I am planning a trip to Myanmar in a few weeks and will be travelling to just the main touristy places - ie rangoon, lake inle, mandalay and Bagan, and was just wondering if malaria tablets are necessary for here? my doctor recommended taking them but after doing some research on the internet it seems that pills are not necessary for these main areas.
My wife and I just got back from 3 weeks in Myanmar and we took malaria tablets.
I spent a month there, all the places your mentioned and a few more and didn`t take malaria tablets at all.
this is what the US CDC says:
Burma (Myanmar): Rural only. No risk in cities of Rangoon (Yangon) and Mandalay. Special note: Travelers to the eastern states of Burma (Shan, Kayah, Kayin) should see the special Burma box below for additional information.
All travelers to a malaria-risk area, including infants, children, and former residents of Southeast Asia, should take an antimalarial drug.
Travelers to malaria-risk areas in Burma should take atovaquone/proguanil, doxycycline, mefloquine, (or primaquine in special circumstances) unless travel includes the eastern states of Shan, Kayah, and Kayin. Travelers to these states should use atovaquone/proguanil or doxycycline as their antimalarial drug. Mefloquine would not be recommended in these states.
Most travelers to Thailand are not at risk for malaria and do not need to take an antimalarial drug. Travelers to the border areas of Cambodia, Laos, and Burma should take an antimalarial drug.
It's your call whether to take them or not, but most people who don't don't take them cos of allergy, severe side effects or rarely, cost. But best way is to prevent getting bitten
I stayed in Yangon for a week and Mandalay another week from 27 Jan to 4 Feb and didn't take Malaria tablets. The only shots I took were Hep A and B. I thought it wasn't really necessary but mozzy repellent is a must! Again, it might not help coz the mozzies are comando trained.
I will be going to Yangon again on 17 May, staying for about a week and I still don't have the intention of taking malaria tablets. Will be taking flu vaccines instead. The city areas are basically quite safe.
Thanks for all the great advice everyone. I've decided i'm going to take them just in case we go anywhere off the beaten track and also because i'm a bit of a worrier and the mozzies seem to love me!