Guatemala

Yellow Fever

  • Requirements: Required if traveling from a country with risk of YFV transmission and ≥1 year of age, including transit >12 hours in an airport located in a country with risk of YFV transmission. 1
  • Recommendations: None.

Malaria

  • Areas with malaria: Rural areas only at altitudes <1,500 m (4,921 ft). None in Antigua, Guatemala City, or Lake Atitlán.
  • Estimated relative risk of malaria for US travelers: Low.
  • Drug resistance 4: None.
  • Malaria species: P. vivax 97%, P. falciparum 3%.
  • Recommended chemoprophylaxis: Escuintla Province: Atovaquone-proguanil, chloroquine, doxycycline, or mefloquine.
  • All other areas with malaria: Atovaquone-proguanil, chloroquine, doxycycline, mefloquine, or primaquine 5.