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Geographical Disease Risk Index

GDRI 002 (Published 18 January 2016) Release 08 (Published 21 February 2017) page 1 of 128

United Kingdom Blood Transfusion Services (UKBTS)

&

National Institute for Biological Standards and Control (NIBSC)

Geographical Disease Risk Index (GDRI)

Edition 002 - Published 18 January 2016

Release 08 - Published 21 February 2017

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 SP Field, 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 Stuart BlackmoreNHS Blood and TransplantNorth Bristol ParkFiltonBristolBS34 7QH

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

This section was last updated in GDRI Edition 002, Release 07 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 ................................................................................................................................................. 25

Latest Updates ......................................................................................................................................... 124

Changes to the Guidelines ...................................................................................................................... 128



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 Quality ManagerControl and 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]




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 allonly provide 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 maps present information about The 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 only Risk Index.


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 117Acre (Brazil) Brazil 36Acre (Israel) Israel 68Adana Turkey 115Addis Ababa Ethiopia 52Aden Yemen 122Afghanistan Afghanistan 25Ahē French Polynesia 55Ajman United Arab Emirates 117Aklan Philippines 96Al Hoceima Morocco 85Alajuela Costa Rica 45Alaska United States of America 118Albania Albania 25Algeria Algeria 26Alto Parana Paraguay 94Amacuro Venezuela 119Amapa Brazil 36Amazon Brazil 36Amazon River (Brazil) Brazil 36Amazon River (Peru) Peru 95Amazonas Brazil 36Amazonia (Brazil) Brazil 36Amazonia (Venezuela) Venezuela 119American Samoa American Samoa 26Amikova Plain Turkey 115Andaman and Nicobar Islands India 64Andorra Andorra 26Anegada British Virgin Islands 37Angola Angola 27Anguilla Anguilla 27Antalya Turkey 115Antarctica Antarctica 27Antigua Antigua and Barbuda 28Antigua and Barbuda Antigua and Barbuda 28Apure Venezuela 119Ararat Valley Armenia 28Argentina Argentina 28Armenia Armenia 28



For See PageAruba Aruba 29Ascension Islands Saint Helena 99Ashmore and Cartier Islands Ashmore and Cartier Islands 29Asir Saudi Arabia 102Asmara Eritrea 51Austral Islands (The) French Polynesia 55Australia Australia 29Austria Austria 29Ayacucho Peru 95Azerbaijan Azerbaijan 30Azores Portugal 97

BBahamas (The) Bahamas (The) 30Bahrain Bahrain 30Baker Island Baker Island 31Baku Azerbaijan 30Balearic Islands Spain 107Bali Indonesia 65Bangkok Thailand 112Bangladesh Bangladesh 31Bara Nepal 88Barbados Barbados 32Barbuda Antigua and Barbuda 28Basra Iraq 66Bass Islands (The) French Polynesia 55Beijing China 41Belarus Belarus 32Belem City Brazil 36Belgium Belgium 33Belize Belize 33Belorussia Belarus 32Beni Bolivia 34Benin Benin 33Bermuda Bermuda 34Bhutan Bhutan 34Bilaran Philippines 96Boa Vista (Brazil) Brazil 36Boa Vista (Cape Verde) Cape Verde 40Bohol Philippines 96Bolivar Venezuela 119Bolivia Bolivia 34



For See PageBonaire Former Netherlands Antilles 54Bora Bora French Polynesia 55Borneo Borneo 35Bosnia Bosnia and Herzegovina 35Bosnia and Herzegovina Bosnia and Herzegovina 35Boteti Botswana 35Botswana Botswana 35Bouvet Island Bouvet Island 36Brazil Brazil 36British Antarctic Antarctica 27British Virgin Islands British Virgin Islands 37Brunei Darussalam Brunei Darussalam 37Bulgaria Bulgaria 38Burkina Faso Burkina Faso 38Burma Myanmar 85Burundi Burundi 38Bushehr Iran 66

CCaaguazú Paraguay 94Cabina Congo 45Cajamarca Peru 95Cambodia Cambodia 39Cameroon Cameroon 39Camiguin Philippines 96Campeche Mexico 82Canada Canada 39Canal zone Panama 93Canary Islands Spain 107Cancun Mexico 82Canendiyu Paraguay 94Cape Verde Cape Verde 40Capiz Philippines 96Caracas Venezuela 119Caribbean See specific island(s) visitedCatanduanes Philippines 96Cayman Islands Cayman Islands 40Cebu Philippines 96Central African Republic Central African Republic 40Cerro de Pasco Peru 95Chachapoyas Peru 95Chad Chad 41



