Zambia
East Africa · Africa · Physician brief
Schistosomiasis (bilharzia) in Lake Kariba and the Zambezi
Schistosomiasis (bilharzia) is present in Zambian freshwater, including Lake Kariba and the Zambezi River. Travelers are sometimes exposed during swimming, canoeing, or water sports. There is no vaccine and no reliable way to tell if water is safe. Avoid contact with untreated freshwater. The mist at Victoria Falls and chlorinated pools are not a schistosomiasis risk; the 'Devil's Pool' and swimming in the river are. Discuss screening and treatment (praziquantel) with your doctor if exposed.
CDC / WHO ↗ · Updated 2026
Yellow fever certificate only if arriving from a risk country
CDC does not consider Zambia a yellow fever risk country (vaccine not generally recommended, including for the Northwestern and Western Provinces), and the vaccine is not routinely recommended for travel from Switzerland. However, a YF vaccination certificate may be required if you are arriving from — or have recently transited — a country with yellow fever transmission risk. Direct travel from Switzerland is not affected.
WHO / Zambia entry requirements ↗ · Updated 2026
Vaccines
Disease-specific guidance
Malaria
HighHigh risk year-round throughout the entire country, including the safari areas and the Victoria Falls / Livingstone region. P. falciparum (the most dangerous species) predominates and is chloroquine-resistant. Continuous chemoprophylaxis is recommended for essentially all travelers, in addition to strict mosquito-bite prevention.
- Risk area
- Entire country, year-round
- Species
- P. falciparum predominant
- Resistance
- Chloroquine-resistant
- Prevention
- Chemoprophylaxis (atovaquone-proguanil, doxycycline, or mefloquine) + bite protection
Yellow fever
ModerateCDC does not classify Zambia as a yellow fever risk country, and the vaccine is not routinely recommended for travel from Switzerland. A YF certificate may be required only if you arrive from — or have recently transited — a country with yellow fever transmission risk (see country alert). Direct travel from Switzerland is not affected.
- Risk
- None per CDC — no domestic transmission
- Vaccine
- Not routinely recommended
- Entry rule
- Certificate only if arriving from a YF-risk country
Dengue
LowDengue transmission occurs and is mosquito-borne. The Aedes mosquito bites during the daytime, so day-time bite prevention complements the dusk-to-dawn protection used for malaria.
- Distribution
- Sporadic transmission
- Mosquito
- Aedes — bites during daytime
- Prevention
- Repellent and covering up by day
General prevention
Food & water
Use bottled or treated water, avoid ice from unverified sources, and eat thoroughly cooked food served hot. Strict food and water precautions reduce the risk of traveler's diarrhea, hepatitis A, typhoid, and cholera — particularly important outside well-run lodges.
Mosquito protection
Aggressive mosquito-bite prevention is essential — malaria is high risk year-round and country-wide. Use DEET or picaridin repellent, cover up at dusk and after dark, and sleep under an insecticide-treated net. Chemoprophylaxis is recommended for essentially all travelers.
Sources
Based on CDC Travelers’ Health, CDC Yellow Book, and the Swiss Federal Vaccination Schedule (BAG). Always verify current recommendations before travel.
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This brief is for informational purposes and does not replace personalized medical advice.
Consult a travel medicine specialist 4–8 weeks before departure.