Nicaragua

Yellow Fever

  • No requirements or recommendations.

Malaria

  • Areas with malaria: Present in Región Autónoma Atlántico Norte (RAAN) and Región Autónoma Atlántico Sur (RAAS). Rare cases in Boaco, Chinandega, Esteli, Jinotega, Leon, Matagalpa, and Nueva Segovia. No malaria in the city of Managua (see Map 3-33).
  • Estimated relative risk of malaria for US travelers: Low.
  • Drug resistance 4: None.
  • Malaria species: P. vivax 90%, P. falciparum 10%.
  • Recommended chemoprophylaxis:
  • Región Autónoma Atlántico Norte (RAAN) and Región Autónoma Atlántico Sur (RAAS): Atovaquone-proguanil, chloroquine, doxycycline, or mefloquine.
  • Other areas with malaria: Mosquito avoidance only.
Map 3-33. Malaria in Nicaragua
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