For See PageChahar Mahal va Bakhtiari Iran 66Chanca-Andahuaylas Peru 95Chang Jiang River China 41Chiang Mai Thailand 112Chiapas Mexico 82Chihuahua Mexico 82Chile Chile 41China China 41China (Hong Kong) Hong Kong (S.A.R.) 63Chirang Bhutan 34Chobe Botswana 35Christmas Island Christmas Island 42Chuquisaca Bolivia 34Clipperton Island Clipperton Island 43Cochabamba Bolivia 34Cocos (Keeling) Islands Cocos (Keeling) Islands 43Colombia Colombia 43Colombo Sri Lanka 108Comoros Comoros 44Congo Congo 45Cook Islands Cook Islands 45Corfu Greece 58Corrientes Argentina 28Corsica France 54Costa Rica Costa Rica 45Cote D'Ivoire Cote D'Ivoire 46Crete Greece 58Croatia Croatia 46Cuba Cuba 46Cukurova Turkey 115Curacao Curacao 47Cusco Peru 95Cutervo Peru 95Cuzco City Peru 95Cyprus Cyprus 47Czech Republic Czech Republic 47Czechoslovakia Czech Republic 47

DDemocratic Republic of the Congo Congo 45Denmark Denmark 47Dhaka City Bangladesh 31



For See PageDhanukha Nepal 88Diego Garcia Diego Garcia 48Djibouti Djibouti 48Dominica Dominica 48Dominican Republic Dominican Republic 49Dubai United Arab Emirates 117Duhok Iraq 66Durango Mexico 82Dushanbe Tajikistan 111Dutch Antilles Former Netherlands Antilles 54

EEast Timor Timor 113Easter Island Chile 41Ecuador Ecuador 49Egypt Egypt 50El Faiyum Egypt 50El Oro Ecuador 49El Salvador El Salvador 50Ellice Islands Kiribati 71Equatorial Guinea Equatorial Guinea 51Erbil Iraq 66Eritrea Eritrea 51Esmeraldas Ecuador 49Estonia Estonia 52Ethiopia Ethiopia 52

FFalkland Islands (Islas Malvinas) Falkland Islands (Islas Malvinas) 53Faroe Islands Faroe Islands 53Fars Iran 66Federated States of Micronesia Micronesia (Federated States of) 83Fiji Fiji 53Finland Finland 54Former Netherlands Antilles Former Netherlands Antilles 54France France 54French Guiana French Guiana 54French Polynesia French Polynesia 55French Southern Territories and Antarctic Lands French Southern Territories and Antarctic Lands 56Fuerteventura Spain 107Fujian China 41

GGabon Gabon 56Galapagos Islands Ecuador 49Gambia (The) Gambia (The) 56



For See PageGambier Islands (The) French Polynesia 55Gangwon-do (N Korea) North Korea (Democratic Peoples Republic of) 91Gangwon-do (S Korea) South Korea (Republic of) 107Gansu China 41Gaza Strip West Bank, Gaza Strip and Palestine Occupied

Territories121

Gelephu (Gelyephug) Bhutan 34Georgia Georgia 57Germany Germany 57Ghana Ghana 57Gibraltar Gibraltar 58Gilbert Islands Kiribati 71Glorioso Islands Glorioso Islands 58Goa India 64Golan Heights Golan Heights 58Gomera Spain 107Gorno-Badakhshan Tajikistan 111Gran Canaria Spain 107Greece Greece 58Greenland Greenland 59Grenada Grenada 59Grenadines Saint Vincent and the Grenadines 101Guadeloupe Guadeloupe 59Guam Guam 60Guanacaste Costa Rica 45Guangdong China 41Guangxi China 41Guatemala Guatemala 60Guayaramerin Bolivia 34Guayas Ecuador 49Guernsey Guernsey 60Guerrero Mexico 82Guimaras Philippines 96Guinea Guinea 61Guinea-Bissau Guinea-Bissau 61Guizhou China 41Guyana Guyana 61

