I am going to South Africa to visit friends and understand malaria has been eradicated there, do I need to worry about malaria prophylaxis?
A. Yes. It depends where you will travel in South Africa. Malaria is endemic in the northern and eastern parts of the country where the climate is tropical. After many years of spraying huts with DDT, malaria became rare, but the interruption of the program because of war in the 1970s and 1980s in Mozambique and Zimbabwe (and the development of drug resistance in other insects such as bedbugs, which reduced the acceptability of the program) has led to a rapid resurgence of malaria.
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