Other Essentials
See Travel Health Advice for travellers going abroad from the UK.
Malaria
A potentially (though rarely) fatal disease transmitted by infected mosquitoes in tropical parts of the world. Unfortunately that includes Tanzania. In addition to preventing mosquito bites, as far as possible, by using DEET-based repellent, wearing long sleeves (especially over your ankle and wrist joints), and sleeping under an intact mosquito net, you are strongly advised to take anti-malarial medication. Advice about recommended drugs changes from country to country and year to year, so you should check with your doctor for the latest. In the UK, doctors currently recommend the once-weekly lariam for most travellers, though this may have unpleasant side effects including depression and hallucination – try it out before you leave and see how you react (we suggest about 2 weeks before departure, in case you need to go on to something else). The chloroquine / paludrine daily / weekly combination is now considered fairly ineffective, but still prescribed for pregnant women, as other drugs may affect the foetus. Malarone, appears to have fewest side effects while remaining effective, but is considerably more expensive. Most drugs should be taken for 4 weeks after your return to a non-malarial zone.
Injections
You should be up-to-date for:
yellow fever (lasts 10 years) - you may be asked to show your certificate on arrival (remember that this becomes valid 2 weeks after the injection)
polio (10-year booster)
hepatitis A (lasts 10 years)
typhoid (lasts 10 years)
diphtheria and tetanus (10-year booster; recommended)
Meningitis, rabies and hepatitis B are only recommended for rural or high risk areas.
Food hygiene
You should observe a few simple rules. Wash your hands before eating. Drink mineral water rather than tap water. Check where your ice comes from, and whether your fruit juice is diluted. As for food, ‘cook it, peel it or forget it’; basically this means avoiding salads (unless you are sure they have been washed in mineral water), reheated food and meat or fish that you suspect may be stale. The hotels and guesthouses we feature on our site do in theory observe these rules, but you should always play safe – or risk getting diarrhoea.