HHainan island China 41Haiti Haiti 62Hawaii United States of America 118Heard and McDonald Islands Heard and McDonald Islands 62



For See PageHeilongjiang China 41Herzegovina Bosnia and Herzegovina 35Hierro Spain 107Himachal Pradesh India 64Hiva 'Oa French Polynesia 55Holland Netherlands 88Honduras Honduras 63Hong Kong (S.A.R.) Hong Kong (S.A.R.) 63Hormozgan Iran 66Howland Island Howland Island 63Huahine French Polynesia 55Huancavelica Peru 95Huang He River China 41Hungary Hungary 64

IIbiza Spain 107Iceland Iceland 64Ihrir Algeria 26Ilam Iran 66Illizi Algeria 26Iloilo Philippines 96Inca Trail Peru 95India India 64Indonesia Indonesia 65Indonesian Timor Timor 113Iran Iran 66Iraq Iraq 66Ireland Ireland 67Irian Jaya Island Indonesia 65Island of Dominica Dominica 48Isle of Man Isle of Man 67Israel Israel 68Italy Italy 68Ivory Coast Cote D'Ivoire 46

JJaen (Peru) Peru 95Jaen (Spain) Spain 107Jakarta Indonesia 65Jalisco Mexico 82Jamaica Jamaica 68Jammu and Kashmir India 64Jan Mayen Jan Mayen 69



For See PageJapan Japan 69Jarvis Island Jarvis Island 69Java Indonesia 65Jeddah Saudi Arabia 102Jersey Jersey 69Jilin China 41Johnston Atoll Johnston Atoll 70Jordan Jordan 70Jost Van Dyke British Virgin Islands 37Jujuy Argentina 28Junin (Colombia) Colombia 43Junin (Ecuador) Ecuador 49Junin (Peru) Peru 95

KKalimantan Indonesia 65Kalutara Sri Lanka 108Kampuchea Cambodia 39Kapilvastu Nepal 88Kavango River Namibia 86Kazakhstan Kazakhstan 70Keeling Islands Cocos (Keeling) Islands 43Kenya Kenya 71Kerman Iran 66Khachmas Azerbaijan 30Khatlon Tajikistan 111Khuzestan Iran 66Kingman Reef Kingman Reef 71Kiribati Kiribati 71Kirkuk Iraq 66Koh Samui Thailand 112Kohgiluyeh va Buyer Ahmad Iran 66Korea (North) North Korea (Democratic Peoples Republic of) 91Korea (South) South Korea (Republic of) 107Kosovo Kosovo 72Kruger Park South Africa 106Kunene River Namibia 86Kuwait Kuwait 72Kwazulu Natal South Africa 106Kyrgyzstan Kyrgyzstan 72Kyunggi-do (N Korea) North Korea (Democratic Peoples Republic of) 91Kyunggi-do (S Korea) South Korea (Republic of) 107



For See Page

LLa Desirade Guadeloupe 59La Libertad Peru 95La Paz Bolivia 34Lacareja Bolivia 34Lake Titikaka Peru 95Lambayeque Peru 95Lanzarote Spain 107Lao Peoples Republic Laos 73Laos Laos 73Latvia Latvia 73Lebanon Lebanon 73Leeward Islands (Caribbean) Leeward Islands (Caribbean) 74Leeward Islands (Pacific) French Polynesia 55Leninabad Tajikistan 111Les Saintes Guadeloupe 59Lesotho Lesotho 74Lesser Antilles Lesser Antilles 74Leyte Philippines 96Liberia Liberia 74Libya Libya 75Liechtenstein Liechtenstein 75Limon (Costa Rica) Costa Rica 45Limon (Dominican Republic) Dominican Republic 49Lithuania Lithuania 76Lombok Indonesia 65Lorestan Iran 66Loreto (Italy) Italy 68Loreto (Mexico) Mexico 82Loreto (Peru) Peru 95Los Rios Ecuador 49Luciano Castillo Peru 95Luxembourg Luxembourg 76

MMacao Macau (S.A.R.) 76Macapa Brazil 36Macau (S.A.R.) Macau (S.A.R.) 76Macedonia - Former Yugoslav Republic of Macedonia

