Travel Vaccines and Advice for Malawi
Malawi promises an array of animal adventures and looks into lifestyles that are exclusive to this part of the world. Travelers eager to immerse themselves in an adventure unlike any other often set their sights on Malawi.
Malawi is home to ample culture and wildlife, making it the perfect stop for any tourists hoping to find a truly unique experience on their travels.
On This Page:
Do I Need Vaccines for Malawi?
Other Ways to Stay Healthy in Malawi
Health Notices and Outbreaks in Malawi
Do I Need a Visa or Passport for Malawi?
What Is the Climate Like in Malawi?
How Safe Is Malawi?
Maneuvering Malawi’s Mount Mulanje
What Should I Pack for Malawi?
U.S. Embassy to Malawi
Do I Need Vaccines for Malawi?
Yes, some vaccines are recommended or required for Malawi. The CDC and WHO recommend the following vaccinations for Malawi: typhoid, cholera, hepatitis A, polio, yellow fever, chikungunya, rabies, hepatitis B, influenza, COVID-19, pneumonia, meningitis, chickenpox, shingles, Tdap (tetanus, diphtheria and pertussis) and measles, mumps and rubella (MMR).
See the bullets below to learn more about some of these key immunizations:
- Typhoid –
Food & Water –
Shot lasts 2 years. Oral vaccine lasts 5 years, must be able to swallow pills. Oral doses must be kept in refrigerator. - Cholera –
Food & Water –
Areas of active cholera transmission include: Blantyre, Dedza, Dowa, Karonga, Kasungu, Likoma, Lilongwe, Mulanje, Nkhatabay, Nsanje, Rumphi and Salima - Hepatitis A –
Food & Water –
Recommended for most travelers. - Polio –
Food & Water –
Due to an increase in cases globally, an additional adult booster is recommended for most travelers to any destination. - Yellow Fever –
Mosquito –
Required if traveling from a country with risk of yellow fever transmission. - Chikungunya –
Mosquito –
Limited cases in Malawi since 2016. But, it is believed the virus is underreported in the region. - Rabies –
Saliva of Infected Animals –
High risk country. Vaccine recommended for long-term travelers and those who may come in contact with animals. - Hepatitis B –
Blood & Body Fluids –
Recommended for travelers to most regions. - Influenza –
Airborne –
Vaccine components change annually. - COVID-19 –
Airborne –
Recommended for travel to all regions, both foreign and domestic. - Pneumonia –
Airborne –
Two vaccines given separately. All 65+ or immunocompromised should receive both. - Meningitis –
Direct Contact & Airborne –
Given to anyone unvaccinated or at an increased risk, especially students. - Chickenpox –
Direct Contact & Airborne –
Given to those unvaccinated that did not have chickenpox. - Shingles –
Direct Contact –
Vaccine can still be given if you have had shingles. - Polio –
Food & Water –
Considered a routine vaccination for most travel itineraries. Single adult booster recommended. - TDAP (Tetanus, Diphtheria & Pertussis) –
Wounds & Airborne –
Only one adult booster of pertussis required. - Measles Mumps Rubella (MMR) –
Various Vectors –
Given to anyone unvaccinated and/or born after 1957. One time adult booster recommended.
See the table below for more information:
Recommended Travel Vaccinations for Malawi |
||
VACCINE | HOW DISEASE SPREADS | DETAILS |
---|---|---|
Typhoid | Food & Water | Shot lasts 2 years. Oral vaccine lasts 5 years, must be able to swallow pills. Oral doses must be kept in refrigerator. |
Cholera | Food & Water | Areas of active cholera transmission include: Blantyre, Dedza, Dowa, Karonga, Kasungu, Likoma, Lilongwe, Mulanje, Nkhatabay, Nsanje, Rumphi and Salima |
Hepatitis A | Food & Water | Recommended for most travelers. |
Polio | Food & Water | Due to an increase in cases globally, an additional adult booster is recommended for most travelers to any destination. |
Yellow Fever | Mosquito | Required if traveling from a country with risk of yellow fever transmission. |
Chikungunya | Mosquito | Limited cases in Malawi since 2016. But, it is believed the virus is underreported in the region. |
Rabies | Saliva of Infected Animals | High risk country. Vaccine recommended for long-term travelers and those who may come in contact with animals. |
Hepatitis B | Blood & Body Fluids | Recommended for travelers to most regions. |
Routine Vaccinations for Malawi |
||
VACCINE | HOW DISEASE SPREADS | DETAILS |
---|---|---|
Influenza | Airborne | Vaccine components change annually. |
COVID-19 | Airborne | Recommended for travel to all regions, both foreign and domestic. |
Pneumonia | Airborne | Two vaccines given separately. All 65+ or immunocompromised should receive both. |
Meningitis | Direct Contact & Airborne | Given to anyone unvaccinated or at an increased risk, especially students. |
Chickenpox | Direct Contact & Airborne | Given to those unvaccinated that did not have chickenpox. |
Shingles | Direct Contact | Vaccine can still be given if you have had shingles. |
TDAP (Tetanus, Diphtheria & Pertussis) | Wounds & Airborne | Only one adult booster of pertussis required. |
Measles Mumps Rubella (MMR) | Various Vectors | Given to anyone unvaccinated and/or born after 1957. One time adult booster recommended. |
Specific Vaccine Information
- Typhoid – Typhoid fever, caused by Salmonella Typhi, is transmitted through contaminated food and water sources. Vaccination is recommended for travelers and those at higher risk of typhoid exposure. Implementing rigorous hygiene practices and food safety measures is essential for comprehensive protection against infection.
