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Geographical Disease Risk Index

GDRI 002 (18 January 2016) Release 27 (21 September 2020) page 1 of 142

United Kingdom Blood Transfusion Services (UKBTS)

&

National Institute for Biological Standards and Control (NIBSC)

Geographical Disease Risk Index (GDRI)

Edition 002 - 18 January 2016

Release 27 - 21 September 2020

Introduction

The GDRI is a constituent part of Chapter 3 Care and selection of whole blood and component donors (including donors of pre-deposit autologous blood) Chapter 20 (tissue banking: selection of donors) and Chapter 22 (haemopoietic progenitor cells) of the Guidelines for the Blood Transfusion Services in the United Kingdom, 8th Edition 2013.

These criteria are reviewed regularly to ensure that the products collected are of the highest quality and of sufficient quantity to meet the needs of the United Kingdom Blood Transfusion & Tissue Transplantation Services.

The Joint Professional Advisory Committee (JPAC) of the UKBTS is responsible for this document. JPAC receives professional advice from the Standing Advisory Committees that form part of its structure. Users of these guidelines must ensure that they have the latest version and that recent changes have been implemented (usually within three months) by their national service.

Latest Updates lists alterations to the guidelines made since publication of this edition.

Advice on these guidelines can be obtained from:

Dr G Miflin, Medical and Research DirectorNational Health Service Blood & Transplant (NHSBT)E-mail [email protected]

Prof M Turner, Medical & Scientific DirectorScottish National Blood Transfusion Service (SNBTS)E-mail [email protected]

Dr J Birchall, Medical DirectorWelsh Blood Service (WBS)E-mail [email protected]

Dr K Morris, Chief Executive OfficerNorthern Ireland Blood Transfusion Service (NIBTS)E-mail [email protected]

Comments about the content of these guidelines, including notification of errors, omissions and suggestions for improvements, should be sent to the Chair of the Standing Advisory Committee for the Care and Selection of Donors (SAC-CSD):

Dr Angus WellsScottish National Blood Transfusion ServiceThe Jack Copland Centre52 Research Avenue NorthHeriot-Watt Research ParkEdinburghEH14 4BE

Preferably by e-mail to [email protected] with GDRI in the subject line.

This section was last updated in GDRI Edition 002, Release 13 Issue 01



ContentsIntroduction ......................................................................................................................................................... 1

Document and Change Control .......................................................................................................................... 3

General Principles .............................................................................................................................................. 4

Use of this Index ................................................................................................................................................. 5

Malaria ................................................................................................................................................................ 6

Human Immunodeficiency Virus (HIV) / Acquired Immune Deficiency Syndrome (AIDS) ................................. 7

A-Z Index ............................................................................................................................................................ 8

A-Z Topics ........................................................................................................................................................ 26

Latest Updates ............................................................................................................................................... 135

Changes to the Guidelines ............................................................................................................................. 142



Document and Change Control

The GDRI is under the continuing review of the Standing Advisory Committees for the Care and Selection of Donors (SAC-CSD) and for Transfusion Transmitted Infection (SAC-TTI). This is to ensure that they are accurate and up to date. All changes have the approval of the UKBTS Joint Professional Advisory Committee (JPAC).

Change Notification.Changes are notified to the Medical Director and to the Quality Manager of each of the four national services by a Change Notification from the Chairman of JPAC. All changes will have the approval of JPAC.

Implementation of changes is the responsibility of the individual national service.

Document version terminology.A version shall be any of the following:Extensive revisions of this document are known as ' '.EditionsChanges following the issue of 'Change Notification Letters' are known as ' '.ReleasesChanges to the website, which do not involve a change to the medical or scientific content, are given an ' ' number.Issue

Edition Date, Release Date and Issue Date is the date on which an Edition, Release or Issue is first published on the UKBTS website.

Changes to printed versions.The of each Blood Service will effect changes to the document. They will be informed when a new Quality Managerelectronic version is released. The is responsible for ensuring that there is an effective Document Control Quality Managerand Document Change procedure in operation within their Blood Service to ensure that only up to date versions are in use and that all authorized copies, both electronic and paper, are traceable.

Individual users of the GDRI are responsible for ensuring that they are using an up-to-date version.

Changes to the website versions.The website will always display the up to date version. Any errors should be notified to the publisher, Caroline Smith, preferably by e-mail to with GDRI in the subject [email protected]

This section was last updated in GDRI Edition 001, Release 21 Issue 2



General Principles

The GDRI should be used to assist selection of donors giving whole blood, blood components (red cells, platelets, plasma and granulocytes), haemopoietic progenitor cells and tissues for therapeutic use.

Donor Selection Procedures aim to minimize the risk of transfusion transmitted infection. Travel to; birth/maternal birth or residency in; and in some cases sexual activity with residents of certain countries, is associated with an increased risk of exposure to infections such as malaria, T cruzi, WNV and HIV. These risks may vary over time and new diseases may occur. Where there is a rapidly emerging geographical disease risk (e.g. SARS or Pandemic Flu) these will be communicated via a

to be used in conjunction with this document.Change Notification

This list is compiled specifically for risks to the blood and tissue supply in the United Kingdom and may vary from risks or recommendations provided for the protection of the traveller.

To assess the risk of an individual carrying such infections, look up the countries:

that they have visitedfor which they report sexual contact with a resident or former residentin which they were bornin which their mother was born

If a risk is shown for that country, look at the relevant entry in the appropriate Donor Selection Guidelines (DSG) for the donation type (e.g. Whole Blood & Components or the relevant Tissue DSG) to assess the individual’s suitability to donate.

Table of Donor Selection Guidelines (DSG) cross-references

Chikungunya Virus TDSG-BM TDSG-CB TDSG-DD TDSG-LD WB-DSG

Dengue TDSG-BM TDSG-CB TDSG-DD TDSG-LD WB-DSG

HIV TDSG-BM TDSG-CB TDSG-DD TDSG-LD WB-DSG

Malaria TDSG-BM TDSG-CB TDSG-DD TDSG-LD WB-DSG

T Cruzi TDSG-BM TDSG-CB TDSG-DD TDSG-LD WB-DSG

WNV TDSG-BM TDSG-CB TDSG-DD TDSG-LD WB-DSG

Viral Haemorrhagic Fever Risk TDSG-BM TDSG-CB TDSG-DD TDSG-LD WB-DSG

Zika Virus TDSG-BM TDSG-CB TDSG-DD TDSG-LD WB-DSG

This section was last updated in GDRI Edition 002, Release 01



Use of this Index

This index has been prepared to assist the accurate assessment of the geographical risks and contains information on:

MalariaT. cruziHIV risk in Sub Saharan AfricaWNVChikungunya virus (CHIKV)Viral Haemorrhagic Fever Risk (endemic countries only)

Table of Donor Selection Guidelines (DSG) cross-references

CHIKV TDSG-BM TDSG-CB TDSG-DD TDSG-LD WB-DSG

Dengue TDSG-BM TDSG-CB TDSG-DD TDSG-LD WB-DSG

HIV TDSG-BM TDSG-CB TDSG-DD TDSG-LD WB-DSG

Malaria TDSG-BM TDSG-CB TDSG-DD TDSG-LD WB-DSG

T Cruzi TDSG-BM TDSG-CB TDSG-DD TDSG-LD WB-DSG

WNV TDSG-BM TDSG-CB TDSG-DD TDSG-LD WB-DSG

Viral Haemorrhagic Fever Risk

TDSG-BM TDSG-CB TDSG-DD TDSG-LD WB-DSG

Zika Virus TDSG-BM TDSG-CB TDSG-DD TDSG-LD WB-DSG

This section was last updated in GDRI Edition 002, Release 002.



Malaria

Information concerning malaria risk has been sourced from Health Protection Scotland ( ) with some www.travax.nhs.uk/modifications to account for typical donor travel patterns, entry points to the countries concerned, areas where reporting is compromised and ease of use for end users. They are not identical to those found on the ‘Fit for Travel’ website which is designed to inform travellers decisions about anti-malarial therapy rather than give assurance of safety of blood donations for recipient patients.

Countries with malarial risk have been categorised into three groups:

A. Countries where the malarial risk is present in the whole country all year or with very clear seasonal guidance.

B. Countries where only parts of the country are affected.

C. Indicates that only part of the country is affected in discrete pockets, or the risk of infection is low or that there are few visitors to the affected areas. It is likely that tourists who visit these countries will be able to donate but individual assessment must be applied. Donors are likely to have detailed knowledge of the malarial areas visited. The health care professional should establish whether the donor sought advice prior to travel or not and if they were advised to take anti malarial precautions.

Malaria Maps

The maps included are to be used to accompany the GDRI when assessing the malaria risk for a donor. They have been sourced from the Fit for travel website. It is important to apply the GDRI guidance for infection risks; these maps only allprovide advice for malaria risk.

Use Of Maps

Maps are provided to allow staff to assess the malaria risk for the areas within these countries that a donor has visited. The The maps present information about text of the GDRI should be taken as the main source to make decisions.

neighbouring countries but this should not be used for malarial assessment. The advice below each map relates to the Fit for travel website. Decisions regarding malaria guidance should be made using the template below.

The colours used in the maps are presented below.