Macedonia - Former Yugoslav Republic of Macedonia

76

Macedonia - Greek Macedonia Greece 58Machu Picchu Peru 95Madagascar Madagascar 77Madeira Portugal 97



For See PageMahotari Nepal 88Mai'ao French Polynesia 55Majorca Spain 107Malawi Malawi 77Malaysia Malaysia 77Maldives Maldives 79Mali Mali 79Malta Malta 80Manabi Ecuador 49Manaus Brazil 36Manila Philippines 96Maraba Brazil 36Maranhao Brazil 36Margarita Venezuela 119Margarita island Venezuela 119Marie-Galante Guadeloupe 59Marquesas Islands (The) French Polynesia 55Marshall Islands Marshall Islands 80Martinique Martinique 80Mary Turkmenistan 116Masbate Philippines 96Mato Grosso Brazil 36Maupiti French Polynesia 55Mauritania Mauritania 81Mauritius Mauritius 81Mayotte Mayotte 81Mecca Saudi Arabia 102Medina Saudi Arabia 102Meheti'a French Polynesia 55Mexico Mexico 82Michoacán Mexico 82Micronesia (Federated States of) Micronesia (Federated States of) 83Midway Islands Midway Islands 83Minorca Spain 107Misiones Argentina 28Mo'orea French Polynesia 55Moldova Moldova 83Monaco Monaco 84Mongolia Mongolia 84Montenegro Montenegro 84



For See PageMontserrat Montserrat 84Morocco Morocco 85Morona-Santiago Ecuador 49Mozambique Mozambique 85Mpumalanga South Africa 106Musandam Oman 92Myanmar Myanmar 85

NNamibia Namibia 86Napo Ecuador 49Nauru Nauru 87Navassa Island Navassa Island 87Nayarit Mexico 82Nei Mongol China 41Nepal Nepal 88Netherlands Netherlands 88Nevis Saint Kitts and Nevis 100New Caledonia New Caledonia 88New Hebrides Vanuatu 119New Zealand New Zealand 89Ngamiland Botswana 35Nicaragua Nicaragua 89Nicobar Islands India 64Niger Niger 89Nigeria Nigeria 90Ninawa Iraq 66Ningxia China 41Niue Niue 90Norfolk Island Norfolk Island 90North Batinah China 41North Korea (Democratic Peoples Republic of) North Korea (Democratic Peoples Republic of) 91Northern Mariana Islands Northern Mariana Islands 91Norway Norway 91Nuku Hiva French Polynesia 55Nuwara Eliya Sri Lanka 108

OOaxaca Mexico 82Okavango Botswana 35Omaheke Namibia 86Oman Oman 92Otjozondjupa Namibia 86

PPakistan Pakistan 92



For See PagePalau Palau 93Palestine Occupied Territories West Bank, Gaza Strip and Palestine Occupied

Territories121

Palmyra Atoll Palmyra Atoll 93Panama Panama 93Pando Bolivia 34Papua New Guinea Papua New Guinea 94Para Brazil 36Paracel Islands Paracel Islands 94Paraguay Paraguay 94Parsa Nepal 88Pastaza Ecuador 49Patagonia (Argentina) Argentina 28Pategonia (Chile) Chile 41Pattaya Thailand 112Peru Peru 95Philippines Philippines 96Phuket Thailand 112Pichincha Ecuador 49Pitcairn Islands Pitcairn Islands 96Piura Peru 95Poland Poland 96Polynesia Polynesia 97Porto Velho Brazil 36Portugal Portugal 97Puerto Rico Puerto Rico 97Puntarenas Costa Rica 45

QQatar Qatar 97Qinghai China 41Quintana Roo Mexico 82

RRaiatea French Polynesia 55Rautahat Nepal 88Redonda Antigua and Barbuda 28Republic of the Congo Congo 45Reunion Reunion 98Rhodes Greece 58Riberalta Bolivia 34Rodriguez Island Mauritius 81Romania Romania 98Rondonia Brazil 36Roraima Brazil 36



For See PageRumania Romania 98Rupendehi Nepal 88Rurenabaque Bolivia 34Russia Russia 98Rwanda Rwanda 99

