ür eine Reise nach Tansania Sansibar sollte man sich schon einige Wochen vorher informieren, welche gesundheitlichen Risiken bestehen und ob man seine Impfungen ggf. auffrischen sollte. For a trip to Tanzania Zanzibar, one should inform oneself a few weeks in advance, which health risks exist and if one should refresh his vaccinations if necessary. Since I have developed into a veritable travel hypochondriac in the last four years, I have of course pushed back shortly before departure and ordered all the medicines for the first-aid kit for Tanzania on the Internet. I also had my hepatitis vaccinations refreshed and vaccinated against tropical fever for yellow fever. Since Tanzania is my first trip to a tropical malaria area, I thought about it in detail. Sure, it does not do any good to get mad, but how did my dear doctor say, "but you have to protect yourself". Fortunately, we are able to protect ourselves against many health risks in Tanzania and Africa through clothing, medicines and appropriate behavior. My tips on health in a Tanzania Zanzibar trip, especially tips against malaria, vaccinations and the first aid kit for Tanzania Zanzibar, I'll be happy to pass.

Reliable sources of information on health risks in a Tanzania Zanzibar trip:

Recommended vaccinations for a Tanzania Zanzibar trip

The Federal Foreign Office recommends the following vaccinations for a Tanzania Zanzibar trip:

  • tetanus
  • diphtheria
  • poliomyelitis
  • Hepatitis A + B
  • yellow fever
    on arrival to Zanzibar is a yellow fever vaccination or if the entry is from a transit country, as well as during stopover in Addis Abbaba over 12 hours stay. In the case of direct entry from Europe, the vaccination according to the Foreign Office is not a duty, but it is recommended - this is the position of the Foreign Office. My experience: Upon arrival at Kilimanjaro Airport in Tanzania I had to show my vaccination certificate and yellow fever cancellation in it, I had a stopover in Addis Abebba, but less than 12 hours, so I find the reference from the Foreign Office is not correct. When I arrived in Zanzibar, my visa / stamp from Tanzania was sufficient. A vaccination certificate was not required here. I do not know what it's like when I travel directly from Europe to Zanzibar.

Tetanus, diphtheria and poliomyelitis are standard vaccinations .

Hepatitis A is recommended and also considered as an important vaccine when traveling to many other countries. Hepatitis B is actually only necessary if you have long-term stays or close contact with the population or comes into contact with blood or mucous membranes. The hepatitis A + B vaccine is often given as a combination in the Twinrix vaccine pot. The costs for the hepatitis vaccinations are reimbursed by some health insurance companies. Hepatitis C is mainly transmitted via sexual contacts. Hepatitis is a dangerous liver disease whose transmission risk is very high if one does not protect and vaccinate sufficiently.

Yellow fever may only be vaccinated by certain doctors. Information about this is given by the Robert Koch Institute or the Tropical Institute, for example. Yellow fever vaccinations but also make as the health authorities of the respective cities. Be sure to inquire about the appointment if the vaccine is also in stock. In Frankfurt there are fortunately many yellow fever vaccines, tropical medicine etc. due to the airport. The vaccination has to be done at least 10 days before the arrival, otherwise there is no sufficient protection.

My recommendation: tick vaccination

What I also personally recommend is a tick vaccine (TBE). The risk of a tick bite in Tanzania is also very high, especially in the national parks, if you go through the savannah. After malaria, African tick-bite fever is the most common infectious disease in Africa. But not only for Tanzania, also for Germany and Europe, I find a tick vaccine important, especially if you are like me often outdoors, in the woods and on meadows (Baden-Württemberg, for example, belongs to a heightened tick area).

I did the first FSME 1 year ago, the third before the Tanzania trip. It takes 3 vaccinations (similar to hepatitis) to achieve complete immunization. The third vaccination takes place about 1 year after the first one. The tick vaccine is very uncomfortable, it hurts and it was the only vaccine that made me a bit flat. Again, the costs were covered by my health insurance.

My doctor advised against a rabies vaccination and I personally do not see as necessary. In principle, I avoid animals (including dogs, cats, etc.) abroad and do not stroke any animals. Of course, I mainly travel to Tanzania because of the animals, but they are wild animals in their natural habitat that I do not intend to pet. Basically you should not pet and touch animals. Especially in Tanzania, there are also many poisonous animals such as snakes, scorpions, spiders, caterpillars, etc., these should not be touched in any case.

Checklist for Tanzania Zanzibar:

Check your vaccination card as early as possible, preferably 8 weeks before your trip to Tanzania Zanzibar and make appointments with the doctor for the refreshments and vaccinations. Say when you make an appointment, which vaccinations you may need, so that the vaccine is then in stock in any case.

  • Polio, diphtheria and tetanus refresher (costs carry health insurance),
  • Hepatitis A + B: Primary immunization works immediately, no later than 1 week before the trip , full immunization after 3 vaccinations at intervals, costs are often reimbursed by the health insurance
  • Yellow fever vaccination: no later than 10 days before entering a yellow fever vaccination center. Proof is the stamp "yellow fever" in the international vaccination certificate, which you should of course take with you. Costs may be reimbursed by the health insurance.
  • optional: ticks (TBE), costs borne by health insurances
  My tip: I always take my vaccination certificate with me in all non-European countries or longer trips.

