Risk is highest in north-eastern states including Assam and Orissa. In the Andaman and Nicobar islands, Andhra Pradesh, Chhattisgarh, Goa, Gujarat, Madhya Pradesh, Maharashtra and West Bengal risk is not high enough to warrant antimalarial tablets for most travellers, however, it may be considered for certain groups who may be at higher risk e.g. longer stay in rural areas, visiting friends or relatives, those with medical conditions, immunosuppression or those without a spleen.
There is low to no risk in parts of the states of Himachel Pradesh, Jammu and Kashmir and Sikkim, and also in the cities of Bangalore, Kolkata, Mumbai, Nagpur, Nasik and Pune.
Atovaquone/proguanil OR doxycycline OR mefloquine is the first choice.
Malaria precautions are essential, avoid mosquito bites by covering up with clothing such as long sleeves and long trousers especially after sunset, using insect repellents on exposed skin and, when necessary, sleeping under a mosquito net.
If you have been travelling in a malarious area and develop a fever seek medical attention promptly. Remember malaria can develop even up to one year after exposure.
If travelling to high risk malarious areas, remote from medical facilities, carrying emergency malaria standby treatment may be considered.
Recommended Vaccines when travelling to India:
Other Vaccines to be considered when travelling to India: