Medical Requirements for South Africa
Malaria is absent from most parts of South Africa, and it’s nowhere as prevalent as in much of equatorial Africa.
Exceptions are the eastern Lowveld of Mpumalanga and Limpopo, which is classified as a moderate-risk malarial area, and coastal KwaZulu-Natal north of Richard’s Bay, which is regarded to be low-risk.
Transmission is more or less confined to the rainy summer months. For this reason, travelers who intend to visit the Kruger National Park and/or adjacent private reserves from September to May are advised to take antimalarial drugs, and visitors to iSimangaliso Wetland Park and Hluhluwe-Imfolozi might also consider it.
Several such drugs are available, and it’s best to seek advice from a doctor or travel clinic a few weeks before your trip.
It’s also advisable to take all reasonable precautions against being bitten by the nocturnal Anopheles mosquitoes that transmit the disease.
Wear a long-sleeved shirt, trousers, and socks in the evening, apply a DEET-based insect repellent to any exposed flesh, and sleep under a net, in an air-conditioned room, under a fan, or with a mosquito coil burning.
Travelers with young children or who prefer not to take medication could consider visiting one of several malaria-free safari destinations, for instance, Madikwe, Pilanesberg, or Addo, in preference to the Kruger National Park.