Colour Sample Text Action

Red High risk Apply Malaria Donor Selection Guideline

Dark pink/hatched

Variable risk/low risk Apply Malaria Donor Selection Guideline

Light pink Low to no risk Can donate

Yellow Surrounding country with malaria risk Do not use for malaria assessment

Green (Surrounding country with no malaria risk)

Do not use for malaria assessment

All maps were downloaded from the Fit for travel website ( )www.fitfortravel.nhs.uk

Airport Stopovers

The definition of an Airport Stopover, as approved by The Standing Advisory Committee on Transfusion Transmitted Infections, is:A transit through an airport during which the traveller has not left the airport.

When the donor's visit has consisted of an airport stopover there is no need to refer to the Geographical Disease Risk only Index.

This section was last updated in GDRI Edition 002, Release 24, Issue 01

http://www.fitfortravel.nhs.uk



Human Immunodeficiency Virus (HIV) / Acquired Immune Deficiency Syndrome (AIDS)

HIV/AIDS is common in some areas of the world, and sexual activity with partners in these countries carries a risk of infection. This Index identifies the countries of Sub Saharan Africa to facilitate interpretation of the guidance. However the health care professional should consider all other risks of HIV associated with travel and remember that this is not restricted to Sub Saharan Africa.

If the donor reports sexual activity with a partner in one of the countries listed as Sub Saharan Africa in the table, or with a partner who may have been sexually active in one of these areas, refer to the Blood Safety Entry in the Donor Selection Guidelines.

This section was last updated in GDRI Edition 001, Release 01



A-Z Index

AAbu Dhabi United Arab Emirates 127Acre (Brazil) Brazil 37Acre (Israel) Israel 72Adana Turkey 124Addis Ababa Ethiopia 55Aden Yemen 132Afghanistan Afghanistan 26Ahē French Polynesia 59Ajman United Arab Emirates 127Aklan Philippines 102Al Hoceima Morocco 90Alajuela Costa Rica 47Alaska United States of America 127Albania Albania 26Algeria Algeria 27Alto Parana Paraguay 100Amacuro Venezuela 129Amapa Brazil 37Amazon Brazil 37Amazon River (Brazil) Brazil 37Amazon River (Peru) Peru 101Amazonas Brazil 37Amazonia (Brazil) Brazil 37Amazonia (Venezuela) Venezuela 129American Samoa American Samoa 27Amikova Plain Turkey 124Andaman and Nicobar Islands India 69Andorra Andorra 28Anegada British Virgin Islands 39Angola Angola 28Anguilla Anguilla 28Antalya Turkey 124Antarctica Antarctica 28Antigua Antigua and Barbuda 29Antigua and Barbuda Antigua and Barbuda 29Apure Venezuela 129Ararat Valley Armenia 29



For See PageArgentina Argentina 29Armenia Armenia 29Aruba Aruba 30Ascension Islands Saint Helena 107Ashmore and Cartier Islands Ashmore and Cartier Islands 30Asir Saudi Arabia 110Asmara Eritrea 54Austral Islands (The) French Polynesia 59Australia Australia 30Austria Austria 31Ayacucho Peru 101Azerbaijan Azerbaijan 31Azores Portugal 104

BBahamas (The) Bahamas (The) 31Bahrain Bahrain 32Baker Island Baker Island 32Baku Azerbaijan 31Balearic Islands Spain 115Bali Indonesia 70Bangkok Thailand 120Bangladesh Bangladesh 32Bara Nepal 93Barbados Barbados 33Barbuda Antigua and Barbuda 29Basra Iraq 70Bass Islands (The) French Polynesia 59Beijing China 43Belarus Belarus 34Belem City Brazil 37Belgium Belgium 34Belize Belize 34Belorussia Belarus 34Beni Bolivia 36Benin Benin 35Bermuda Bermuda 35Bhutan Bhutan 35Bilaran Philippines 102Boa Vista (Brazil) Brazil 37



For See PageBoa Vista (Cape Verde) Cape Verde 41Bohol Philippines 102Bolivar Venezuela 129Bolivia Bolivia 36Bonaire Former Netherlands Antilles 57Bora Bora French Polynesia 59Borneo Borneo 36Bosnia Bosnia and Herzegovina 36Bosnia and Herzegovina Bosnia and Herzegovina 36Boteti Botswana 37Botswana Botswana 37Bouvet Island Bouvet Island 37Brazil Brazil 37British Antarctic Antarctica 28British Virgin Islands British Virgin Islands 39Brunei Darussalam Brunei Darussalam 39Bulgaria Bulgaria 39Burkina Faso Burkina Faso 40Burma Myanmar 91Burundi Burundi 40Bushehr Iran 70

CCaaguazú Paraguay 100Cabina Congo 47Cajamarca Peru 101Cambodia Cambodia 40Cameroon Cameroon 41Camiguin Philippines 102Campeche Mexico 87Canada Canada 41Canal zone Panama 99Canary Islands Spain 115Cancun Mexico 87Canendiyu Paraguay 100Cape Verde Cape Verde 41Capiz Philippines 102Caracas Venezuela 129Caribbean See specific island(s) visitedCatanduanes Philippines 102



For See PageCayman Islands Cayman Islands 42Cebu Philippines 102Central African Republic Central African Republic 42Cerro de Pasco Peru 101Chachapoyas Peru 101Chad Chad 43Chahar Mahal va Bakhtiari Iran 70Chanca-Andahuaylas Peru 101Chang Jiang River China 43Chiang Mai Thailand 120Chiapas Mexico 87Chihuahua Mexico 87Chile Chile 43China China 43China (Hong Kong) Hong Kong (S.A.R.) 67Chirang Bhutan 35Chobe Botswana 37Christmas Island Christmas Island 44Chuquisaca Bolivia 36Clipperton Island Clipperton Island 45Cochabamba Bolivia 36Cocos (Keeling) Islands Cocos (Keeling) Islands 45Colombia Colombia 45Colombo Sri Lanka 116Comoros Comoros 46Congo Congo 47Cook Islands Cook Islands 47Corfu Greece 62Corrientes Argentina 29Corsica France 57Costa Rica Costa Rica 47Cote D'Ivoire Cote D'Ivoire 48Crete Greece 62Croatia Croatia 48Cuba Cuba 48Cukurova Turkey 124Curacao Curacao 49Cusco Peru 101



For See PageCutervo Peru 101Cuzco City Peru 101Cyprus Cyprus 49Czech Republic Czech Republic 49Czechoslovakia Czech Republic 49

DDemocratic Republic of the Congo Congo 47Denmark Denmark 50Dhaka City Bangladesh 32Dhanukha Nepal 93Diego Garcia Diego Garcia 50Djibouti Djibouti 50Dominica Dominica 51Dominican Republic Dominican Republic 51Dubai United Arab Emirates 127Duhok Iraq 70Durango Mexico 87Dushanbe Tajikistan 120Dutch Antilles Former Netherlands Antilles 57

EEast Timor East Timor 51Easter Island Chile 43Ecuador Ecuador 52Egypt Egypt 53El Faiyum Egypt 53El Oro Ecuador 52El Salvador El Salvador 53Ellice Islands Kiribati 76Equatorial Guinea Equatorial Guinea 54Erbil Iraq 70Eritrea Eritrea 54Esmeraldas Ecuador 52Estonia Estonia 55Ethiopia Ethiopia 55

FFalkland Islands (Islas Malvinas) Falkland Islands (Islas Malvinas) 56Faroe Islands Faroe Islands 56Fars Iran 70Federated States of Micronesia Micronesia (Federated States of) 88Fiji Fiji 57Finland Finland 57



For See PageFormer Netherlands Antilles Former Netherlands Antilles 57Former Yugoslav Republic of Macedonia North Macedonia 97France France 57French Guiana French Guiana 58French Polynesia French Polynesia 59French Southern Territories and Antarctic Lands French Southern Territories and Antarctic Lands 59Fuerteventura Spain 115Fujian China 43

GGabon Gabon 60Galapagos Islands Ecuador 52Gambia (The) Gambia (The) 60Gambier Islands (The) French Polynesia 59Gangwon-do (N Korea) North Korea (Democratic Peoples Republic of) 96Gangwon-do (S Korea) South Korea (Republic of) 115Gansu China 43Gaza Strip West Bank, Gaza Strip and Palestine Occupied

Territories131

Gelephu (Gelyephug) Bhutan 35Georgia Georgia 60Germany Germany 61Ghana Ghana 61Gibraltar Gibraltar 61Gilbert Islands Kiribati 76Glorioso Islands Glorioso Islands 62Goa India 69Golan Heights Golan Heights 62Gomera Spain 115Gorno-Badakhshan Tajikistan 120Gran Canaria Spain 115Greece Greece 62Greenland Greenland 63Grenada Grenada 63Grenadines Saint Vincent and the Grenadines 108Guadeloupe Guadeloupe 63Guam Guam 64Guanacaste Costa Rica 47Guangdong China 43Guangxi China 43Guatemala Guatemala 64



For See PageGuayaramerin Bolivia 36Guayas Ecuador 52Guernsey Guernsey 65Guerrero Mexico 87Guimaras Philippines 102Guinea Guinea 65Guinea-Bissau Guinea-Bissau 65Guizhou China 43Guyana Guyana 66

