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Ecuador Malaria General Malaria Information: Predominantly P

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Ecuador Malaria General Malaria Information: Predominantly P Document is provided for sample purposes only. Content is not updated and should not be used for traveler counseling. Ecuador Malaria General malaria information: predominantly P. vivax. Transmission occurs throughout the year. Issues to Consider Location-specific recommendations: Factors favoring chemoprophylaxis Chemoprophylaxis is recommended for all travelers: elevations below 1,500 m (4,900 ft) in most cantons east of the Andes and in • Adventure travel certain cantons of Esmeraldas, Carchi [1], and Cotopaxi [6] provinces; all cities and towns within these areas. • Risk-averse and vulnerable travelers Chemoprophylaxis is recommended for certain travelers (see Issues to Consider box): elevations below 1,500 m in certain • Areas subject to infrequent epidemics cantons east of the Andes and in certain cantons of Carchi [1], Imbabura [2], Guayas [11], and El Oro [15] provinces; all cities • Immigrants visiting friends and relatives and towns within these areas. • Flexible itineraries Travel longer than 1 month Insect precautions only are recommended (negligible transmission is reported): elevations below 1,500 m in various cantons west • of the Andes and certain cantons of Orellana and Zamora-Chinchipe [17] provinces; all cities and towns within these areas except • Unreliable medical expertise and/or treatment drugs at destination Guayaquil, Manta, Portoviejo, Santa Elena, Babahoyo, and Machala. Factors against chemoprophylaxis No preventive measures are necessary (no evidence of transmission exists): the cities of Quito, Guayaquil, Manta, Portoviejo, Santa Elena, Babahoyo, and Machala; the Galápagos Islands; elevations above 1,500 m; all other areas not mentioned above. • Air-conditioned hotels only • Urban areas only Preventive measures: Travelers should observe insect precautions from dusk to dawn in areas with any level of transmission. • Non-transmission season Atovaquone-proguanil (Malarone or generic), doxycycline, mefloquine, and tafenoquine are protective in this country. G6PD • Minimal exposure from dusk to dawn testing is required prior to tafenoquine use. • Travel shorter than 3 days For more information, see Technical Explanation of Malaria Mapping. 83°W 81°W 79°W 77°W Galápagos Islands COLOMBIA !!!!!!!!!!!!! !!!!!!!!!!!!! !!!!!!!!!!!!! 1°N Esmeraldas!!!!!!!!! !!!!!!!!!!!!! !!!!!!!!! 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