A traveling family told me that she also took a cholera vaccine. My doctors did not even recommend it to me and I think that's a superbooked safari trip and totally superfluous. Cholera is mainly transmitted via contaminated drinking water. If you are not in close contact with locals, if you are not traveling as a doctor or for a long time, you do not need a cholera vaccine (this is my opinion and I am not a doctor). Otherwise, you should of course avoid drinking water from the line or use for brushing your teeth. Always boil before!

Malaria in Tanzania Zanzibar

Malaria in Tanzania

Tanzania is malaria area. Throughout the year, there is a risk of malaria throughout the country, both in urban and rural areas. Only above a height of 1,800 meters is the risk of malaria very low, for example, if one intends to climb the highest mountain in Africa, Mount Kilimanjaro. The mosquitoes like it warm and humid, in higher regions it is too cool, so the risk is lower here. Otherwise, you should consult before the trip with a doctor or better tropical medicine about possible malaria prophylaxis. Malaria is transmitted via female mosquitoes, which have the malaria pathogen in them, ie the mosquito must have previously stung a malaria-infected people. The malaria mosquito is active mainly at dusk and at night. The biggest threat from the dangerous malaria mosquito (Anopheles mosquito) is between 17 o'clock in the evening and 9 o'clock in the morning. Malaria can be very dangerous if not treated in time. There is currently no cure or vaccine for malaria. So you should not underestimate the danger and protect yourself by appropriate long-sleeved, bright clothing, insect repellent with high DEET content and sleep under mosquito nets at night - even if you take malaria prophylaxis. Because even the prophylaxis can not provide 100% protection. Malaria is the leading cause of death in Africa after HIV / AIDS. Symptoms of Malaria include: fever, gastrointestinal complaints, chills and cramps. If these symptoms occur, seek medical attention immediately!

Best travel time for low malaria risk:

In the dry season between June and September, there are fewer malaria mosquitoes, as the swamps dry out and it is cooler at night.

Malaria in Zanzibar

In Zanzibar, the risk of malaria is lower than on the mainland in Tanzania. The island is now considered malaria free. If you only travel to Zanzibar, you can take a malaria prophylaxis in case of emergency.

Which malaria preparation for a Tanzania and Zanzibar trip?

This should be discussed with your doctor or tropical medicine doctor. I was prescribed atovaquone / proguanil hydrochloride by ratiopharm, also known as malarone. This is a commonly used preparation with little side effects. There is probably a cheaper alternative: Mefloquin. The WHO recommends doxycycline, but this product is not approved for sale in Germany and is not compatible with direct sunlight.

What is the cost of malaria prophylaxis?

The malaria Propylaxe are quite expensive and the costs are unfortunately not taken over by the health insurance, which applies according to my pharmacist as a "lifestyle product". Nevertheless, the doctors urgently advised me to take it. For a 2-week trip to Tanzania, I need 24 tablets, since the intake begins before the trip and ends after the trip, see below. Malaria prophylaxis is a prescription, so you should seek in good time before your trip for a consultation with the doctor or tropical medicine ,

Cost: 90 Euro (!!!)

(24 tablets / atovaquone / proguanil hydrochloride)

How do you take malaria prophylaxis?

In my case, the pharmacist advised me 24 hours before entering the malaria area to start taking. der Reise im Malaria-Gebiet. Every day one tablet for adults in the period of travel in the malaria area and up to 7 days after traveling in the malaria area. The intake should not be stopped. It is therefore necessary that you have enough malaria tablets, you should not save on health here. Unfortunately, the malaria drug can not provide complete protection, so it is even more important to pay attention to the right clothing. More on that later.

Do malaria prophylaxis have side effects?

As with any medication, there may be side effects. Everyone tolerates the drug differently. Normally, the side effects in Malarone but low and not as severe as a few years ago. Personally, I was a bit dizzy on the first day of taking it, and I did not feel fit, and I did not get a bite down. On the 2nd day, I did not notice much of it. The rest of the trip went without a problem with me. Other travelers have taken all Malerone and so far known no complaints.

Sleeping sickness due to transmission of the tsetse fly in Tanzania

The danger of being stung by a tsetse fly exists especially in the national parks in Tanzania eg Serengeti and Tarangire, above all in river-rich areas (beware of the Hippo pool in the Serengeti, since I have seen many flies, but do not know if there were tsetse flies). Zanzibar is free of tsetse flies. Unlike the malaria mosquito, the tsetse fly is active on a daily basis. Therefore, you should also pay attention to long protective clothing during the daytime during the safari. In addition: always spray well with insect repellent, I have used Nobite with 40% DEET here and sprayed my clothes (do not forget your hands and face). And: do not wear blue and black T-shirts - that's what mosquitoes are all about! The tsetse fly can transmit sleeping sickness ( African trypanosomiasis) , which can also be fatal in severe cases.