HHainan island China 43Haiti Haiti 66Hawaii United States of America 127Heard and McDonald Islands Heard and McDonald Islands 66Heilongjiang China 43Herzegovina Bosnia and Herzegovina 36Hierro Spain 115Himachal Pradesh India 69Hiva 'Oa French Polynesia 59Holland Netherlands 94Honduras Honduras 67Hong Kong (S.A.R.) Hong Kong (S.A.R.) 67Hormozgan Iran 70Howland Island Howland Island 68Huahine French Polynesia 59Huancavelica Peru 101Huang He River China 43Hungary Hungary 68

IIbiza Spain 115Iceland Iceland 68Ihrir Algeria 27Ilam Iran 70Illizi Algeria 27Iloilo Philippines 102Inca Trail Peru 101India India 69Indonesia Indonesia 70Indonesian Timor Indonesia 70Iran Iran 70



For See PageIraq Iraq 70Ireland Ireland 71Irian Jaya Island Indonesia 70Island of Dominica Dominica 51Isle of Man Isle of Man 72Israel Israel 72Italy Italy 72Ivory Coast Cote D'Ivoire 48

JJaen (Peru) Peru 101Jaen (Spain) Spain 115Jakarta Indonesia 70Jalisco Mexico 87Jamaica Jamaica 73Jammu and Kashmir India 69Jan Mayen Jan Mayen 73Japan Japan 73Jarvis Island Jarvis Island 74Java Indonesia 70Jeddah Saudi Arabia 110Jersey Jersey 74Jilin China 43Johnston Atoll Johnston Atoll 74Jordan Jordan 74Jost Van Dyke British Virgin Islands 39Jujuy Argentina 29Junin (Colombia) Colombia 45Junin (Ecuador) Ecuador 52Junin (Peru) Peru 101

KKalimantan Indonesia 70Kalutara Sri Lanka 116Kampuchea Cambodia 40Kapilvastu Nepal 93Kavango River Namibia 91Kazakhstan Kazakhstan 75Keeling Islands Cocos (Keeling) Islands 45Kenya Kenya 75Kerman Iran 70Khachmas Azerbaijan 31



For See PageKhatlon Tajikistan 120Khuzestan Iran 70Kingman Reef Kingman Reef 76Kiribati Kiribati 76Kirkuk Iraq 70Ko Samui Thailand 120Kohgiluyeh va Buyer Ahmad Iran 70Korea (North) North Korea (Democratic Peoples Republic of) 96Korea (South) South Korea (Republic of) 115Kosovo Kosovo 76Kruger Park South Africa 113Kunene River Namibia 91Kuwait Kuwait 77Kwazulu Natal South Africa 113Kyrgyzstan Kyrgyzstan 77Kyunggi-do (N Korea) North Korea (Democratic Peoples Republic of) 96Kyunggi-do (S Korea) South Korea (Republic of) 115

LLa Desirade Guadeloupe 63La Libertad Peru 101La Paz Bolivia 36Lacareja Bolivia 36Lake Titikaka Peru 101Lambayeque Peru 101Lanzarote Spain 115Lao Peoples Republic Laos 77Laos Laos 77Latvia Latvia 78Lebanon Lebanon 78Leeward Islands (Caribbean) Leeward Islands (Caribbean) 78Leeward Islands (Pacific) French Polynesia 59Leninabad Tajikistan 120Les Saintes Guadeloupe 63Lesotho Lesotho 79Lesser Antilles Lesser Antilles 79Leyte Philippines 102Liberia Liberia 79Libya Libya 80Liechtenstein Liechtenstein 80



For See PageLimon (Costa Rica) Costa Rica 47Limon (Dominican Republic) Dominican Republic 51Lithuania Lithuania 80Lombok Indonesia 70Lorestan Iran 70Loreto (Italy) Italy 72Loreto (Mexico) Mexico 87Loreto (Peru) Peru 101Los Rios Ecuador 52Luciano Castillo Peru 101Luxembourg Luxembourg 81

MMacao Macau (S.A.R.) 81Macapa Brazil 37Macau (S.A.R.) Macau (S.A.R.) 81Macedonia North Macedonia 97Macedonia - Greek Macedonia Greece 62Machu Picchu Peru 101Madagascar Madagascar 81Madeira Portugal 104Mahotari Nepal 93Mai'ao French Polynesia 59Majorca Spain 115Malawi Malawi 82Malaysia Malaysia 82Maldives Maldives 84Mali Mali 84Malta Malta 85Manabi Ecuador 52Manaus Brazil 37Manila Philippines 102Maraba Brazil 37Maranhao Brazil 37Margarita Venezuela 129Margarita island Venezuela 129Marie-Galante Guadeloupe 63Marquesas Islands (The) French Polynesia 59Marshall Islands Marshall Islands 85Martinique Martinique 85



For See PageMary Turkmenistan 125Masbate Philippines 102Mato Grosso Brazil 37Maupiti French Polynesia 59Mauritania Mauritania 86Mauritius Mauritius 86Mayotte Mayotte 86Mecca Saudi Arabia 110Medina Saudi Arabia 110Meheti'a French Polynesia 59Mexico Mexico 87Michoacán Mexico 87Micronesia (Federated States of) Micronesia (Federated States of) 88Midway Islands Midway Islands 88Minorca Spain 115Misiones Argentina 29Mo'orea French Polynesia 59Moldova Moldova 89Monaco Monaco 89Mongolia Mongolia 89Montenegro Montenegro 90Montserrat Montserrat 90Morocco Morocco 90Morona-Santiago Ecuador 52Mozambique Mozambique 91Mpumalanga South Africa 113Musandam Oman 98Myanmar Myanmar 91

NNamibia Namibia 91Napo Ecuador 52Nauru Nauru 92Navassa Island Navassa Island 93Nayarit Mexico 87Nei Mongol China 43Nepal Nepal 93Netherlands Netherlands 94Nevis Saint Kitts and Nevis 107New Caledonia New Caledonia 94



For See PageNew Hebrides Vanuatu 129New Zealand New Zealand 94Ngamiland Botswana 37Nicaragua Nicaragua 94Nicobar Islands India 69Niger Niger 95Nigeria Nigeria 95Ninawa Iraq 70Ningxia China 43Niue Niue 96Norfolk Island Norfolk Island 96North Batinah China 43North Korea (Democratic Peoples Republic of) North Korea (Democratic Peoples Republic of) 96North Macedonia North Macedonia 97Northern Mariana Islands Northern Mariana Islands 97Norway Norway 97Nuku Hiva French Polynesia 59Nuwara Eliya Sri Lanka 116

OOaxaca Mexico 87Okavango Botswana 37Omaheke Namibia 91Oman Oman 98Otjozondjupa Namibia 91

PPakistan Pakistan 98Palau Palau 99Palestine Occupied Territories West Bank, Gaza Strip and Palestine Occupied

Territories131

Palmyra Atoll Palmyra Atoll 99Panama Panama 99Pando Bolivia 36Papua New Guinea Papua New Guinea 100Para Brazil 37Paracel Islands Paracel Islands 100Paraguay Paraguay 100Parsa Nepal 93Pastaza Ecuador 52Patagonia (Argentina) Argentina 29Pategonia (Chile) Chile 43Pattaya Thailand 120



For See PagePeru Peru 101Philippines Philippines 102Phuket Thailand 120Pichincha Ecuador 52Pitcairn Islands Pitcairn Islands 103Piura Peru 101Poland Poland 104Polynesia Polynesia 104Porto Velho Brazil 37Portugal Portugal 104Puerto Rico Puerto Rico 104Puntarenas Costa Rica 47

QQatar Qatar 105Qinghai China 43Quintana Roo Mexico 87

RRaiatea French Polynesia 59Rautahat Nepal 93Redonda Antigua and Barbuda 29Republic of the Congo Congo 47Reunion Reunion 105Rhodes Greece 62Riberalta Bolivia 36Rodriguez Island Mauritius 86Romania Romania 105Rondonia Brazil 37Roraima Brazil 37Rumania Romania 105Rupendehi Nepal 93Rurenabaque Bolivia 36Russia Russia 106Rwanda Rwanda 106

SSaba Former Netherlands Antilles 57Sabah Malaysia 82Saint Barthelemy Saint Barthelemy 106Saint Croix United States of America 127Saint Helena Saint Helena 107Saint John United States of America 127Saint Kitts Saint Kitts and Nevis 107



For See PageSaint Kitts and Nevis Saint Kitts and Nevis 107Saint Lucia Saint Lucia 107Saint Martin Saint Martin 108Saint Pierre and Miquelon Saint Pierre and Miquelon 108Saint Thomas United States of America 127Saint Vincent and the Grenadines Saint Vincent and the Grenadines 108Salta Argentina 29Samar Philippines 102Samchi Bhutan 35Samdrupjongkhar Bhutan 35Samoa Samoa 109Samut Thailand 120San Marino San Marino 109San Martin Peru 101Santa Ana El Salvador 53Santa Cruz Bolivia 36Santarem Brazil 37Santiago Chile 43Santiago Island Cape Verde 41Sao Tiago Island Cape Verde 41Sao Tome and Principe Sao Tome and Principe 109Sarawak Malaysia 82Sardinia Italy 72Sarlahi Nepal 93Saudi Arabia Saudi Arabia 110Senegal Senegal 110Sequijor Philippines 102Serbia Serbia 110Serbia and Montenegro (Montenegro) Montenegro 90Serbia and Montenegro (Serbia) Serbia 110Seychelles Seychelles 111Shanxi China 43Sharjah United Arab Emirates 127Shemgang Bhutan 35Sichuan China 43Sicily Italy 72Side Turkey 124Sierra Leone Sierra Leone 111



