1
Indonesia Malaria © Shoreland, Inc. Travax maps are color images; consult the color PDF for clearest interpretation. Map content is updated as new information becomes available. Last reviewed Apr 9, 2019. Last updated Apr 9, 2019. General malaria information: approximately equal between P. falciparum and P. vivax, with P. knowlesi also reported. Transmission occurs throughout the year. Extremely high transmission occurs in the provinces of East Nusa Tenggara (Flores Island) [18], Maluku [19], Papua [20], West Papua [21], and North Maluku [22]. Location-specific recommendations: Chemoprophylaxis is recommended for all travelers: elevations below 2,000 m (6,600 ft) on Papua [20]; Thousand Islands; most regencies of Kalimantan (Borneo) and most regencies of all islands east of Bali [16], including Lombok Island but exclud- ing the Gili Islands; most regencies of Sumatra, including most areas of Bintan Island; limited foci in rural areas of Java that are rarely visited by tourists; all cities and towns within these areas except the central urban areas of Padang and Tanjung Pinang. Chemoprophylaxis is recommended for certain travelers (see Issues to Consider box): certain regencies of Sumatra, Java, Kalimantan (Borneo), Sulawesi, and West Nusa Tenggara [17] (including certain regencies of Lombok Island); all cities and towns within these areas except the central urban area of Bandjermasin. Insect precautions only are recommended (negligible transmission is reported): rural areas of certain regencies of Sumatra, Java, Kalimantan (Borneo), Sulawesi, and West Nusa Tenggara [17]; major tourist resorts on northern Bintan Island; the central urban areas of Padang, Tanjung Pinang, and Bandjermasin. No preventive measures are necessary (no evidence of transmission exists): urban areas and typical resort locations on Java and Bali [16] (including Jakarta and Yogyakarta); the Gili Islands; elevations above 2,000 m on Papua [20]; all other areas not mentioned above. KEY for Location-Specific Recommendations Travelers should observe insect precautions from dusk to dawn in areas with any level of transmission. Chemoprophylaxis is recommended for all travelers.* Chemoprophylaxis is recommended for certain travelers; see Issues to Consider box. Insect precautions only are recommended * (negligible transmission is reported). No preventive measures are necessary (no evidence of malaria transmission exists). * Exceptions may apply. For more information, see Technical Explanation of Malaria Mapping. " City where preventive recommendations are the same as the surrounding region. G City where insect precautions only are recommended in the central urban area *; at city outskirts preventive recommendations are the same as the surrounding region. A City where no preventive measures are necessary (no evidence of malaria transmission exists). _ National capital (no preventive measures are necessary). MALAYSIA MALAYSIA AUSTRALIA PHILIPPINES THAILAND BRUNEI PAPUA NEW GUINEA SINGAPORE TIMOR-LESTE !!!!!!!! !!!!!!!! !!!!!!!! !!!!!!!! !!!!!!!! !!!!!!!! !!!! !!!! !!!! !!!! !!! !!! !!!! !!!! !!!! !!!!! !!!!! !!!!! !!!!! !!!!! !!!!! !!!!! ! !!!!! !!!!! !!!!! !!!!! !!!!! !!!!! !!!!!!! !!!!!!! !!!!!!! !!!!!!! !!!!!!! !!!!!!! !!!! !!!! !!!! !!! !!! !!! !!! !!! !!! !!! !!! !!!!! !!!!! !!!!! !!!!! !!!!! !!!!!!! !!!!!!! !!!!!!! !!!!!!! !!!!!!! !!!!! !!!!! !!!!! !!!!! !!!! !!!! !!!! !!!! !!!! !!!! ! !!!! !!!! !!!! !!!! !!!! !!!! !!!! !!!! !!!! !! !! !!!! !!!! !!!! !!!! !!!!! !!!!! !!!!! !!!!! !!!! !!!! !!!! !!!! !!!!!! !!!!!! !!!!!! !!!!!! !!!!!!!!!! !!!!!!!!!! !!!!!!!!!! !!!!!!!!!! !!!!!!!!!! !!!!!!!!!! !!!!!!!!!! !!!!!!!!!!!!! !!!!