All travelers to Limon Province and adjacent provinces should be made aware of the malaria outbreak! Until there is clarity on the dynamics of the outbreak, chemoprophylaxis may be considered for travelers to the affected areas. Note that there is also a malaria risk in the provinces of Alajuela, Heredia, and the Puntarenas region (see
Malaria at
www.healthytravel.ch). Optimal mosquito protection 24/7 (at dusk and night against malaria, during the day against dengue, chikungunya and other arboviroses). In case of fever >37.5° C always remember that this can be caused by malaria and immediately take a blood test for malaria!