For See PageSikkim India 69Sinaloa Mexico 87Singapore Singapore 111Sint Eustatius Former Netherlands Antilles 57Sint Maarten Sint Maarten 112Sistan-Baluchestan Iran 70Slovakia Slovakia 112Slovenia Slovenia 112Society Islands (The) French Polynesia 59Solomon Islands Solomon Islands 113Somalia Somalia 113Sonora Mexico 87South Africa South Africa 113South Georgia and the South Sandwich Islands South Georgia and the South Sandwich Islands 114South Korea (Republic of) South Korea (Republic of) 115South Sudan South Sudan 115Spain Spain 115Spratly Islands Spratly Islands 116Sri Lanka Sri Lanka 116Sucumbios Ecuador 52Sudan Sudan 117Sulaimaniya Iraq 70Sumatra Indonesia 70Sun City South Africa 113Suriname Suriname 117Svalbard Svalbard 118Swaziland Swaziland 118Sweden Sweden 118Switzerland Switzerland 119Syria Syria 119

TTa'mim Iraq 70Tabasco Mexico 87Taha'a French Polynesia 59Tahiti French Polynesia 59Taif Saudi Arabia 110Taiwan Taiwan 119Tajikistan Tajikistan 120Taman Negara National Park Malaysia 82



For See PageTanzania Tanzania 120Taounate Morocco 90Tarija Bolivia 36Taza Morocco 90Tenerife Spain 115Terai Nepal 93Tetiaroa French Polynesia 59Thailand Thailand 120The Bahamas Bahamas (The) 31The Gambia Gambia (The) 60Tiago Island Cape Verde 41Tibet China 43Timor East Timor 51Timor Indonesia 70Timor Leste East Timor 51Tobago Trinidad and Tobago 123Tocantins Brazil 37Togo Togo 122Tokelau Tokelau 123Tonga Tonga 123Toronto Canada 41Tortola British Virgin Islands 39Transjordan Jordan 74Transvaal South Africa 113Trinidad and Tobago Trinidad and Tobago 123Tristan da Cunha Saint Helena 107Tromelin Island Tromelin Island 124Tuamotu Archipelago (The) French Polynesia 59Tugela River South Africa 113Tumbes Peru 101Tunisia Tunisia 124Tupua'i French Polynesia 59Turkey Turkey 124Turkmenistan Turkmenistan 125Turks and Caicos Islands Turks and Caicos Islands 125Tutume Botswana 37Tuvalu Tuvalu 126Tūpai French Polynesia 59



For See Page

UU.S. Virgin Islands United States of America 127Ucayali Peru 101Uganda Uganda 126Ukraine Ukraine 126Umm al Qaiwain United Arab Emirates 127United Arab Emirates United Arab Emirates 127United Kingdom United Kingdom 127United States of America United States of America 127Upper Volta Burkina Faso 40Uruguay Uruguay 128Uzbekistan Uzbekistan 128

VVanuatu Vanuatu 129Venezuela Venezuela 129Vientiane Laos 77Vietnam Vietnam 129Virgin Gorda British Virgin Islands 39

WWake Atoll Wake Atoll 131Wallis and Futuna Wallis and Futuna 131Water Island United States of America 127West Bank West Bank, Gaza Strip and Palestine Occupied

Territories131

West Bank, Gaza Strip and Palestine Occupied Territories


131

West Indies See specific island(s) visitiedWest Papua Indonesia 70West Timor Indonesia 70Windward Islands (Caribbean) Windward Islands (Caribbean) 132Windward Islands (Pacific) French Polynesia 59

XXinjiang China 43Xizang China 43

YYangtze River China 43Yellow River China 43Yemen Yemen 132Yunnan China 43

ZZagros mountains Iran 70Zaire Congo 47Zambia Zambia 133Zamora-Chinchipe Ecuador 52Zangbo River China 43Zanzibar Tanzania 120



For See PageZimbabwe Zimbabwe 133Zululand South Africa 113



Afghanistan

Malaria YesMay - November in all areas except the central highlands.

Malaria Risk Category B

Previous Malaria Risk Yes all year whole country until Feb 1996Yes whole country below 2000m (May-Nov) until Sept 2015

Trypanasoma Cruzi Risk

No

Sub Saharan Africa No

West Nile Virus Risk No

Tropical Virus Risk No

Malarial Map

This map is only intended as a guide and is not exact. The map must always be used in conjunction with the malaria advice text. Map downloaded from on 01 October 2015.http://www.fitfortravel.nhs.uk

Update InformationThis entry was last updated inGDRI Edition 002 Release 05

Albania

Malaria No

Trypanasoma Cruzi No

http://www.fitfortravel.nhs.uk/destinations/asia-(central)/afghanistan/afghanistan-malaria-map.aspx





No


West Nile Virus Risk YesDonors who have visited between 1st May and the 30th November must have the WNV Donor Selection Guideline applied.


Update Information This entry was last updated inGDRI Edition 002 Release 01

Algeria

Malaria YesRisk is very limited, to all year in the dessert oasis of Ihrir (Illizi Department) in the south east of the country

Malaria Risk Category C

Previous Malaria Risk Yes all year whole country until Feb1996


No





American Samoa

Malaria No


No



Tropical Virus Risk Yes Chikungunya Virus, Dengue and Zika Virus




Andorra

Malaria No


No





Angola

Malaria YesAll year in whole country

Malaria Risk Category A


No

Sub Saharan Africa Yes


Tropical Virus Risk Yes Dengue Virus and Zika Virus


Anguilla

Malaria No


No



Tropical Virus Risk Yes Chikungunya Virus and Zika Virus


Antarctica



Malaria No


No





Antigua and Barbuda

Malaria No


No





Argentina

Malaria YesThe risk is small and is confined to rural areasAll year in provinces of Salta, Jujuy, Misiones and Corrientes.


Previous Malaria Risk Yes all year rural areas until Feb 1996Yes (Oct-May) below 1200m until Sept 2006


Yes





Armenia



Malaria No

Previous Malaria Risk Yes Jun-Oct Ararat Valley until Sept 2015


No





Aruba

Malaria No


No



Tropical Virus Risk Yes Dengue virus and Zika virus


Ashmore and Cartier Islands

Malaria No


No





Australia

Malaria No


No



Risk



Tropical Virus Risk Yes Dengue Virus all year north of Alice Springs.


Austria

Malaria No


No





Azerbaijan

Malaria YesRisk occurs from June to October mostly between the Kura and Arax Rivers. Visitors to Baku, accept.



No




Update Information This entry was last updated inGDRI Edition 002 Release 09.

Bahamas (The)

Malaria No



Malaria No

Previous Malaria Risk Yes Great Exuma Island only Jul-Oct 2006 and Sept 2007- Sept 2015


No





Bahrain

Malaria No


No





Baker Island

Malaria No


No





Bangladesh

Malaria YesAll year in the districts south and east of Comilla city.




Previous Malaria Risk Yes all year whole country until Sept 2015


No



Tropical Virus Risk Yes Chikungunya Virus, Dengue Virus and Zika Virus

Malarial Map



Barbados

Malaria No


No



Tropical Virus Risk Yes, Dengue and Zika virus

http://www.fitfortravel.nhs.uk/destinations/asia-(east)/bangladesh/bangladesh-malaria-map.aspx




Tropical Virus Risk Yes, Dengue and Zika virus


Belarus

Malaria No


No





Belgium

Malaria No


No





Belize

Malaria Malaria risk is low in Stan Creek but negligible elsewhere


Previous Malaria Risk All year in whole country – until Dec 2016.Cat A


Yes



Tropical Virus Risk Yes Chikungunya virus and Zika virus




Benin




No



Tropical Virus Risk Yes Chikungunya Virus


Bermuda

Malaria No


No





Bhutan

Malaria YesAll year in low lying southern districts of Chukha, Dagana, Samtse, Sandrup, Jonkar and Zhemgang.

Most northern regions are at high altitude where transmission is very unusual.




No







Bolivia

Malaria YesAll year in areas below 2500m in the regions of Beni, Pando and Santa Cruz.




Yes



Tropical Virus Risk Yes Chikungunya Virus, Dengue and Zika virus


Borneo

Malaria See

Brunei Darussalam and/or and/or Indonesia Malaysia



No



Tropical Virus Risk Yes Chikungunya, Dengue and Zika virus


Bosnia and Herzegovina

Malaria No



Malaria No


No





Botswana

Malaria YesRisk exists throughout the year but especially from November to June in the northern parts of the country including the regions along the Zimbabwean border, the Zambezi river and all the Game Parks to the north of the Kalahari desert


Previous Malaria Risk Yes all year whole country until Feb 1996


No





Bouvet Island

Malaria No


No





Brazil



Brazil

Malaria YesAll year in the states of:

Amazonia (Acre, Amapa, Amazonas, Maranhäo (west)), Mato Grosso (north), Para (except Belem City on the coast), Rondônia, Roraima and Tocantins including the urban areas Porto Velho, Boa Vista, Cruzeiro do sol, Rio Branco, Macapa, Manaus, Santarém and Maraba.

All year on cruises up the Amazon including the city of Manaus.

All year in the jungle and rural areas outside the resort Iguaçu Falls especially towards Paraguay.