!!!!!!!!! !!!!!!!!!!!!! !!!!!!!!!!!!! !!!!!!!!!!!!! !!!!!!!!!!!!! !!! !!! !!! !!!!! !!!!! !!!!! !!!!! !!!!! !!!!! ! !!!! !!!! !!!! !!!! !!!! !!!! !!!! !!!! !!!! !!!! !! !! !! !!!!!!!! !!!!!!!! !!!!!!!! !!!!!!!! !!!!!!!! !!!!!!!! !!!!!!!! !!!!!!!! !!!!!!!! !!!!!!!! !!!!!!!! !!!!!!!!! !!!!!!!!! !!!!!!!!! !!!!!!!!! !!!!!!!!! !!!!!!!!! !!!!!!!!! !!!!!!!!! !!!!!!!!! !!!!!!!!! ! ! !!!!!!!! !!!!!!!! !!!!!!!! !!!!!!!! !!!!!!!! ! !!!!!!! !!!!!!! !!!!!!! !!!!!!! !!!!!!! !!!!!!! !! !! !!!! !!!! !!!! !!!! !! !! !! !! !! !! !! ! ! ! !!!! !!!! !!!! !!!! !!! !!! !!! !!! ! !!!! !!!! !!!! !!!! !! !! !! !!!! !!!! !!!! ! !! !!! !!! !!! !!! !!!! !!!! !!!! !!!! !!!! !!!! !!!! !!!! !!!! !!!! !!!! !!!! !!!! !!!! !!!! !!! !!! !!! !!!!! !!!!! !!!!! !!!!! !!!!! !!!!! !!!!! !!!!! !!!!! !!!!! !!! !!! !!! !!! !!! !!! !!! !! !! !! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !! !! !!! !!! !!! !!! !!! !!! !! !! !! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!! !!!! !!!! !!!! !!! !!! !!! !!! !!! !!! ! ! ! !! !! !! !! !! !! !! !!!!!! !!!!!! !!!!!! !!! !!! !!! !!! !!! ! ! ! !!!!! !!!!! !!!!! !!!!! !!!!! !!!!! !!!!! !!!!! !!!!! !!!!! !!!!! !!!!! ! ! !!!! !!!! !!!! !!!! !!!! !!!! !!!! !!!! !!!! !!!!! !!!!! !!!!! !!!!! !!!!! !!!!! !!!!! !!!!! !!!!! !!!!! !!!!! !!!!! !!!!! !!!!! !!!!! !!!!! !!!!! !!!!! !!! !!! !!! !!!!!!! !!!!!!! !!!!!!! !!!!!!! !! !! !! !! !! !!!! !!!! !!!! !!!! !!!! !!!! !!! !!! !!! !!!! !!!! !!!! !!!! !!!! !!!! !!!! !!!! !!!! !!!! !!!! !!!! !!!! !!!!!!!! !!!!!!!! !!!!!!!! !!!!!!!! !!!!! !!!!! !!!!! !!!!! !!!!! !!!!! !!!!! ! ^ _ # A # A # A # A " # A " G # A # A " G # A # A " # A " " " " # A # A # A Gunung Leuser N.P. Komodo N.P. Lorentz N.P. Kerinci Seblat N.P. Bukit Barisan Selatan N.P. Borobudur 20 4 30 1 32 31 5 21 7 2 15 9 12 25 27 13 19 8 28 22 16 23 24 18 3 6 29 11 26 10 14 17 33 Tana Toraja Ambon Medan Kupang Manado Padang Mataram Jayapura Bengkulu Denpasar Makassar Surabaya Pontianak Samarinda Banda Aceh Yogyakarta Bandjermasin Jakarta Ja mbi Band un g Pal embang Balikpapan Pek anbaru PAPU A S UM AT R A KALI M ANT A N S U LA W E SI JA VA Lake T oba 98°E 106°E 114°E 122°E 130°E 138°E 11°S 5°N 3°S Arafura Sea South China Sea Indian Ocean Banda Sea Celebes Sea Strait of Malacca Timor Sea Bintan Is. Bali Is. 0 500 1,000 1,500 2,000 250 KM ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! " A " A " A BALI LOMBOK Senggigi Kuta Nusa Dua Ubud Mataram Denpa sar Gili Is. Flores Is. (see inset) !!! !!! !!! !!! !!! !!! !!!! !!! !!! ! !!! !!! !!! !!! !!! !!! !!!! !!! !!! ! !!! !!! !!! !!! !!! !!! !!!! !!! !!! ! !!! !!! !!! !!! !!! !!! !!!! !!! !!! ! !!! !!! !!! !!! !!! !!! !!!! !!! !!! ! !!! !!! !!! !!! !!! !!! !!!! !!! !!! ! !!! !!! !!! !!! !!! !!! !!!! !!! !!! ! !!! !!! !!! !!! !!! !!! !!!! !!! !!! ! !!! !!! !!! !!! !!! !!! !!!! !!! !!! ! !!! !!! !!! !!! !!! !!! !!!! !!! !!! ! !!! !!! !!! !!! !!! !!! !!!! !!! !!! ! !!! !!! !!! !!! !!! !!! !!!! !!! !!! ! !!! !!! !!! !!! !!! !!! !!!! !!! !!! ! !!! !!! !!! !!! !!! !!! !!!! !!! !!! ! !!! !!! !!! !!! !!! !!! !!!! !!! !!! ! !!! !!! !!! !!! !!! !!! !!!! !!! !!! ! !!! !!! !!! !!! !!! !!! !!!! !!! !!! ! !!! !!! !!! !!! !!! !!! !!!! !!! !!! ! !!! !!! !!! !!! !!! !!! !!!! !!! !!! ! !!! !!! !!! !!! !!! !!! !!!! !!! !!! ! !!! !!! !!! !!! !!! !!! !!!! !!! !!! ! !!! !!! !!! !!! !!! !!! !!!! !!! !!! ! !!! !!! !!! !!! !!! !!! !!!! !!! !!! ! !!! !!! !!! !!! !!! !!! !!!! !!! !!! ! !!! !!! !!! !!! !!! !!! !!!! !!! !!! ! !!! !!! !!! !!! !!! !!! !!!! !!! !!! ! !!! !!! !!! !!! !!! !!! !!!! !!! !!! ! !!! !!! !!! !!! !!! !!! !!!! !!! !!! ! !!! !!! !!! !!! !!! !!! !!!! !!! !!! ! !!! !!! !!! !!! !!! !!! !!!! !!! !!! ! !!! !!! !!! !!! !!! !!! !!!! !!! !!! ! ! !!!! !!! !!! !!! !!! !!! !!! !!! ! !!!! !!! !!! !!! !!! !!! !!! !!! ! !!!! !!! !!! !!! !!! !!! !!! !!! ! !!!! !!! !!! !!! !!! !!! !!! !!! ! !!!! !!! !!! !!! !!! !!! !!! !!! ! !!!! !!! !!! !!! !!! !!! !!! !!! ! !!!! !!! !!! !!! !!! !!! !!! !!! ! !!!! !!! !!! !!! !!! !!! !!! !!! !! ! !!!! !!! !!! !!! !!! !!! !!! !!! !! ! !!!! !!! !!! !!! !!! !!! !!! !!! !! ! !!!! !!! !!! !!! !!! !!! !!! !!! !! ! !!!! !!! !!! !!! !!! !!! !!! !!! !! ! !!!! !!! !!! !!! !!! !!! !!! !!! !! ! !!!! !!! !!! !!! !!! !!! !!! !!! !! ! !!!! !!! !!! !!! !!! !!! !!! !!! !! ! !!!! !!! !!! !!! !!! !!! !!! !!! !! ! !!!! !!! !!! !!! !!! !!! !!! !!! !! ! !!!! !!! !!! !!! !!! !!! !!! !!! !! ! !!!! !!! !!! !!! !!! !!! !!! !!! !! ! !!!! !!! !!! !!! !!! !!! !!! !!! !! ! !!!! !!! !!! !!! !!! !!! !!! !!! !! ! !!!! !!! !!! !!! !!! !!! !!! !!! !! ! !!!! !!! !!! !!! !!! !!! !!! !!! !! ! !!!! !!! !!! !!! !!! !!! !!! !!! !! ! !!!! !!! !!! !!! !!! !!! !!! !!! !! ! !!!! !!! !!! !!! !!! !!! !!! !!! !! ! !!!! !!! !!! !!! !!! !!! !!! !!! !! ! !!!! !!! !!! !!! !!! !!! !!! !!! !! ! !!!! !!! !!! !!! !!! !!! !!! !!! !! ! !!!! !!! !!! !!! !!! !!! !!! !!! !! ! !!!! !!! !!! !!! !!! !!! !!! !!! !! !!! !!! !!! !!! !!! !!! !!! !!! " G " A Nusa Penida Is. Bintan Is. SINGAPORE Is. B atam Batam Is. ang (see inset) 0 40 80 20 KM 0 40 80 20 KM Bintan Resorts Java Sea 1 - Aceh 2 - North Sumatra 3 - West Sumatra 4 - Riau 5 - Jambi 6 - Riau Islands 7 - South Sumatra 8 - Bengkulu 9 - Lampung 10 - Bangka Belitung Islands NUMBERED PROVINCES 31 - Central Kalimantan 32 - West Kalimantan 33 - North Kalimantan 16 - Bali 17 - West Nusa Tenggara 18 - East Nusa Tenggara 19 - Maluku 20 - Papua 26 - West Sulawesi 27 - South Sulawesi 28 - Southeast Sulawesi 29 - South Kalimantan 30 - East Kalimantan 11 - Banten 12 - West Java 13 - Central Java 14 - Yogyakarta 15 - East Java 21 - West Papua 22 - North Maluku 23 - Gorontalo 24 - North Sulawesi 25 - Central Sulawesi Batam Thousand Islands Pin jung Tan Place of interest Administrative boundary Preventive measures: Travelers should observe insect precautions from dusk to dawn in areas with any level of transmission. Atovaquone-proguanil (Malarone or generic), doxycycline, mefloquine, and tafenoquine are protective in this country. Effective antimalarial drugs may not be available in this country. Travelers staying longer than 3 weeks should consider carrying a treatment dose of co-artemether or atovaquone-proguanil in case their protective medicines fail (treatment dose should be administered under the supervision of a qualified local health care provider). Separately, presumptive antirelapse therapy (PART) with tafenoquine (or primaquine) is recommended for travelers to the provinces of East Nusa Tenggara [18], Maluku [19], Papua [20], West Papua [21], or North Maluku [22] at the end of their exposure if not on tafenoquine for primary prophylaxis. Relapses of P. vivax malaria may occur weeks or months after departure even in those who have adhered to all recommended measures and in those who experienced no signs or symptoms of initial malaria infection. G6PD testing is required prior to tafenoquine or primaquine use. Issues to Consider Factors favoring chemoprophylaxis Adventure travel Risk-averse and vulnerable travelers Areas subject to infrequent epidemics Immigrants visiting friends and relatives Flexible itineraries Travel longer than 1 month Unreliable medical expertise and/or treatment drugs at destination Factors against chemoprophylaxis Air-conditioned hotels only Urban areas only Non-transmission season Minimal nighttime exposure Travel shorter than 3 days For more information, see Technical Explanation of Malaria Mapping.

