1: A yellow fever vaccination certificate is required from travelers over one year of age arriving from infected areas. African countries formerly classified as the South African authorities to consider endemic zones be infected areas. The yellow fever vaccination certificate only becomes valid 10 days after immunization.
2: Malaria risk, predominantly in
the malignant falciparum form, exists throughout the year in the low altitude
areas of the Northern Province (Limpopo), Mpumalanga (including the Kruger
National Park) and northeastern KwaZulu/Natal as far south as the Tugela
River. The risk is highest from October to May. Resistance to chloroquine
has been reported. It is strongly recommended that visitors to these areas
take anti-malaria tablets before entering these areas (tablets are available
from pharmacies without prescription). The recommended prophylaxis is
chloroquine plus proguanil or chloroquine plus pyrimethamine.
3: Tap water is safe to drink in urban areas, but may be contaminated elsewhere and sterilization is advisable. Milk is pasteurized and dairy products are safe for consumption. Local meat, poultry, seafood, fruit and vegetables are generally considered safe to eat.
4. Rabies is present. For those at high risk, vaccination before arrival should be considered. If you are bitten, seek medical advice without delay.
5. Bilharzia (schistosomiasis) is endemic in the north and east of South Africa and may be present elsewhere. Avoid swimming and paddling in stationary water. Swimming pools, which are well chlorinated and maintained, are safe.
6. Hepatitis A occurs and hepatitis B is hyper endemic.
Medical facilities are excellent. Health insurance is recommended.
Doctors are listed under "Medical " in the telephone directory and hospitals under "H". All major hotels have contracts with physicians and dentists.
Please consult your medical practioner
or chemist for anti-malarial drugs; especially when traveling between
October and May.