Dengue fever in Tanzania Zanzibar

Like malaria, dengue fever is transmitted by mosquitoes (Aedes mosquito). However, these mosquitoes are more active daily. A vaccination or prophylaxis does not exist yet. Dengue occurs mainly in the rainy season on the coast. The only protective measure is, as with malaria and the tsetse fly, not to be bitten by mosquitoes.

  My tip: Nobite bug spray for the skin and to impregnate the clothes with 40% Deet! Has denied me all insects, had 0 stitches!

The right clothes for a safari in Tanzania

 

Other health risks in a Tanzania Zanzibar trip

  • intestinal infections

can be avoided by paying attention to clean drinking water. When brushing your teeth, take water from PET bottles (is usually ready in the hotel room, even in simple accommodations).

Never drink tap water. Always boil water beforehand.

When it comes to eating, as always, in developing countries: cook it, eat it or leave it : cook, peel or dispense! Vegetables and salads should be cooked, cooked, fruits peeled and meat and fish never eaten raw or half cooked. I think the hotels are aware of all this and pay attention to appropriate hygiene. I also ate salad and cucumber with peel or tomatoes, etc. In addition, and of course: always wash hands, even on the go (my tip: Sagrotan hand disinfection without water applicable, see Reiseapohteke for Tanzania below)

  • bilharzia

can be avoided by not bathing in inland waters. So splash in lakes and rivers should be left to the hippos.

  • Lyme disease

Can be avoided by optimal clothing and insect spray

  • Filariosen (worm diseases)

Occurs rarely in short package tours and requires a large number of insect bites over a longer period of time.

Travel health insurance for Tanzania Zanzibar

The Federal Foreign Office recommends the conclusion of a travel health insurance for a trip to Tanzania Zanzibar, which also includes the return transport to the home country. I have a foreign travel health insurance from Allianz for many years. The annual fee only costs 8 euros. The insurance cover for Tanzania, I have extra confirmed once again.

A foreign travel health insurance for worldwide protection you can buy cheap for 8 to 15 euros a year, eg here:

Or you can get a credit card with which you can withdraw cash for free abroad as well as various insurance policies. One way to do that would be to use the Visa World Card without an account maintenance fee: The VISA World Card Gold with no annual fee in the first year with extensive insurance cover: Request now! *

  My advice: always have an emergency number with you!


In addition, the Foreign Office advises to conclude a local evacuation insurance with AMREF-Flying Doctors. This can be done via the internet before the start of the journey (http://www.amrefgermany.de). I did not do that, I think it's overkill. You can not protect yourself against everything, anyway, I also booked a package holiday.

Important after the trip!

After the trip you should not forget that you were in a tropical area. So, if you get a fever in the next few days, weeks or even months, go to the doctor and tell him you were in Tanzania or a malaria area. Because just malaria and other diseases such as sleeping sickness, dengue, etc. can still occur months after the trip, but then they are often not recognized as symptoms of a tropical disease, but only treated as a normal flu. This can have life-threatening consequences.

First-aid kit for Tanzania Zanzibar

Travel pharmacy for Tanzania Zanzibar trip: The picture is missing Nobite, I have ordered on the Internet and unfortunately arrived at the last minute with me, so it is missing in the picture. From left to right: duniwell washcloth, 40stk, Sagrotan hand hygiene applicable without water, Immodium acute lingual, Korodin cardiovascular drops, Malarone tablets, Bepanthen wound and healing ointment, Thomapirin painkillers, paracetamol for fever, Fenistil for sunburn and itching, Sebamed lotion with 10% urea for my dry skin, sun spray with SPF 50, aprés sun lotion, wound disinfectant spray, patches, cotton pads, cotton swabs, tweezers, nail scissors, nail file

The must haves for the travel pharmacy for Tanzania Zanzibar trip

  • Malaria prophylaxis

Insect repellent for Tanzania Zanzibar:

  • Insect spray with 50% DEET for tropical mosquitoes, here proven to me

NOBITE Skin Spray, 1 Pack (1 x 100 ml) *

  • Impregnation spray for the clothes against insects, also here I used Nobite for the clothes (on clothes trousers and on shoes
    spray, possibly also impregnate mosquito net with it)

Nobite Spray for clothes, pack of 1 (1 x 200 ml) *

First-aid kit Basic equipment for Tanzania Zanzibar

Medication for Discomfort on Safari Travel:

First Aid on Safari Travel

Sunscreen for Africa travel

  • Sunscreen with SPF of at least 30 or 50: Sunscreen *
  • Aprés Sun Lotion for cooling and moisturizing the skin: Lavera Apres Lotion *
  • Sunglasses with UV protection
  • Headgear (Hat or Cappi can fly away in the wind, I had a cloth with me, which I possibly wrapped around the head, also good against the dust on the safari)

for hygiene on the Africa Safari

Further useful information for this trip

These tips and recommendations were researched to the best of our knowledge and belief. unterwegs daheim assumes no responsibility and responsibility for the content and the recommended products. If you have questions about health and the first-aid kit, please contact a doctor, tropical medicine specialist or pharmacist with experience in tropical medicine. The links marked with * lead to the affiliate program of Amazon. The product recommendations I have even bought for my Tanzania trip, some drugs are recommended for every first aid kit.

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