Indonesia Malaria - University of Wisconsin–Madison

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Indonesia Malaria

© Shoreland, Inc. Travax maps are color images; consult the color PDF for clearest interpretation. Map content is updated as new information becomes available. Last reviewed Apr 9, 2019. Last updated Apr 9, 2019.

General malaria information: approximately equal between P. falciparum and P. vivax, with P. knowlesi also reported. Transmission occurs throughout the year. Extremely high transmission occurs in the provinces of East Nusa Tenggara (Flores Island) [18], Maluku [19], Papua [20], West Papua [21], and North Maluku [22].

Location-specific recommendations:Chemoprophylaxis is recommended for all travelers: elevations below 2,000 m (6,600 ft) on Papua [20]; Thousand Islands; most regencies of Kalimantan (Borneo) and most regencies of all islands east of Bali [16], including Lombok Island but exclud-ing the Gili Islands; most regencies of Sumatra, including most areas of Bintan Island; limited foci in rural areas of Java that are rarely visited by tourists; all cities and towns within these areas except the central urban areas of Padang and Tanjung Pinang.Chemoprophylaxis is recommended for certain travelers (see Issues to Consider box): certain regencies of Sumatra, Java, Kalimantan (Borneo), Sulawesi, and West Nusa Tenggara [17] (including certain regencies of Lombok Island); all cities and towns within these areas except the central urban area of Bandjermasin.Insect precautions only are recommended (negligible transmission is reported): rural areas of certain regencies of Sumatra, Java, Kalimantan (Borneo), Sulawesi, and West Nusa Tenggara [17]; major tourist resorts on northern Bintan Island; the central urban areas of Padang, Tanjung Pinang, and Bandjermasin.No preventive measures are necessary (no evidence of transmission exists): urban areas and typical resort locations on Java and Bali [16] (including Jakarta and Yogyakarta); the Gili Islands; elevations above 2,000 m on Papua [20]; all other areas not mentioned above.

KEY for Location-Specific Recommendations — Travelers should observe insect precautions from dusk to dawn in areas with any level of transmission.

Chemoprophylaxis is recommended for all travelers.*

Chemoprophylaxis is recommended for certain travelers; see Issues to Consider box.

Insect precautions only are recommended * (negligible transmission is reported).