SSaba Former Netherlands Antilles 54Sabah Malaysia 77Saint Barthelemy Saint Barthelemy 99Saint Croix United States of America 118Saint Helena Saint Helena 99Saint John United States of America 118Saint Kitts Saint Kitts and Nevis 100Saint Kitts and Nevis Saint Kitts and Nevis 100Saint Lucia Saint Lucia 100Saint Martin Saint Martin 100Saint Pierre and Miquelon Saint Pierre and Miquelon 101Saint Thomas United States of America 118Saint Vincent and the Grenadines Saint Vincent and the Grenadines 101Salta Argentina 28Samar Philippines 96Samchi Bhutan 34Samdrupjongkhar Bhutan 34Samoa Samoa 101Samut Thailand 112San Marino San Marino 101San Martin Peru 95Santa Ana El Salvador 50Santa Cruz Bolivia 34Santarem Brazil 36Sao Tiago Island Cape Verde 40Sao Tome and Principe Sao Tome and Principe 102Sarawak Malaysia 77Sardinia Italy 68Sarlahi Nepal 88Saudi Arabia Saudi Arabia 102Senegal Senegal 102Sequijor Philippines 96Serbia Serbia 103Serbia and Montenegro (Montenegro) Montenegro 84Serbia and Montenegro (Serbia) Serbia 103



For See PageSeychelles Seychelles 103Shanxi China 41Sharjah United Arab Emirates 117Shemgang Bhutan 34Sichuan China 41Sicily Italy 68Side Turkey 115Sierra Leone Sierra Leone 103Sikkim India 64Sinaloa Mexico 82Singapore Singapore 104Sint Eustatius Former Netherlands Antilles 54Sint Maarten Sint Maarten 104Sistan-Baluchestan Iran 66Slovakia Slovakia 104Slovenia Slovenia 105Society Islands (The) French Polynesia 55Solomon Islands Solomon Islands 105Somalia Somalia 105Sonora Mexico 82South Africa South Africa 106South Georgia and the South Sandwich Islands South Georgia and the South Sandwich Islands 106South Korea (Republic of) South Korea (Republic of) 107South Sudan South Sudan 107Spain Spain 107Spratly Islands Spratly Islands 108Sri Lanka Sri Lanka 108Sucumbios Ecuador 49Sudan Sudan 108Sulaimaniya Iraq 66Sumatra Indonesia 65Sun City South Africa 106Suriname Suriname 109Svalbard Svalbard 109Swaziland Swaziland 109Sweden Sweden 110Switzerland Switzerland 110Syria Syria 110

TTa'mim Iraq 66Tabasco Mexico 82



For See PageTaha'a French Polynesia 55Tahiti French Polynesia 55Taif Saudi Arabia 102Taiwan Taiwan 111Tajikistan Tajikistan 111Taman Negara National Park Malaysia 77Tanzania Tanzania 112Taounate Morocco 85Tarija Bolivia 34Taza Morocco 85Tenerife Spain 107Terai Nepal 88Tetiaroa French Polynesia 55Thailand Thailand 112The Bahamas Bahamas (The) 30The Gambia Gambia (The) 56Tiago Island Cape Verde 40Tibet China 41Timor Timor 113Timor East Timor 113Timor-Leste Timor 113Tobago Trinidad and Tobago 114Tocantins Brazil 36Togo Togo 113Tokelau Tokelau 114Tonga Tonga 114Toronto Canada 39Tortola British Virgin Islands 37Transjordan Jordan 70Transvaal South Africa 106Trinidad and Tobago Trinidad and Tobago 114Tristan da Cunha Saint Helena 99Tromelin Island Tromelin Island 115Tuamotu Archipelago (The) French Polynesia 55Tugela River South Africa 106Tumbes Peru 95Tunisia Tunisia 115Tupua'i French Polynesia 55Turkey Turkey 115Turkmenistan Turkmenistan 116



For See PageTurks and Caicos Islands Turks and Caicos Islands 116Tutume Botswana 35Tuvalu Tuvalu 116Tūpai French Polynesia 55

UU.S. Virgin Islands United States of America 118Ucayali Peru 95Uganda Uganda 117Ukraine Ukraine 117Umm al Qaiwain United Arab Emirates 117United Arab Emirates United Arab Emirates 117United Kingdom United Kingdom 118United States of America United States of America 118Upper Volta Burkina Faso 38Uruguay Uruguay 119Uzbekistan Uzbekistan 119