- Cholera – Cholera, caused by the Vibrio cholerae bacterium, spreads through contaminated food and water, causing severe diarrhea and dehydration. Preventive measures include improving sanitation, hygiene, and food safety. Vaccination plays a crucial role, with oral and injectable cholera vaccines available for travelers to high-risk areas and during outbreaks.
- Hepatitis A – The hepatitis A virus is highly contagious, primarily transmitted through contaminated food, water, or close contact. To prevent infection, practice good hygiene and get vaccinated.
- Polio – Polio, or poliomyelitis, is a contagious virus that affects the nervous system. It spreads through contact with infected feces and can lead to paralysis or even death. Preventing polio relies on vaccination which helps build immunity and curb the spread of the disease.
- Chikungunya – Chikungunya, transmitted by Aedes mosquitoes, can be prevented by using insect repellents or netting. Vaccination provides the best form of protection.
- Rabies – Rabies, a deadly viral disease, spreads via bites or scratches from infected animals. Vaccination is the cornerstone of prevention, including post-exposure prophylaxis (PEP) for suspected exposures and pre-exposure prophylaxis (PrEP) for individuals with regular animal contact or travelers.
- Hepatitis B – The hepatitis B vaccine is a vital tool in the prevention of this liver infection, recommended for all travelers and essential for healthcare workers and those at higher risk of exposure.
- Measles, Mumps, Rubella (MMR) – Measles, mumps, and rubella are highly infectious diseases, emphasizing the importance of vaccination. The MMR vaccine, given in two doses, is the key to personal and public health safety. It strengthens immunity, minimizing the risk of infection, and is a critical component in halting the spread of these contagious viruses.
Malaria in Malawi
Malaria is widespread in Malawi. Antimalarials are recommended for all travelers to the country. Atovaquone, doxycycline, mefloquine and tafenoquine are often given to travelers to Malawi. Malaria parasite are resistant to chloroquine in the region. Be sure to consult with a travel health specialist on which antimalarials are best for your itinerary and health situation.
In all regions of Malawi, malaria is present. Antimalarial use is strongly recommended. Malaria is chloroquine-resistant in Malawi.
Rabies poses a risk to travelers to Malawi, especially if staying for a long period of time or visiting rural areas. Vaccination should be considered before traveling.
Visit our vaccinations page to learn more. Travel safely with Passport Health and schedule your appointment today by calling or book online now.
Other Ways to Stay Healthy in Malawi
Prevent Bug Bites in Malawi
Guard against bug bites by wearing appropriate clothing and applying repellents with DEET, picaridin, or OLE. When bitten, clean the area, resist scratching, and relieve itching with over-the-counter solutions. In severe cases, promptly seek medical assistance.
Food and Water Safety in Malawi
Safeguard your health while abroad by researching local cuisine, avoiding tap water, and practicing hand hygiene. Choose reputable eateries, be cautious with ice, and drink in moderation. A travelers’ diarrhea kit is recommended for travel to all regions throughout the world.
Altitude Sickness in Malawi
Altitude sickness, characterized by symptoms like headaches and fatigue, occurs at high elevations due to oxygen deficiency. To prevent it, ascend gradually, hydrate sufficiently, and consider medication. If symptoms emerge, promptly descend to lower altitudes for recovery.
Infections To Be Aware of in Malawi
- African Sleeping Sickness – African Trypanosomiasis, a tropical disease, spreads through tsetse fly bites. Protective clothing and insect repellent are key in prevention.
- African Tick-Bite Fever – African Tick-Bite Fever (ATBF) is a disease transmitted through tick bites in sub-Saharan Africa. Preventive measures include wearing protective clothing, using insect repellent, and performing tick checks. Consult a healthcare professional before traveling to endemic areas.