No preventive measures are necessary (no evidence of malaria transmission exists).

* Exceptions may apply. For more information, see Technical Explanation of Malaria Mapping.

" City where preventive recommendations are the same as the surrounding region.

GCity where insect precautions only are recommended in the central urban area *; at city outskirts preventive recommendations are the same as the surrounding region.

A City where no preventive measures are necessary (no evidence of malaria transmission exists).

_ National capital (no preventive measures are necessary).

MALAYSIA

MALAYSIA

AUSTRALIA

PHILIPPINESTHAILAND

BRUNEI

PAPUA NEW

GUINEA

SINGAPORE

TIMOR-LESTE

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Lorentz N.P.

Kerinci Seblat N.P.

Bukit Barisan Selatan N.P. Borobudur

20

4

30

1

32

315 21

7

2

15

9

12

2527

13 19

8

28

22

16

23

24

18

3 6

29

11

2610

14

17

33

Tana Toraja Ambon

Medan

Kupang

Manado

Padang

Mataram

Jayapura

Bengkulu

Denpasar

Makassar

Surabaya

Pontianak Samarinda

BandaAceh

Yogyakarta

Bandjermasin

Jakarta

Jambi

Bandung

Palembang

Balikpapan

Pekanbaru

PAPUA

SUMATRA

KALIMANTAN

SULAWESI

JAVA

LakeToba

98°E 106°E 114°E 122°E 130°E 138°E

11°S

5°N

3°S

ArafuraSea

SouthChinaSea

IndianOcean

BandaSea

CelebesSea

Straitof

Malacca

TimorSea

Bintan Is.

Bali Is.

0 500 1,000 1,500 2,000250KM

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"A"A

"A

BALI

LOMBOK

Senggigi

Kuta NusaDua

UbudMataramDenpasar

Gili Is.

Flores Is.

(see inset)

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"G"A

NusaPenida Is.

Bintan Is.SINGAPORE

Is.Batam

Batam Is.

ang

(see inset)

0 40 8020KM

0 40 8020KM

Bintan Resorts

JavaSea

1 - Aceh2 - North Sumatra3 - West Sumatra4 - Riau5 - Jambi

6 - Riau Islands 7 - South Sumatra 8 - Bengkulu 9 - Lampung10 - Bangka Belitung Islands

NUMBERED PROVINCES31 - Central Kalimantan32 - West Kalimantan33 - North Kalimantan

16 - Bali17 - West Nusa Tenggara18 - East Nusa Tenggara19 - Maluku20 - Papua

26 - West Sulawesi27 - South Sulawesi28 - Southeast Sulawesi29 - South Kalimantan30 - East Kalimantan

11 - Banten12 - West Java13 - Central Java14 - Yogyakarta15 - East Java

21 - West Papua22 - North Maluku23 - Gorontalo24 - North Sulawesi25 - Central Sulawesi

Batam

ThousandIslands

PinjungTan

Place of interestAdministrative boundary

Preventive measures: Travelers should observe insect precautions from dusk to dawn in areas with any level of transmission. Atovaquone-proguanil (Malarone or generic), doxycycline, mefloquine, and tafenoquine are protective in this country. Effective antimalarial drugs may not be available in this country. Travelers staying longer than 3 weeks should consider carrying a treatment dose of co-artemether or atovaquone-proguanil in case their protective medicines fail (treatment dose should be administered under the supervision of a qualified local health care provider).

Separately, presumptive antirelapse therapy (PART) with tafenoquine (or primaquine) is recommended for travelers to the provinces of East Nusa Tenggara [18], Maluku [19], Papua [20], West Papua [21], or North Maluku [22] at the end of their exposure if not on tafenoquine for primary prophylaxis. Relapses of P. vivax malaria may occur weeks or months after departure even in those who have adhered to all recommended measures and in those who experienced no signs or symptoms of initial malaria infection. G6PD testing is required prior to tafenoquine or primaquine use.

Issues to Consider Factors favoring chemoprophylaxis• Adventure travel• Risk-averse and vulnerable travelers• Areas subject to infrequent epidemics• Immigrants visiting friends and relatives• Flexible itineraries• Travel longer than 1 month• Unreliable medical expertise and/or

treatment drugs at destinationFactors against chemoprophylaxis• Air-conditioned hotels only• Urban areas only• Non-transmission season• Minimal nighttime exposure• Travel shorter than 3 days

For more information, see Technical Explanation of Malaria Mapping.