Previous Malaria Risk Yes all year whole country until Feb 1996Yes all year rural areas below 900m until Sept 2006


Yes



Tropical Virus Risk Yes Chikungunya Virus, Dengue and Zika virus

Malarial Map



http://www.fitfortravel.nhs.uk/destinations/south-america--antarctica/brazil/brazil-malaria-map.aspx




British Virgin Islands

Malaria No


No





Brunei Darussalam

Malaria Yes



No



Tropical Virus Risk Yes Zika virus


Bulgaria

Malaria No


No







Burkina Faso




No



Tropical Virus Risk Yes - Dengue Virus and Zika Virus


Burundi




No



Tropical Virus Risk Yes - Chikungunya Virus and Zika Virus


Cambodia

Malaria YesAll year, most of the country.

Visitors to Phnom Penh, Siem Reap and Angkor Wat only, accept


Previous Malaria Risk Yes all year whole country until Dec 2011


No







Cameroon




No





Canada

Malaria No


No





Cape Verde

Malaria Yes

There is a risk of malaria all year on the islands of Boa Vista and Santiago (Sao Tiago), including the capital city Praia.

Visitors to other islands, including the Sal Islands, can be accepted.




Previous Malaria Risk All year in whole of country until end 1993From 1994, all year in Boa Vista or Sao Tiago Island


No



Tropical Virus Risk Yes Chikungunya, Dengue virus and Zika virus


Caribbean

See See specific island(s) visited

Cayman Islands

Malaria No


No



Tropical Virus Risk Yes Zika Virus


Central African Republic




No



Tropical Virus Risk Yes – Chikungunya Virus and Zika Virus




Chad




No





Chile

Malaria No


Yes



Tropical Virus Risk Yes - Zika Virus in Easter Island


China

Malaria Yes

There is an all year risk in Yunnan Province.

There is a very low to no risk of malaria on Yellow and Yangtze River cruises and no risk in urban areas, visitors on these river cruises and visitors to Beijing, Shanghai, The Great Wall, and to the Terracotta Warriors in Xian can be accepted.


Previous Malaria Risk Yes all year whole country until Feb 1996Yes all year whole country below 1500m until Sept 2006Yes all year in Hainan Island, Anhui, Guizhou, Henan, Hubei and Jiangsu provinces until Jan 2016





No



Tropical Virus Risk Yes Chikungunya Virus and Dengue Virus

Malarial Map

This map is only intended as a guide and is not exact. The map must always be used in conjunction with the malaria advice text. Map downloaded from on 27 June 2017.http://www.fitfortravel.nhs.uk


Christmas Island

Malaria No


No





http://www.fitfortravel.nhs.uk/destinations/asia-(east)/china/china-malaria-map.aspx




Clipperton Island

Malaria No


No





Cocos (Keeling) Islands

Malaria No


No





Colombia

Malaria Yes

Malaria is present throughout the year. High risk in Choco, Antioquia, Cordoba, Narino and the Amazon (Vichada, Guaviare, Vaupes, Guainia and Amazonas).

Low to no risk in all other areas including the cities of Bogota and Cartagena




Yes




Malarial Map



Malarial Map



Comoros




No





http://www.fitfortravel.nhs.uk/destinations/south-america--antarctica/colombia/colombia-malaria-map.aspx




Congo




No





Yes


Cook Islands

Malaria No


No





Costa Rica

Malaria YesAll year in province of Limon, on the Caribbean coast. Visitors to the rest of the country including the Pacific coast may be accepted




Yes



Tropical Virus Risk Yes Chikungunya virus Dengue virus and Zika virus,



Tropical Virus Risk Yes Chikungunya virus Dengue virus and Zika virus,


Cote D'Ivoire




No



Tropical Virus Risk Yes - Dengue Virus and Zika Virus


Croatia

Malaria No


No





Cuba

Malaria No


No







Curacao

Malaria No


No





Cyprus

Malaria No


No




Update Information This entry was last updated inGDRI Edition 002 Release 18 Issue 002

Czech Republic

Malaria No


No







Denmark

Malaria No


No





Diego Garcia

Malaria No


No





Djibouti




No






Tropical Virus Risk Yes Dengue


Dominica

Malaria No


No





Dominican Republic




No





East Timor







No



Tropical Virus Risk Chikungunya Virus and Dengue VirusYes


Ecuador

Malaria YesAll year in most of the country.

Visitors to Guayaquil, Quito, and other cities in the inter-Andean region and the Galapagos Islands, accept.




Yes




Malarial Map



This map is only intended as a guide and is not exact. The map must always be used in conjunction with the malaria advice text. Map downloaded from on 03 February 2015.http://www.fitfortravel.nhs.uk


Egypt

Malaria No

Previous Malaria Risk Yes all year whole country until Feb 1996Yes Jun-Oct in El Faiyum region until May 2012


No





El Salvador

Malaria

Yes

http://www.fitfortravel.nhs.uk/destinations/south-america--antarctica/ecuador/ecuador-malaria-map.aspx




YesAll year in Santa Ana Province and the borders with Guatemala and Honduras.Risk is very small




Yes





Equatorial Guinea




No





Eritrea

Malaria YesAll year in whole country, visitors to Asmara and the central highlands only, accept.




No




Malarial Map



Malarial Map



Estonia

Malaria No


No





Ethiopia

MalariaYes

http://www.fitfortravel.nhs.uk/destinations/africa/eritrea/eritrea-malaria-map.aspx




YesAll year in whole country. Visitors to city of Addis Ababa only, accept




No





Falkland Islands (Islas Malvinas)

Malaria No


No





Faroe Islands

Malaria No


No







Fiji

Malaria No


No



Tropical Virus Risk Yes Chikungunya virus, Dengue virus and Zika virus


Finland

Malaria No


No





Former Netherlands Antilles

Malaria No


No



Tropical Virus Risk Yes Chikungunya virus and Zika Virus


France

Malaria No





No


West Nile Virus Risk YesDonors who have visited the regions of Alpes-Maritimes and Var, in southeast France, between 1st May and the 30th November must have the WNV Donor Selection Guideline applied.

Alpes-Maritimes and Var are part of the Côte d’Azur. The main towns in these regions are Nice, Antibes, Cannes, Frejus, Saint Tropez and Toulon – see map below (Map data ©2019 GeoBasis-DE/BKG (©2009), Google, Inst. Geogr. National.).


Update Information This entry was last updated inGDRI Edition 002 Release 18 Issue 002

French Guiana

Malaria YesAll year in the area west of the Mana river and south east of the other main river systems.

Visitors to Cayenne, Devils islands and the central area of the country only, accept.




Yes




Malarial Map





French Polynesia

Malaria No


No





French Southern Territories and Antarctic Lands

Malaria No


No


http://www.fitfortravel.nhs.uk/destinations/south-america--antarctica/french-guiana/french-guiana-malaria-map.aspx







Gabon




No





Gambia (The)

Malaria YesAll year in whole country.



No





Georgia

Malaria YesJune - October in the south-east of the country






No





Germany

Malaria No


No





Ghana




No





Gibraltar



Gibraltar

Malaria No


No





Glorioso Islands

Malaria No


No





Golan Heights

Malaria No


No





Greece



Malaria No


No





Greenland

Malaria No


No





Grenada

Malaria No


No





Guadeloupe

Malaria No



Malaria No


No





Guam

Malaria No


No





Guatemala

Malaria YesAll year most of the country.

Visitors to Guatemala City, Antigua and Lake Atitlan only, accept.




Yes







Guernsey

Malaria No


No





Guinea




No





Yes

Ebola outbreak: December 2013 – December 2015


Guinea-Bissau




No







Guyana

Malaria YesThere is a risk of malaria all year for most of the country, visitors to the coast and Georgetown only, accept.




Yes



Tropical Virus Risk Yes Chikungunya Virus and Zika virus


Haiti




No





Heard and McDonald Islands



Malaria No


No





Honduras




Yes





Hong Kong (S.A.R.)

Malaria No

Previous Malaria Risk Yes all year whole country until Feb 1996Yes all year rural areas until Sept 2006


No







Howland Island

Malaria No


No





Hungary

Malaria No


No





Iceland

Malaria No


No







India

Malaria YesAll year in affected areas. Due to the complexity of the distribution the map below should be used. Visitors to 'Low to no risk' areas (pale pink) only, accept.


Previous Malaria Risk Yes all year whole country until May 2012


No




Malarial Map


http://www.fitfortravel.nhs.uk/destinations/asia-(east)/india/india-malaria-map.aspx





Indonesia

Malaria YesAll year in most of the country.Visitors to islands of Bali, Java and the city of Jakarta, accept



No



Tropical Virus Risk Yes Chikungunya Virus, Zika Virus and Dengue


Iran

Malaria YesMalaria risk exists from March to November in rural Iran south of Kerman City




No





Iraq

Malaria YesMalaria risk May to November in areas north and east of Mosul and Kirkuk Cities along the Turkish and Iranian borders.







