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The malaria advice and maps for Pakistan and Nicaragua have recently been updated. These were considered by the Scottish Malaria Advisory Group (SMAG) after an extensive trawl of the available data was undertaken.
In Pakistan the malarial risk is reduced in the Punjab and city of Karachi such that antimalarial chemoprophylaxis is no longer advised for any travellers, although advice on bite avoidance and prompt diagnosis and treatment is still essential.
In Nicaragua the risk is also reduced such that antimalarial chemoprophylaxis is not longer advised for travellers to all areas although it may be advised for certain groups of travellers who may be at higher risk and if going to the municipality of Atlantico Norte.
See the malaria section of the Pakistan and Nicaragua country records for further details.