- Dengue – Dengue fever is a mosquito-borne illness with symptoms ranging from mild to severe, including high fever and pain. The CDC emphasizes prevention through avoiding mosquito bites by using repellents and removing standing water. Treatment focuses on symptom relief and hydration, avoiding certain pain relievers that can worsen bleeding risks.
- Leishmaniasis – Infected sand flies are the primary vectors of leishmaniasis. Preventive measures include the use of insect repellents, protective clothing and staying indoors during sand fly peak hours.
- Schistosomiasis – Schistosomiasis, a parasitic disease transmitted through contaminated water, poses a health risk. Prevention strategies include avoiding freshwater activities and wearing protective clothing. Prompt medical attention is necessary if symptoms like fever or abdominal pain occur.
Health Notices and Outbreaks in Malawi
- Polio – At least one case of polio was reported in Malawi over the last 12 months. The CDC and WHO advise all travelers to ensure their polio vaccination history is up-to-date. Adults who previously received a full set of polio vaccinations may need a single, lifetime booster dose.
Do I Need a Visa or Passport for Malawi?
Americans planning to visit Malawi will need a visa to enter the country. It is recommended to obtain your visa before entering the country.
Malawi Entry Requirements |
||
Do I Need A… | For My Trip to Malawi? | |
---|---|---|
Passport | ||
Tourist Visa | ||
Business Visa | ||
Vaccinations |
Sources: Embassy of Malawi and U.S. State Department
The U.S. Department of State reports that you must declare all foreign currency when entering Malawi as well.
What Is the Climate Like in Malawi?
Malawi is a country with sub-tropical climate. This means that the weather is warm and moderate almost all year round. The nation is also dry, and most of its precipitation occurs between November and April. Here is what to expect in a few tourist destinations:
- Lilongwe – The capital city of Malawi enjoys warm summers and milder winters. The high altitude of the city’s location actually keeps the temperatures a little lower, and more pleasant. Lilongwe sees most of its heavy rainfall from December to February and can be prone to downpours during this time.
- Blantyre – Temperatures in this city are considered tropical, it is often warm and sometimes humid. The area’s humidity is at its peak in October and November, the warm months right before the rainy season begins. The weather can also be misty and cool during the cold season in June and July.
- Mulanje – Temperatures also stay fairly warm throughout the year. Mount Mulanje itself experiences different weather patterns, as it cools the higher you climb. Weather on the mountain can also be sporadic, as mist and rainfall can cover Mount Mulanje. The area sees more precipitation around November, December and January.
How Safe Is Malawi?
Crime in Malawi is fairly common. Armed residential break-ins are frequent, and break-ins in lodges and hotels have been reported. Robberies and pick-pocketing are also common street crimes.
Carjackings are prevalent in Lilongwe and Blantyre. This most often occurs when entering through a security gate into a home. Always keep doors locked and windows closed, and stay alert when entering or leaving.
Stay off the streets at night, particularly in urban areas. Armed assaults and muggings are becoming more prevalent. Foreigners are especially targeted in Lilongwe. Regardless of how many people you are with, city streets are not safe at night. It is also wise to exercise caution during the day. Make sure to arrange all your transportation in Malawi through your hotel or restaurant.
Be cautious when visiting or staying in isolated, lone areas such as Mount Mulanje. Public security in these areas is often limited. Be weary when visiting remote areas, and do not travel at night or alone.
While in Malawi, it is also crucial to stay alert for public demonstrations and civil disturbances. Avoid crowds, rallies and demonstrations, and always be aware of your surroundings.
Maneuvering Malawi’s Mount Mulanje
Avoid an Embarrassing Stop
Over 70% of travelers
will have diarrhea.
Get protected with Passport Health’s
travelers’ diarrhea kit!
Adventurers and lovers of extreme sports consider Malawi an ideal travel destination. The nations’ terrain offers the perfect chance to test their skills.
One location that attracts hikers, bikers and rock climbers alike is Mount Mulanje. This mountain stands at over 3000 meters (or over 9800 feet) tall. It is a picturesque destination for those wishing to see its rolling green valleys and clear, flowing rivers. But, the mountain’s rugged terrain is what calls to risk-takers from all across the globe.
Even attempting to climb or hike Mount Mulanje if you are not prepared can lead to severe injury. If you plan to climb the mountain, never climb alone. Always have enough food and water, and bring essential equipment like maps, guidebooks and compasses. Stick together with your group and do not push into unknown territory.
There is limited public security at Mount Mulanje. Avoid traveling at night and never travel alone.
What Should I Pack for Malawi?
