How to Pack for Malaria Prevention in Africa

To prevent malaria, pack high-quality DEET or Picaridin repellent, permethrin-treated long-sleeved clothing, and your prescribed antimalarial medication. These three items, combined with sleeping under a treated net, are your primary defenses in high-risk zones.

  1. Treat your clothing with permethrin. Buy permethrin spray (0.5% concentration) and soak or spray your clothes, socks, and shoes before you leave. It kills mosquitoes on contact and stays effective through 6 washes.
  2. Select the right repellent. Bring a repellent containing 20-30% DEET or 20% Picaridin. Apply this to all exposed skin every evening starting at dusk, as this is when the Anopheles mosquito is most active.
  3. Pack physical barriers. Carry light-colored, long-sleeved shirts and long pants made of tightly woven fabric. Mosquitoes can bite through thin leggings or loose-knit sweaters.
  4. Check your sleeping arrangements. Pack a travel-sized, permethrin-treated mosquito net if you are staying in budget accommodation or camping. Always check the net for holes before tucking it securely under your mattress.
Do I need to take pills if I have good repellent?
Yes. Repellent is a deterrent, but it is not 100% effective. Antimalarial medication provides a critical layer of secondary protection if you are bitten.
Are electronic mosquito repellers effective?
No. Avoid relying on ultrasonic devices or wearable 'repellent bands.' They are not scientifically proven to prevent malaria-carrying mosquito bites.