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Health Risk of Malaria for travellers in Nepal


Infection is spread by the night-time – dusk to dawn – biting female Anopheles mosquito.
Malaria risk is present in the country; areas of risk are specified:

Risk is present in all areas below 2000m / 6562ft.
Note: Kathmandu and the northern high altitude areas of Nepal are risk free.
If you are flying into Kathmandu and visiting the northern Himalayan districts, you do not need to take malaria suppressive medication. However, if you are travelling from India overland into Nepal, and throughout the southern parts of the country, you must follow S2 malaria suppressive medication guidelines.

Malaria risk is present below the altitude of: 2000 meters

High risk months for Malaria are: January – December

Malaria transmission vector(s): A. minimus minimus

Incidence of Plasmodium falciparum Malaria: 30%
Of the five species of human malaria parasites, Plasmodium falciparum is the most dangerous. The remaining percentage represents malaria infections that may be caused by one or more of the following parasites: Plasmodium vivax, Plasmodium ovale, Plasmodium malariae, and Plasmodium knowlesi.

Areas with drug resistant Malaria: Multi-drug resistant (chloroquine and sulfadoxine-pyrimethamine) P. falciparum malaria is present in all malarious areas of Nepal.

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