VVanuatu Vanuatu 119Venezuela Venezuela 119Vientiane Laos 73Vietnam Vietnam 120Virgin Gorda British Virgin Islands 37

WWake Atoll Wake Atoll 120Wallis and Futuna Wallis and Futuna 121Water Island United States of America 118West Bank West Bank, Gaza Strip and Palestine Occupied

Territories121

West Bank, Gaza Strip and Palestine Occupied Territories


121

West Indies See specific island(s) visitiedWest Papua Indonesia 65West Timor Timor 113Windward Islands (Caribbean) Windward Islands (Caribbean) 121Windward Islands (Pacific) French Polynesia 55

XXinjiang China 41Xizang China 41

YYangtze River China 41Yellow River China 41Yemen Yemen 122Yunnan China 41

ZZagros mountains Iran 66Zaire Congo 45Zambia Zambia 122Zamora-Chinchipe Ecuador 49



For See PageZangbo River China 41Zanzibar Tanzania 112Zimbabwe Zimbabwe 123Zululand South Africa 106



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


No


West Nile Virus Risk Yes

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




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


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


A


No

Sub Saharan Africa Yes


Tropical Virus Risk Yes Dengue


Anguilla

Malaria No


No



Tropical Virus Risk Yes Chikungunya Virus and Zika Virus


Antarctica

Malaria No


No




Update Information

This entry was last updated in



This entry was last updated inGDRI Edition 002 Release 01

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.


C

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


Yes



Tropical Virus Risk Yes Zika Virus


Armenia

Malaria No

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


No




Update InformationThis entry was last updated in




Aruba

Malaria No


No



Tropical Virus Risk Yes Dengue virus and Zika virus


Ashmore and Cartier Islands

Malaria No


No





Australia

Malaria No


No



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


Austria

Malaria No

Trypanasoma Cruzi No




No





Azerbaijan

Malaria YesRisk occurs from June to October mostly south of the Kura river but occasionally in other low-lying rural areas and cities


C


No





Bahamas (The)

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.


C

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


Belarus

Malaria No


No




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





Belgium

Malaria No


No





Belize



A


Yes



Tropical Virus Risk Yes Chikungunya virus and Zika virus


Benin



A


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.


C



No





Bolivia

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


B



Yes



Tropical Virus Risk Yes Chikungunya Virus, Dengue and Zika virus




Borneo

Malaria Yes

Borneo has three territorial areas.

Malaria is present all year in the Malaysian and Indonesian territories which comprise the majority of the island.

Malaria is not normally present in the small territory of Brunei unless the illness was contracted abroad.

See

Brunei and/or and/or Indonesia Malaysia


B


No



Tropical Virus Risk Yes Chikungunya, Dengue and Zika virus


Bosnia and Herzegovina

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


B



Previous Malaria Risk Yes all year whole country until Feb 1996


No





Bouvet Island

Malaria No


No





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.


B

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





British Virgin Islands

Malaria No


No





Brunei Darussalam

Malaria Yes


A


No


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





Tropical Virus Risk Yes Zika virus


Bulgaria

Malaria No


No





Burkina Faso



A


No





Burundi



A


No








Cambodia

Malaria YesAll year, most of the country.

Visitors to Phnom Penh and Angkor Wat only, accept


B

Previous Malaria Risk Yes all year whole country until Dec 2011


No





Cameroon



A


No





Canada

Malaria No


No


West Nile Virus Risk

Yes



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



Cape Verde

Malaria Yes

There is a risk of malaria all year in Boa Vista and Sao Tiago Island, including the capital city Praia.

The risk is minimal in the other islands. Tourists who travel to resorts on Sal Islands can be accepted.


C


No





Caribbean

See See specific island(s) visited

Cayman Islands

Malaria No


No





Central African Republic





A


No





Chad



A


No





Chile

Malaria No


Yes



Tropical Virus Risk Yes - Zika Virus in Easter Island


China

Malaria Yes



Malaria Yes

There is an all year risk in Yunnan Province, Hainan Island, in Anhui, Ghuizhou, Henen, Hubei and Jiangsu Provinces.

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 Behjing, Shanghai, The Great Wall, and to the Terracotta Warriors in Xian can be accepted.


B

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


No



Tropical Virus Risk Yes Chikungunya Virus and Dengue

Malarial Map



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 YesAll year in most of the country.

