A certificate of vaccination against yellow fever is required for travelers over one year old coming from affected areas. Countries and areas included in endemic areas are considered as affected areas. The risk of malaria only exists in some places limited to the hinterland. Urban and coastal areas have no malaria, except in Sabah where there is year round risk, mainly of the malignant P. falciparum form. There are reports of some strains of P. falciparum resistant to chloroquine; a few cases of resistance of the parasite to sulfadoxine-pyrimethamine have been reported. Preventive treatment recommended in areas of risk: C+P; in Sabah, MEF. MALAWI. Protect yourself against traveler's diarrhea. The most risky foods are those dishes which are prepared and eaten cold later; seafood, meats, fish which are under- or poorly cooked, and raw vegetables as well as fruit you have not peeled yourself. Drinking water must be boiled, filtered or drunk from sealed bottles. Decontaminating tablets (Hydroclonazone, Micropur) are partially effective. Avoid walking barefoot on sand or wet/muddy soil. Vaccination against rabies is justified for long, touring trips or for expatriation, especially for children. In any case, contact with wandering animals must be avoided. The Jevax vaccination (against Japanese encephalitis) is justified for long, touring trips in rural areas or for expatriation especially for professionals in rural areas. Cases of the "Nipah" virus and Japanese encephalitis were reported in 1999. Dengue fever persists all over the country. Intermittently "Haze" is found (polluting smoke). The quality of water is generally very acceptable, at least in the capital; elsewhere, it is best to be careful and use disinfecting tablets (like Micropur) or germ filtering procedures (like Katadyn), which are very reliable and practical nowadays.
International hospitals
Going to a private clinic or hospital is recommended. There are many of them near residential areas, shopping malls and business districts.
Malaysia is a hot, humid tropical country with temperatures from 21°C to 35°C. The rainy season is from April to August and October to December, and the east coast of the Malaysian peninsula has the monsoon between November and March.