribbean)

Malaria No


No





Yemen

Malaria YesAll year in most of the country, visitors to Sana'a only, accept.

Malaria Risk B




B


No




Malarial Map



Zambia



A


No





Zimbabwe

Malaria Yes

http://www.fitfortravel.nhs.uk/destinations/middle-east/yemen/yemen-malaria-map.aspx





Visitors to Harare and Bulawayo and the central mountainous region only, accept


B


No







Latest Updates

This page lists all changes to GDRI 001 after Release 01.

The changes are listed with the most recent change at the top.

Changes made with Edition 002 Release 02

Addition of Zika virus to Tropical Virus Risk category See Change Notification No 13 and 14 - 2016

Changes made with Edition 002 Release 001A Complete rewrite of the GDRI See Change Notification No 10 - 2016

Changes made to Edition 001 after Release 01

Changes made with Release 31Malaria - preliminaries in the Geographcal Disease Risk Index See Change Notication No. 27 - 2015Malaria. See Change Notification No. 28 - 2015

Changes made with Release 30Middle East Repiratory Syndrome Corona Virus (MERS-CoV) in Saudi Arabia See Change Notification No. 24 - 2015

Changes made with Release 29 Namibia See Change Notification No. 13 - 2015 Chikungunya Virus See Change Notification No. 14 – 2015Tahiti, The Pacific Leeward Islands, The Pacific Windward Islands, The Society Islands, Ahē, Bora Bora, Hiva 'Oa, Huahine, Mai'ao, Maupiti, Meheti'a, Mo'orea, Nuku Hiva, Raiatea, Taha'a, Tetiaroa, Tupua'i, Tūpai, The Tuamotu Archipelago, The Gambier Islands, the Marquesas Islands The Austral Islands and The Bass Islands have been added to the index and taken to French Polynesia

Changes made with Release 28Malaria Maps See Change Notification No. 06 - 2015 Preliminary pages have been updated with advice for use of malaria maps

Changes made with Release 27Viral Haemorrhagic Fever Risk See Change Notification No. 43 – 2014Preliminary pages have been updated.

Changes made with Release 26West Nile Virus Risk See Change Notification No. 42 – 2014

Changes made with Release 25Chikungunya Virus Risk See Change Notification No. 41 – 2014Grenadines has been removed as a topic and now links in the Index to Saint Vincent and the Grenadines

Changes made with Release 24Chikungunya Virus Risk See Change Notification No. 27 - 2014Diego Garcia has been added See Change Notification No. 28 - 2014

Changes made with Release 23Changes made to Dominican Republic and Saint Lucia. See Change Notification No. 26 - 2014

Changes made with Release 22Changes made to:British Virgin IslandsAnguillaSaint MartinSint MaartenSaint BathelemyFormer Netherlands AntillesAntigua and BarbudaSt Kitts and NevisMontserratGuadeloupeDominicaMartinique see Change Notification No. 01 - 2014

Changes made with Release 21 Issue 02The topic Virgin Islands and appendix1 have been removed and updates to information in the Welcome page and Preliminaries pages – Introduction, Document and Change Control have been made



Changes made with Release 21Changes made to Austria, Bosnia and Herzegovina, Bulgaria, Montenegro and Russia see Change Notification No. 14 - 2013

Changes made with Release 20Chikungunya Virus Risk See Change Notification No. 04 - 2013A new topic for South Sudan has been addedChanges have been made to a number of topics for Chikungunya risk

East Timor topic title has been changed to TimorCongo (Democratic Republic of - Kinshasa) topic title has been changed to CongoIndex names have been updated for links to Congo and TimorNetherlands Antilles topic title changed to Former Netherlands AntillesVirgin Islands topic removedAdditional Antilles Islands added with links to relevant topics.

Changes made with Release 19Changes made toHungary, Croatia and Kosovo See Change Notification No. 25 - 2012Changes made toAlgeria See Change Notification No. 26 - 2012

Changes made with Release 18Changes made toIran, Iraq and Vietnam see Change Notification No. 20 - 2012Changes made toUnited States of America see Change Notification No. 21 - 2012Search facility updated

Changes made with Release 17Changes made toWest Bank, Gaza Strip, Tunisia, Greece, Serbia and Russiasee Change Notification No. 19 - 2012Index items for West Bank, Gaza Strip and Palestine Occupied Territories, Palestine Occupied Territories and Transjordan added.

Changes made with Release 16Changes made toCambodia, Columbia, Ecuador, Egypt, Ethiopia, Guatemala, India, Indonesia, Jamaica, Kenya, Laos, Namibia, Nicaragua, Suriname, Swaziland, Syria, Thailand, Vietnam and Zimbabwesee Change Notification No. 14 - 2012Index items for Sicily, Corsica and Koh Samui added.

Changes made with Release 15Changes made toAlbania, Canada, Greece, Israel, Italy, Macedonia (FYR), Romania, Russia, Saint Pierre and Miquelon, Turkey and USA.

see Change Notification No. 04 - 2012

Changes made with Release 14 Issue 02Malaria Risk updated for Morocco, Mauritius, Costa Rica, Peru, Panama, Sri Lanka, United Arab EmiratesSpelling of Malaria corrected on all Malaria Risk Category Subheadings.Preliminaries Introduction page contact information has been updated.

Changes made with Release 14Changes made toItaly see Change Notification No. 19 - 2011

Changes made with Release 13Changes made toMacedonia, Russia and Turkey see Change Notification No. 18 - 2011

Changes made with Release 12Changes made toAlbania, Israel and Russia see Change Notification No. 15 - 2011

Changes made with Release 11Changes made toRomania see Change Notification No. 12 - 2011Greece see Change Notification No. 13 - 2011



Changes made with Release 10Changes made tosee Change Notification No. 10 - 2010

Changes made with Release 09Changes made toMaldives see Change Notification No. 27 - 2009

Changes made with Release 08Changes made toItaly see Change Notification No. 25 - 2009Canada, United States of America see Change Notification No. 26 - 2009

Changes made with Release 07Changes made toItaly see Change Notification No. 11 - 2009This reverses the changes made with Change Notification No. 05 - 2007.

Changes made with Release 06This release is the first implementation of the GDRI on the website. Layout and ordering of entries may differ on the website as compared to the Portable Document File (PDF) but there are no changes to the wording of any entries. Consequently no new PDF file is released.

Changes made with Release 05Errata corrections made toItaly see Change Notification No. 05 - 2007Jamaica see Change Notification No. 20 - 2006

Changes made with Release 04Introduction – Malaria: Airport stopovers see Change Notification No. 15 - 2007

Changes made with Release 03Bahamas (The) see Change Notification No. 07 - 2007Canada see Change Notification No. 08 - 2007United States of America see Change Notification No. 08 - 2007

Changes made with Release 02Egypt see Change Notification No. 02 - 2007Ethiopia see Change Notification No. 02 - 2007



Changes to the Guidelines

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