Visitors to areas over 1600m and the cities of Bogota and Cartagena only, accept.


B



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


Comoros



A


No





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




Congo



A


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


B



Yes



Tropical Virus Risk Yes Dengue and Zika virus




Cote D'Ivoire



A


No





Croatia

Malaria No


No





Cuba

Malaria No


No







Curacao

Malaria No


No





Cyprus

Malaria No


No





Czech Republic

Malaria No


No





Denmark

Malaria No



Malaria No


No





Diego Garcia

Malaria No


No





Djibouti



A


No





Dominica

Malaria No


No



Risk





Dominican Republic



A


No





Ecuador


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


B



Yes




Malarial Map





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


C


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






Yes





Equatorial Guinea



A


No





Eritrea

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


B



No




Malarial Map





Estonia

Malaria No


No





Ethiopia

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


B



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





No





Falkland Islands (Islas Malvinas)

Malaria No


No





Faroe Islands

Malaria No


No





Fiji

Malaria No


No








Finland

Malaria No


No





Former Netherlands Antilles

Malaria No


No



Tropical Virus Risk Yes Chikungunya virus and Zika Virus


France

Malaria No


No





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.


B



Yes




Malarial Map



French Polynesia

Malaria No


No




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






French Southern Territories and Antarctic Lands

Malaria No


No





Gabon



A


No





Gambia (The)

Malaria YesAll year in whole country.


A


No







Georgia

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


C


No





Germany

Malaria No


No





Ghana



A


No







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

Trypanasoma Cruzi

Risk

No



Risk





Guam

Malaria No


No





Guatemala

Malaria YesAll year most of the country.

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


B



Yes





Guernsey

Malaria No




No





Guinea



A


No





Yes


Guinea-Bissau



A


No





Guyana



Guyana

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


B



Yes



Tropical Virus Risk Yes Chikungunya Virus and Zika virus


Haiti



A


No





Heard and McDonald Islands

Malaria No


No







Honduras



A


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.


B

Previous Malaria Risk Yes all year whole country until May 2012


No






Malarial Map



Indonesia

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


B


No



Tropical Virus Risk Yes Chikungunya Virus, Zika Virus and Dengue

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





Iran

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


C



No





Iraq

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


C



No




Malarial Map





Ireland

Malaria No


No





Isle of Man

Malaria No


No




Update Information


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





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

Trypanasoma Cruzi

Risk

No



Risk





Johnston Atoll

Malaria No


No





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.


B


No





Kingman Reef

Malaria No


No





Kiribati

Malaria No


No








Kosovo

Malaria No


No





Kuwait

Malaria No


No





Kyrgyzstan



A


No







Laos


Visitors to Vientiane only, accept


B


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

MalariaYes



MalariaYesAll year in whole country


A


No





Yes


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





Macedonia - Former Yugoslav Republic of Macedonia

Malaria No


No




No





Madagascar



A


No





Malawi



A


No





Malaysia

Malaria

Yes



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


B

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



A


No









Malta

Malaria No


No





Marshall Islands

Malaria No


No





Martinique

Malaria No


No




Update Information





Mauritania



A


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



A


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.


C

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


Yes




Malarial Map


Update Information


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





Micronesia (Federated States of)

Malaria No


No





Midway Islands

Malaria No


No





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



A


No





Myanmar





A


No





Namibia

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


B

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


No





Navassa Island

Malaria No


No




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






Nepal

Malaria YesAll year in districts of Bara, Dhanukha, Kapilvastu, Mahotari, Parsa, Rautahat, Rupendehi and Sarlahi.

May - October in Kavre district.

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.


B



No





Netherlands

Malaria No


No




No


New Caledonia

Malaria No




No





New Zealand

Malaria No


No





Nicaragua


Visitors to Managua only, accept


B


Yes





Niger


Malaria Risk A




A


No





Nigeria



A


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)


C


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


C



No





Pakistan



A


No







Palau

Malaria No


No





Palmyra Atoll

Malaria No


No





Panama


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


B



Yes



Tropical Virus Risk Yes Dengue and Zika virus




Papua New Guinea



A


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).


C

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.


