Public Health England (PHE) has updated its guidance on malaria prevention.

The 2017 edition of Guidelines for malaria prevention in travellers from the UK: 2017 includes the following key changes:

  • recognition that several countries (such as Argentina, Egypt, and Turkey) are no longer endemic for malaria 
  • practitioners should advise patients and emphasise the importance of carrying the appropriate preventive measures (as 88% of global cases of malaria originate in the WHO African region)   
  • revised risk assessments for travellers going to Southeast Asia, South America, parts of the Caribbean and south Asia. The guidance has changed from ’bite avoidance plus chemoprophylaxis’ to ’stringent bite avoidance advice’
  • all travellers should be advised to take precautions against mosquito bites, irrespective of whether it is specifically recommended for malaria
  • an atovaquone plus proguanil combination preparation will shortly be available as an over-the-counter medicine. 

The guideline continues to cover recommendations on: 

  • bite prevention
  • chemoprophylaxis
  • diagnosis
  • management of malaria in special groups (medical conditions).