In addition to all travel documents and medications recommended by a Passport Health Travel Medicine Specialist, here are some items to consider packing:
- Insect Repellent – Since malaria is at risk in Malawi, you should always pack bug spray. Packing a repellent with at least 20%-30% DEET will keep mosquitoes away.
- Water Purifier – Cholera is spread primarily through contaminated water. Having a water purifiers or filter while in Malawi can prevent contact with dirty water. Having a water purifier helps ensure your safety and protects your health.
- Neutral-colored clothing – Wearing neutral clothing, such as beige and gray, prevents contact with mosquitoes. It can also prevent from drawing too much attention to yourself. Avoid bringing too many blue or black articles of clothing. These colors attract tsetse flies, which may carry African sleeping sickness.
- Conservative clothing options – In some areas of Malawi, particularly in some villages, it can be offensive to wear revealing clothing. Islamic areas in southern Malawi require conservative dress. Wearing shorts, small skirts, crop tops and tank tops can be considered rude in many areas in the country.
- Walking shoes – Many adventures in Malawi require you to be on your feet. Hiking and walking through reservations can be uncomfortable, if not dangerous, if you do not have the proper footwear.
U.S. Embassy to Malawi
All Americans visiting Malawi should register with the U.S. Embassy in Lilongwe. This will inform the office of your travel plans and will allow them to reach out in the case of an emergency or evacuation. You can register online, through the Smart Traveler Enrollment Program (STEP).
U.S. Embassy Lilongwe
Area 40, City Center
16 Jomo Kenyatta Road
Lilongwe 3, Malawi
Mailing Address: PO Box 30016
Lilongwe 3, Malawi
Telephone: +(265) 1-773-166, 1-773-342 and 1-773-367 (Dial “0” before the “1” within Malawi)
Emergency After-Hours Telephone: +(265) (0)882-960-178 or +265 (0)88 198 0814
Fax: +(265) 1-774-471 (Dial “0” before the “1” within Malawi)
Visit the U.S. Embassy website before your departure to confirm correct contact details for the U.S. Embassy in Malawi.
Ready to start your next journey? Call us at or book online now!
Customer Reviews
Passport Health – Travel Vaccines for Malawi
Overall rating: 5 stars – 4 reviews
★★★★★
“All Positive“
“She was very prompt, helpful, honest in answering questions, accessed my past records to fill in some blanks, no attempt to “up-sell” and that was much appreciated, and interested in the purpose of my travel (mission trip to Malawi, Africa)”
Submitted by: David
★★★★★
“Best Travel Clinic“
“Great Experience. Friendly phone service to schedule a prompt appointment, even friendlier service upon arriving. I met with Elizabeth who was extremely accommodating, friendly and knowledgeable. She walked me through all the available options for malaria prevention and recommended the one with the least side effects. She had already been to Malawi, where I was traveling, so it was a pleasure to get her input. The prices are unbeatable and I was even given a coupon which drastically lowered the pharmacy cost of the malaria medication. Fantastic all around!”
Submitted by: John
★★★★★
“Wonderful Experience“
“The meeting with the nurse was amazing! Very worth the time and money!! She had a booklet already printed for me and my trip to Malawi Africa. She was friendly, knowledgeable and very thorough and helpful. She provided me all I needed to know and products to make my trip a success and keep me safe.”
Submitted by: Everett
★★★★★
“Last Minute Shots“
“I decided in a very brief time to extend my Tanzania journey to Malawi, therefore needing more shots and health precautions. Passport Health really helped me very promptly, efficiently, kindly and even prepared a beautifully written medical emergency preparation package which was useful.”
Submitted by: Laurie
“She was very prompt, helpful, honest in answering questions, accessed my past records to fill in some blanks, no attempt to “up-sell” and that was much appreciated, and interested in the purpose of my travel (mission trip to Malawi, Africa)”
“Great Experience. Friendly phone service to schedule a prompt appointment, even friendlier service upon arriving. I met with Elizabeth who was extremely accommodating, friendly and knowledgeable. She walked me through all the available options for malaria prevention and recommended the one with the least side effects. She had already been to Malawi, where I was traveling, so it was a pleasure to get her input. The prices are unbeatable and I was even given a coupon which drastically lowered the pharmacy cost of the malaria medication. Fantastic all around!”
“The meeting with the nurse was amazing! Very worth the time and money!! She had a booklet already printed for me and my trip to Malawi Africa. She was friendly, knowledgeable and very thorough and helpful. She provided me all I needed to know and products to make my trip a success and keep me safe.”
“I decided in a very brief time to extend my Tanzania journey to Malawi, therefore needing more shots and health precautions. Passport Health really helped me very promptly, efficiently, kindly and even prepared a beautifully written medical emergency preparation package which was useful.”