B

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


Yes




Malarial Map


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





Philippines

Malaria YesRisk present below 600m in rural areas, except in the island provinces of Aklan, Albay, Benguet, Bilaran, Bohol, Camiguin, Capiz ,Catanduanes, Cavite,Cebu, Guimaras, Iloilo, Leyte, Masbate, North East and West Samar, Sequijor, Sorsogon, Surigao Del Norte and the metropolitan area of Manila.

Risk is small in the plains to the north of Manila and in other major cities:


C



No





Pitcairn Islands

Malaria No


No





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,



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



A


No





Saint Barthelemy

Malaria No


No





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





Samoa

Malaria No


No





San Marino

Malaria No


No







Sao Tome and Principe



A


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.


B

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


No





Senegal



A





No





Yes


Serbia

Malaria No


No





Seychelles

Malaria No


No





Sierra Leone


Malaria Risk

Category

A



Category


No





Yes


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





Solomon Islands



A


No





Somalia



A


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.


B

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


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





No





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.


C


No





South Sudan



A


No





Spain

Malaria No




No





Spratly Islands

Malaria No


No





Sri Lanka

Malaria No

Previous Malaria Risk Yes all year whole country until Feb 1996 and Jan 1984 – May 2005Yes all year northern half of country Dec 2011– Feb 2015


No





Sudan



A

Trypanasoma Cruzi

Risk

No



Risk





Yes


Suriname


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


B



Yes





Svalbard

Malaria No


No





Swaziland


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



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


B



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.




A

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)


C


No







Tanzania



A


No





Thailand

Malaria YesAll year in areas along the Cambodian, Laos and Myanmar borders.

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


B



No




Malarial Map





Timor



A


No





Togo



A


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




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.


B



No







Malarial Map



Turkmenistan

Malaria No

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


No





Turks and Caicos Islands

Malaria No


No





Tuvalu

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




Tuvalu

Malaria No


No





Uganda



A


No



Chikungunya Virus Risk

Yes



Yes


Ukraine

Malaria No


No





United Arab Emirates



United Arab Emirates

Malaria No

Previous Malaria Risk Yes all year whole country until Feb 1996Yes in East of country until Dec 2011


No





United Kingdom

Malaria No


No





United States of America

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 and Zika virus in Florida.

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

Update Information





Uruguay

Malaria No


Yes



Tropical Virus Risk Yes Dengue Virus


Uzbekistan

Malaria No


No





Vanuatu



A


No





Venezuela



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.


B


Yes





Vietnam


Visitors to Ho Chi Min City, Hanoi, Da Nang and their 4 international airports only, accept.


B



No



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


Wake Atoll

Malaria No


No








Wallis and Futuna

Malaria No


No






Malaria No


No





West Indies

See See specific island(s) visitied

Windward Islands (Caribbean)

Malaria No


No




Update Information





Yemen

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


B

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


No




Malarial Map



Zambia



A


No


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







Zimbabwe


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


B



No







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 08

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 BarthelemySaint 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


http://transfusionguidelines.org/document-library/documents/change-notifcation-no-38-2016/download-file/Change%20Notification%20No%2038%202016%20-%20Malaria%20Risk%20Brunei%20-%20GDRI.pdf

http://transfusionguidelines.org/document-library/documents/change-notifcation-no-39-2016/download-file/Change%20Notification%20No%2039%202016%20-%20Malaria%20Risk%20Mexico%20-%20GDRI.pdf

http://transfusionguidelines.org/document-library/documents/change-notifcation-no-40-2016/download-file/Change%20Notification%20No%2040%202016%20-%20Polynesia%20entry%20GDRI.pdf

http://transfusionguidelines.org/document-library/documents/change-notifcation-no-41-2016/download-file/Change%20Notification%20No%2041%202016%20-%20Tropical%20Virus%20Risk%20Zika%20Argentina%20GDRI.pdf

http://transfusionguidelines.org/document-library/documents/change-notifcation-no-42-2016/download-file/Change%20Notification%20No%2042%202016%20-%20Tropical%20Virus%20Risk%20Zika%20Lesser%20Antilles%20GDRI.pdf

http://transfusionguidelines.org/document-library/documents/change-notifcation-no-43-2016/download-file/Change%20Notification%20No%2043%202016%20-%20Tropical%20Virus%20Risk%20Dengue%20Uruguay%20and%20Hawaii%20%20GDRI.pdf



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 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 - 2012Changes 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



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