No




Malarial Map



Ireland

Malaria No


No




Update InformationThis entry was last updated in

http://www.fitfortravel.nhs.uk/destinations/middle-east/iraq/iraq-malaria-map.aspx




This entry was last updated inGDRI Edition 002 Release 01

Isle of Man

Malaria No


No





Israel

Malaria No


No





Italy

Malaria No


No







Jamaica

Malaria No

Previous Malaria Risk Yes all year whole country Dec 2006- May 2012


No



Tropical Virus Risk Yes Chikungunya Virus, Zika virus and Dengue virus


Jan Mayen

Malaria No


No





Japan

Malaria No


No







Jarvis Island

Malaria No


No





Jersey

Malaria No


No





Johnston Atoll

Malaria No


No





Jordan



Jordan

Malaria No


No





Kazakhstan

Malaria No


No





Kenya


Visitors to Nairobi, the highlands (above 2500m) of Central, Eastern, Nyanza, Rift Valley and West Provinces only accept.



No



Tropical Virus Risk Yes Chikungunya Virus and Dengue




Kingman Reef

Malaria No


No





Kiribati

Malaria No


No



Tropical Virus Risk Yes Chikungunya virus and Dengue virus.


Kosovo

Malaria No


No







Kuwait

Malaria No


No





Kyrgyzstan




No





Laos


Visitors to Vientiane, Bokeo, Houaphanh only, accept



No







Latvia

Malaria No


No





Lebanon

Malaria No


No





Leeward Islands (Caribbean)

Malaria No


No



Tropical Virus Risk Yes - most islands in the Leeward Islands (Caribbean) have a Tropical Virus Risk. Please look under the individual island’s name for the appropriate GDRI entry e.g. Montserrat, Guadeloupe, Saint Martin, etc for more detailed information.




Lesotho

Malaria No


No





Lesser Antilles

Malaria No


No



Tropical Virus Risk Yes - most islands in the Lesser Antilles have a Tropical Virus Risk.

Please look under the individual island’s name for the appropriate GDRI entry e.g. Barbados, Grenada etc for more detailed information.


Liberia




No




Viral Haemorrhagic

Fever Risk

Yes

Ebola outbreak: December 2013 - December 2015



Fever Risk Ebola outbreak: December 2013 - December 2015


Libya

Malaria No

Previous Malaria Risk Yes all year south west of country until Feb 1996Yes (Feb-Aug) south west of country until Sept 2006


No





Liechtenstein

Malaria No


No





Lithuania

Malaria No


No








Luxembourg

Malaria No


No





Macau (S.A.R.)

Malaria No


No





Madagascar




No







Malawi




No





Malaysia

Malaria YesAll year in central Peninsular Malaysia and the Taman Negara National Park and all provinces of Sabah and Sarawak (on the island of Borneo)


Previous Malaria Risk Yes all year whole country until Feb 1996Yes all year in rural areas until Sept 2006


No




Malaria Maps





http://www.fitfortravel.nhs.uk/destinations/asia-%28east%29/malaysia/malaysia-malaria-map.aspx








Maldives

Malaria No

Previous Malaria Risk Yes all years whole country Oct 2009


No





Mali








No





Malta

Malaria No


No





Marshall Islands

Malaria No


No





Martinique

Malaria No


No







Mauritania




No





Mauritius

Malaria No

Previous Malaria Risk Yes all year whole country until Sept 2006Yes rural areas of Mauritius Island all year until Dec 2011


No





Mayotte



Mayotte




No





Mexico

Malaria Yes

Malaria risk is present intermittently in some rural areas not normally visited by tourists. These include some areas in the states of Chiapas, Chihuahua, Durango, Nayarit, Quintana Roo and Sinaloa.

There is no risk of malaria in popular tourist destinations including Acapulco, Mexico City, Cancun, Cozumel and the Mayan Riviera.


Previous Malaria Risk Yes all year in rural areas until Sept 2006Yes wide spread (except Cancun) until Dec 2011


Yes




Malarial Map





Micronesia (Federated States of)

Malaria No


No





Midway Islands

Malaria No


No



http://www.fitfortravel.nhs.uk/destinations/north-america/mexico/mexico-malaria-map.aspx







Moldova

Malaria No


No





Monaco

Malaria No


No





Mongolia

Malaria No


No








Montenegro

Malaria No


No





Montserrat

Malaria No


No





Morocco

Malaria No

Previous Malaria Risk Yes all year rural areas until Feb 1996Yes (May-Oct) rural areas until Sept 2006Yes May-Oct in provinces of Al Hoceima, Taounate, and Taza until Dec 2011





No





Mozambique




No





Myanmar




No





Namibia

MalariaYes



YesAll year in the area north of Windhoek except the narrow coastal strip.


Previous Malaria Risk Yes all year whole country until Feb 1996Yes all year northern regions until May 2015


No




Malarial Map

This map is only intended as a guide and is not exact. The map must always be used in conjunction with the malaria advice text. Map downloaded from on 08 May 2015.http://www.fitfortravel.nhs.uk


Nauru

Malaria No

Trypanasoma Cruzi

Risk

No

http://www.fitfortravel.nhs.uk/destinations/africa/namibia/namibia-malaria-map.aspx




Risk





Navassa Island

Malaria No


No





Nepal

Malaria YesAll year in low lying areas in the South of the country.

Donors who have flown to Kathmandu and stayed within the Himalaya area, accept.

Donors who have travelled overland from the Indian border and have travelled in the Southern lower plains along the Indian border, treat as malaria risk.




No



Tropical Virus Risk Yes Dengue Virus




Netherlands

Malaria No


No




No


New Caledonia

Malaria No


No





New Zealand

Malaria No


No





Nicaragua



Nicaragua


Visitors to Managua only, accept



Yes





Niger




No





Nigeria




No







Yes


Niue

Malaria No


No





Norfolk Island

Malaria No


No





North Korea (Democratic Peoples Republic of)

Malaria YesAll year in the de-militarized zone between North and South Korea (Kyunggi-do and Gangwon-do provinces)



No







North Macedonia

Malaria No


No





Northern Mariana Islands

Malaria No


No





Norway

Malaria No


No







Oman

Malaria YesRisk is restricted to limited foci in remote areas in the north, including Musandam provinces all year.

Muscat is normally considered to be malaria free




No



Tropical Virus Risk YesDengue Virus. Donors who have visited Muscat and the surrounding region must have the Tropical Virus Risk Donor Selection Guideline applied. This risk applies all year


Pakistan




No







Palau

Malaria No


No





Palmyra Atoll

Malaria No


No





Panama


Travellers who visited the Canal Zone and Panama City exclusively may be accepted.




Yes








Papua New Guinea




No





Paracel Islands

Malaria No


No





Paraguay

Malaria YesRisk all year in the Alto Parana and Caaguazú departments (along the south eastern border with Brazil).





Previous Malaria Risk Yes all year whole country until Feb 1996Yes (Oct-May) rural areas until Sept 2006


Yes





Peru

Malaria Yes

Malaria is present in the country East of the Andes below 2000m.

There is virtually no risk above this altitude in the Andes. No risk to the West of the Andes along the Pacific coast (except in the extreme northern coastal area).

Travellers to Lima, the Inca trail routes taken by trekkers to Cuzco City, Machu Picchu, and Lake Titicaca can be accepted.


Previous Malaria Risk Yes all year whole country until Feb 1996Yes all year rural areas below 1500m until Sept 2006


Yes




Malarial Map





Philippines

Malaria YesAll year in affected areas. Due to the complexity of the distribution the map below should be used. Visitors to ‘Low to no risk’ areas (pale pink) only, accept.




No




Malarial Map

http://www.fitfortravel.nhs.uk/destinations/south-america--antarctica/peru.aspx




This map is only intended as a guide and is not exact. The map must always be used in conjunction with the malaria advice text. Map downloaded from on 23 June 2017..http://www.fitfortravel.nhs.uk


Pitcairn Islands

Malaria No


No





http://www.fitfortravel.nhs.uk/destinations/asia-(east)/philippines/philippines-malaria-map.aspx




Poland

Malaria No


No





Polynesia

Polynesia is made up of over 1000 islands in the Central and Southern Pacific ocean. Please look under the name of the individual islands donors have visited e.g. Tonga, Samoa, Cook Islands, French Polynesia, Norfolk Islands etc for advice on what travel criteria apply


Portugal

Malaria No


No



Tropical Virus Risk Yes Dengue in Madeira. Donors who have visited this island must have the Tropical Virus Donor Selection Guideline applied.


Puerto Rico

Malaria NoN.B. there is a Puerto Rico airport in Bolivia.


No








Qatar

Malaria No


No





Reunion

Malaria No


No





Romania

Malaria No


No







Russia

Malaria No


No


West Nile Virus Risk Yes

Donors who have visited the following regions of Russia between 1st May and the 30th November must have the WNV Donor Selection Guideline applied. Altayskiy Kray, Adygeya republic, Lipetskaya, Novosibirskaya, Voronezhskaya, Volgogradskaya, Rostovskaya, Astrakhanskaya, Belgorodskaya, Samarskaya, Saratovskaya, Chelyabinskya oblasts and the Tatarstan Republic.

These oblasts are also known as the regions of Altai, Astrakhan, Rostov, Volgograd, Lipetsk, Novosibirsk, Voronezhthese, Belgorod, Samara, Saratov, and Chelyabinsk and which are in the south west of the Russian Federation just north of the Black and Caspian seas.



Rwanda




No





Saint Barthelemy

Malaria No

Trypanasoma Cruzi

Risk

No



Risk





Saint Helena

Malaria No


No





Saint Kitts and Nevis

Malaria No


No





Saint Lucia

Malaria No


No








Saint Martin

Malaria No


No





Saint Pierre and Miquelon

Malaria No


No





Saint Vincent and the Grenadines

Malaria No


No




Update Information This entry was last updated in




Samoa

Malaria No


No





San Marino

Malaria No


No





Sao Tome and Principe




No







Saudi Arabia

Malaria YesRisk in the South and West provinces.

No risk in the Eastern, Northern and Central provinces, Jeddah, Mecca, Medina and Taif.


Previous Malaria Risk Yes all year whole country (except urban Jeddah, Mecca, Medina and Taif) until Sept 2006


No





Senegal




No





Yes


Serbia

Malaria No


No







Seychelles

Malaria No


No





Sierra Leone




No





Yes

Ebola outbreak: December 2013 - December 2015


Singapore

Malaria No




No



Tropical Virus Risk Yes Chikungunya Virus, Zika Virus and Dengue Virus


Sint Maarten

Malaria No


No





Slovakia

Malaria No


No





Slovenia

Malaria No


No


West Nile Virus Risk

Yes



Yes Donors who have visited between 1st May and the 30th November must have the WNV Donor Selection Guideline applied.



Solomon Islands




No





Somalia




No



Tropical Virus Risk Yes Dengue Virus and Chikungunya Virus


South Africa

Malaria YesThere is an all year risk in some rural areas in the North East of the country including the Kruger National Park and Limpopo Transfrontier Park.

No risk in Sun City.




Previous Malaria Risk Yes all year whole country until Feb 1996Yes all year NE areas until Sept 2006


No




Malarial Map



South Georgia and the South Sandwich Islands

Malaria No


No




http://www.fitfortravel.nhs.uk/destinations/africa/south-africa/south-africa-malaria-map.aspx





South Korea (Republic of)

Malaria YesAll year in the de-militarized zone between North and South Korea (Kyunggi-do and Gangwon-do provinces).

No risk in the main tourist destinations including Seoul.



No





South Sudan




No





Spain

Malaria No


No





West Nile Virus Risk YesDonors who have visited the region of Andalusia between 1st May and the 30th November must have the WNV Donor Selection Guideline applied.

Andalusia is a region in the south of Spain. It includes the cities of Seville, Malaga, Cordoba and Granada. See map below (map data @2020 TomTom @ 2020 HERE @ 2020 Microsoft Corporation).



Spratly Islands

Malaria No


No





Sri Lanka

Malaria No




Previous Malaria Risk Yes all year whole country until Dec 2011Yes all year northern half of country Dec 2011– Feb 2015


No





Sudan




No



Tropical Virus Risk Yes Chikungunya Virus and Dengue Virus


Yes


Suriname


Visitors to the seven coastal districts and savannah areas and Paramaribo City only, accept.




Yes







Svalbard

Malaria No


No





Swaziland


Visitors to airport of Manzine and western half of country only, accept.




No





Sweden

Malaria No


No







Switzerland

Malaria No


No





Syria

Malaria YesMust be considered to be all year in whole country in view of current situation.


Previous Malaria Risk Yes all year whole country until Feb 1996Yes May – Oct along northern border with Turkey and Northern part of country until May 2012


No





Taiwan

Malaria No





No





Tajikistan

Malaria YesJune - October particularly in southern border areas (Khatlon region) central region (Dushanbe) western region (Gorno-Badakhshan) and northern region (Leninabad)



No





Tanzania




No





Thailand



Thailand

Malaria YesAll year in areas along the borders - refer to map. There is also risk in inland areas of Surat Thani province.

Visitors to all other areas including the cities of Bangkok, Chiang Mai, Chiang Rai, Pattaya, Phuket and the islands of Ko Samui and Ko Chang and the River Quai bridge area, accept




No




Malarial Map





Togo




No

http://www.fitfortravel.nhs.uk/destinations/asia-%28east%29/thailand/thailand-malaria-map.aspx








Tokelau

Malaria No


No





Tonga

Malaria No


No





Trinidad and Tobago

Malaria No


No



Tropical Virus Risk Yes Dengue and Zika Virus

Update Information This entry was last updated in




Tromelin Island

Malaria No


No





Tunisia

Malaria No


No





Turkey

Malaria Yes

Malaria occurs from May to October, mainly in the south-eastern part of the country, the Syria and Iraq borders and in the Cukurova Plain east of Adana.

There is no malaria risk in the main tourist areas in the west and south-west of the country.

Visitors to the popular tourist resorts served by the airports in Bodrum, Antalya and Dalaman can be accepted.






No




Malarial Map

This map is only intended as a guide and is not exact. The map must always be used in conjunction with the malaria advice text. Map downloaded from on 03 February 2015.http://www.fitfortravel.nhs.uk


Turkmenistan

Malaria No

Previous Malaria Risk Yes Jun – Oct in South Eastern border regions until Sept 2015


No





Turks and Caicos Islands

Malaria No

Trypanasoma Cruzi

Risk

No

http://www.fitfortravel.nhs.uk/destinations/europe--russia/turkey/turkey-malaria-map.aspx




Risk





Tuvalu

Malaria No


No





Uganda




No





Yes


Ukraine

Malaria No





No





United Arab Emirates

Malaria No

Previous Malaria Risk Yes all year whole country until Feb 1996Yes in East of country until Dec 2011 with no risk in the cities of Abu Dhabi, Dubai, Sharjah, Ajman and Umm al Qaiwain


No





United Kingdom

Malaria No


No





United States of America

Malaria No



Malaria No


No


West Nile Virus Risk Yesin all regions of the USA except Hawaii, Alaska and US Virgin Islands (St Choix, St John and St Thomas in the Leeward Islands)

Donors who have visited between 1st May and the 30th November must have the WNV Donor Selection Guideline applied.

Tropical Virus Risk Yes Chikungunya Virus and Zika virus in the US Virgin Islands (St Choix, St John and St Thomas in the Leeward Islands). Dengue virus in Hawaii.

Donors who have visited these islands must have the Tropical Virus Donor Selection Guideline applied.


Uruguay

Malaria No


Yes



Tropical Virus Risk Yes Dengue Virus


Uzbekistan

Malaria No


No







Vanuatu




No



Tropical Virus Risk Yes Dengue virus and Zika virus


Venezuela

Malaria YesAll year in Amazonia, Apure, Bolivar and delta Amacuro states. Also along the border with Guyana Brazil and Colombia.

No risk in the city of Caracas or on Margarita island.



Yes





Vietnam


Visitors to Ho Chi Min City, Hanoi, Da Nang and their 4 international airports, the Red River and Mekong deltas, Phu Quoc Island and coastal plains only, accept. Refer to map.






No



Tropical Virus Risk Yes Chikungunya virus, Zika virus and Dengue virus

Malarial Map

This map is only intended as a guide and is not exact. The map must always be used in conjunction with the malaria advice text. Map downloaded from on 23 June 2017.n .http://www.fitfortravel.nhs.uk


http://www.fitfortravel.nhs.uk/destinations/asia-(east)/vietnam/vietnam-malaria-map.aspx




Wake Atoll

Malaria No


No





Wallis and Futuna

Malaria No


No



Tropical Virus Risk Yes Dengue virus.



Malaria No


No





West Indies

See See specific island(s) visitied



See See specific island(s) visitied

Windward Islands (Caribbean)

Malaria No


No





Yemen

Malaria YesAll year in most of the country, visitors to Sana'a only, accept.


Previous Malaria Risk Yes all year whole country (except Aden and airport) until Sept 2015


No




Malarial Map





Zambia




No





Zimbabwe


Visitors to Harare and Bulawayo and the central mountainous region only, accept



Trypanasoma Cruzi

Risk

No

http://www.fitfortravel.nhs.uk/destinations/middle-east/yemen/yemen-malaria-map.aspx




Risk







Latest Updates

This page lists all changes to GDRI 001 after Release 01.

The changes are listed with the most recent change at the top.

Changes made to Edition 002 after Release 01

Changes made with Release 27

Spain - Change Notification No. 60 - 2020


Germany - Change Notification No. 50 - 2020


Spain - Change Notification No. 49 - 2020


Changes made to:CambodiaIranItalyLaosMyanmarVietnamChinaHong Kong (S.A.R.)JapanMacau (S.A.R.)MalaysiaSIngaporeSouth Korea (Republic of)TaiwanThailandPreliminaries - Malaria - Airport Stopovers - Change Notification No. 14 - 2020


Italy - Change Notification No. 12 - 2020


Changes made to:CambodiaIranItalyLaosMyanmarVietnam - Change Notification No. 11 - 2020


Coronavirus - Change Notification No. 07 - 2020


Changes made to:



Changes made to:Hong Kong (S.A.R)JapanMacau (S.A.R)MalaysiaSingaporeSouth Korea (Republic of)TaiwanThailand - Change Notification No. 06 - 2020


China - Change Notification No. 04 - 2020

Changes made with Release 18 Issue 002

France and Cyprus - Change Notification No. 33 - 2019

Changes made with Release 18 Issue 001

Oman - See Change Notification No. 24 - 2019United States of America - See Change Notification No. 25 - 2019Former Yugoslav Republic of Macedonia - See Change Notification No. 28-2019Timor - See Change Notification No. 29-2019Tropical Risk - See Change Notification No. 30-2019


Tropical Risk - See Change Notification No. 06 - 2019Cape Verde - See Change Notification No. 05 - 2019


Slovenia - See Change Notification No. 35 - 2018Japan - See Change Notification No.18 - 2018United Arab Emirates - See Change Notification No.19 - 2018


This release was superseded by Release 16 on 17 September because of emergency Change Notification No 35 - 2018


Changes made to:

FranceMonacoSee Change Notification No.34 - 2018


Changes made to:

GuineaLiberiaSierra LeoneSee Change Notification No.16 - 2018


Chikungunya Virus - Italy See Change Notification No.03 - 2018


Chikungunya Virus - Italy See Change Notification No.25 - 2017





Changes made to:

Burkina FasoCote D'IvoireAngolaBurindiCameroonCentral African RepublicNigeriaSenegalUgandaIndiaSee Change Notification No.20 - 2017


Changes made to:

AzerbaijanBelizeBorneoCambodiaChinaColombiaEritreaGeorgiaKo SamuiLaosMalaysiaNepalPhilippinesSri LankaThailandVietnamSee Change Notification No.16 - 2017


Chikungunya Virus - Somalia See Change Notification No. 09 - 2017Tropical Risk Virus - Palau and Montserrat See Change Nofication No. 08 - 2017


Name amendment of Brunei Darusslam and addition of Malaria See Change Notification No. 38 - 2016Changes made to Mexico See Change Notification No. 39 -2016New entry Polynesia See Change Notification No. 40 -2016Changes made:

Zika Virus has been added to the Tropical Virus Risk for the following countries:

AnguillaAntigua and BarbudaThe BahamasBangladeshBritish Virgin IslandsCambodiaCook IslandsFrench PolynesiaGabonGrenadaIndonesiaLaosMalaysiaPeruSaint Barthelemy

Saint Kitts and Nevis



Saint Kitts and NevisSingaporeTurks and Caicos Islands

A Tropical Virus Risk has been added to the following countries:

The Cayman IslandsGuinea – BissauArgentinaEaster Island (Chile) See Change Notification No.41 - 2016Tropical Virus Risk - Lesser Antilles See Change Notification No. 42 - 2016Tropical Virus Risk - Uruguay See Change Notification No. 43 - 2016


Tropical Virus Risk - United States of America See Change Notification No. 49 - 2016


Addition of Malaria - Previous risk See Change Notification No. 22 - 2016


Changes made to:

ArubaBelizeJamaicaMicronesia (Federated States of)Papua New GuineaPhilippinesSaint LuciaSint MaartenVietnam See Change Notification No. 30 - 2016


Changes made to:

CubaDominicaFormer Netherlands Antilles (Bonaire)MaldivesMarshall IslandsSaint Vincent and the GrenadinesThailandTongaTrinidad and Tobago See Change Notification No. 17 - 2016


Addition of Zika virus to Tropical Virus Risk category See Change Notification No 13 and 14 - 2016

Changes made with Edition 002 Release 001A Complete rewrite of the GDRI See Change Notification No 10 - 2016

Changes made to Edition 001 after Release 01

Changes made with Release 31Malaria - preliminaries in the Geographcal Disease Risk Index See Change Notication No. 27 - 2015Malaria. See Change Notification No. 28 - 2015

Changes made with Release 30Middle East Repiratory Syndrome Corona Virus (MERS-CoV) in Saudi Arabia See Change Notification No. 24 - 2015

Changes made with Release 29 Namibia See Change Notification No. 13 - 2015 Chikungunya Virus See Change Notification No. 14 – 2015Tahiti, The Pacific Leeward Islands, The Pacific Windward Islands, The Society Islands, Ahē, Bora Bora, Hiva 'Oa, Huahine,

Mai'ao, Maupiti, Meheti'a, Mo'orea, Nuku Hiva, Raiatea, Taha'a, Tetiaroa, Tupua'i, Tūpai, The Tuamotu Archipelago, The



Mai'ao, Maupiti, Meheti'a, Mo'orea, Nuku Hiva, Raiatea, Taha'a, Tetiaroa, Tupua'i, Tūpai, The Tuamotu Archipelago, The Gambier Islands, the Marquesas Islands The Austral Islands and The Bass Islands have been added to the index and taken to French Polynesia

Changes made with Release 28Malaria Maps See Change Notification No. 06 - 2015 Preliminary pages have been updated with advice for use of malaria maps

Changes made with Release 27Viral Haemorrhagic Fever Risk See Change Notification No. 43 – 2014Preliminary pages have been updated.

Changes made with Release 26West Nile Virus Risk See Change Notification No. 42 – 2014

Changes made with Release 25Chikungunya Virus Risk See Change Notification No. 41 – 2014Grenadines has been removed as a topic and now links in the Index to Saint Vincent and the Grenadines

Changes made with Release 24Chikungunya Virus Risk See Change Notification No. 27 - 2014Diego Garcia has been added See Change Notification No. 28 - 2014

Changes made with Release 23Changes made to Dominican Republic and Saint Lucia. See Change Notification No. 26 - 2014

Changes made with Release 22Changes made to:British Virgin IslandsAnguillaSaint MartinSint MaartenSaint BathelemyFormer Netherlands AntillesAntigua and BarbudaSt Kitts and NevisMontserratGuadeloupeDominicaMartinique see Change Notification No. 01 - 2014

Changes made with Release 21 Issue 02The topic Virgin Islands and appendix1 have been removed and updates to information in the Welcome page and Preliminaries pages – Introduction, Document and Change Control have been made

Changes made with Release 21Changes made to Austria, Bosnia and Herzegovina, Bulgaria, Montenegro and Russia see Change Notification No. 14 - 2013

Changes made with Release 20Chikungunya Virus Risk See Change Notification No. 04 - 2013A new topic for South Sudan has been addedChanges have been made to a number of topics for Chikungunya risk

East Timor topic title has been changed to TimorCongo (Democratic Republic of - Kinshasa) topic title has been changed to CongoIndex names have been updated for links to Congo and TimorNetherlands Antilles topic title changed to Former Netherlands AntillesVirgin Islands topic removedAdditional Antilles Islands added with links to relevant topics.

Changes made with Release 19Changes made toHungary, Croatia and Kosovo See Change Notification No. 25 - 2012Changes made toAlgeria See Change Notification No. 26 - 2012

Changes made with Release 18Changes made toIran, Iraq and Vietnam see Change Notification No. 20 - 2012

Changes made to



Changes made toUnited States of America see Change Notification No. 21 - 2012Search facility updated

Changes made with Release 17Changes made toWest Bank, Gaza Strip, Tunisia, Greece, Serbia and Russiasee Change Notification No. 19 - 2012Index items for West Bank, Gaza Strip and Palestine Occupied Territories, Palestine Occupied Territories and Transjordan added.

Changes made with Release 16Changes made toCambodia, Columbia, Ecuador, Egypt, Ethiopia, Guatemala, India, Indonesia, Jamaica, Kenya, Laos, Namibia, Nicaragua, Suriname, Swaziland, Syria, Thailand, Vietnam and Zimbabwesee Change Notification No. 14 - 2012Index items for Sicily, Corsica and Koh Samui added.

Changes made with Release 15Changes made toAlbania, Canada, Greece, Israel, Italy, Macedonia (FYR), Romania, Russia, Saint Pierre and Miquelon, Turkey and USA.

see Change Notification No. 04 - 2012

Changes made with Release 14 Issue 02Malaria Risk updated for Morocco, Mauritius, Costa Rica, Peru, Panama, Sri Lanka, United Arab EmiratesSpelling of Malaria corrected on all Malaria Risk Category Subheadings.Preliminaries Introduction page contact information has been updated.

Changes made with Release 14Changes made toItaly see Change Notification No. 19 - 2011

Changes made with Release 13Changes made toMacedonia, Russia and Turkey see Change Notification No. 18 - 2011

Changes made with Release 12Changes made toAlbania, Israel and Russia see Change Notification No. 15 - 2011

Changes made with Release 11Changes made toRomania see Change Notification No. 12 - 2011Greece see Change Notification No. 13 - 2011

Changes made with Release 10Changes made tosee Change Notification No. 10 - 2010

Changes made with Release 09Changes made toMaldives see Change Notification No. 27 - 2009

Changes made with Release 08Changes made toItaly see Change Notification No. 25 - 2009Canada, United States of America see Change Notification No. 26 - 2009

Changes made with Release 07Changes made toItaly see Change Notification No. 11 - 2009This reverses the changes made with Change Notification No. 05 - 2007.

Changes made with Release 06This release is the first implementation of the GDRI on the website. Layout and ordering of entries may differ on the website as compared to the Portable Document File (PDF) but there are no changes to the wording of any entries. Consequently no new PDF file is released.




Changes made with Release 05Errata corrections made toItaly see Change Notification No. 05 - 2007Jamaica see Change Notification No. 20 - 2006

Changes made with Release 04Introduction – Malaria: Airport stopovers see Change Notification No. 15 - 2007

Changes made with Release 03Bahamas (The) see Change Notification No. 07 - 2007Canada see Change Notification No. 08 - 2007United States of America see Change Notification No. 08 - 2007

Changes made with Release 02Egypt see Change Notification No. 02 - 2007Ethiopia see Change Notification No. 02 - 2007



Changes to the Guidelines

united kingdom blood transfusion services (ukbts) national ... · gdri 002 (18 january 2016)...

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