Dhow sailing boats on the turquoise water off Stone Town at golden hour with the old waterfront and palms behind, and a separate inset of a narrow Stone Town alley with carved wooden doors

Stone Town · Pemba · Travel Medicine

Zanzibar was supposed to have beaten malaria. The 2024 case count says otherwise.

Get Malarone (atovaquone-proguanil) before you fly to Zanzibar. One pill a day, started a day or two before you land, keeps chloroquine-resistant malaria off the trip. Ready at your pharmacy before you board.

Year-round
malaria risk across Zanzibar and Pemba
23,569
confirmed cases in the 2023–24 Zanzibar epidemic
Resistant
P. falciparum strain — chloroquine doesn't work
<24 hrs
typical time to Rx at your pharmacy
  • Physician-founded
  • Licensed in all 50 states
  • HSA / FSA eligible
  • Same-day Rx in most cases

For years the Zanzibar archipelago was treated as a near-elimination success story, and a lot of travelers booked the beaches assuming the malaria risk had gone with it. Then the islands recorded more than 23,500 confirmed cases in a single rainy-season epidemic between November 2023 and March 2024. CDC still lists malaria risk across Tanzania including Zanzibar and recommends chemoprophylaxis for travelers, and the Plasmodium falciparum strain that dominates the region is chloroquine-resistant, so the protective options are atovaquone-proguanil, doxycycline, mefloquine, or tafenoquine. Anopheles mosquitoes bite from dusk through dawn, which is exactly when you are at a beach bonfire in Nungwi, walking back through Stone Town after dinner, or up early for a Pemba dive boat. Recent returning-traveler cases in Europe shared one thing in common: none of them had taken a malaria pill. Sort the antimalarial before you board.

Tanzania travel health guide — vaccines, snapshot overview, and what to review before you go.

Orders are reviewed and prescriptions sent to your pharmacy within 24 hours.

Need help?

Booking questions, platform help, or just not sure where to start, give us a call.

+1 (302) 251-2302
Mon–Fri, 9 am – 6 pm PST
How it works

Rx at your pharmacy in three steps.

No appointment. No waiting room. Answer a few questions and a licensed provider reviews within hours.

1
Answer a few questions

Your destination, dates, health history, and current medications. Takes about 2 minutes.

Intake complete
~2 minutes
2
Provider reviews your visit

A licensed clinician reviews your health profile, checks for interactions, and approves your prescription.

  • Allergy screen passed
  • Drug interactions clear
  • Prescription approved
Under 24 hours
3
Prescription sent to your pharmacy

Your approved prescription is sent electronically to the pharmacy of your choice. Pick it up when your pharmacy has it ready.

Rx sent — ready for pickup
Pharmacy pickup
Why not a travel clinic?

Skip the appointment. Get the same Rx.

 
Wandr Health
Travel clinic
Total cost
$89–$129
$200–$400+
Wait for appointment
None
1–2 weeks typical
Time to Rx
Often within hours to 1 business day
Day of appointment
Where you pick it up
Any pharmacy you choose
Often clinic pharmacy only
Pharmacy insurance accepted
Yes, bring your card
Sometimes
HSA / FSA eligible
Yes
Yes
Common questions

Zanzibar medication FAQ

  • Yes. CDC lists malaria risk across Tanzania including the Zanzibar archipelago and recommends chemoprophylaxis for travelers. Zanzibar was widely treated as a near-elimination success for years, but the islands recorded more than 23,500 confirmed cases during a single rainy-season epidemic between November 2023 and March 2024, which is a clear reminder the risk has not gone away. The Plasmodium falciparum strain that dominates the region is chloroquine-resistant, so chloroquine is not protective. CDC-recommended options are atovaquone-proguanil (Malarone), doxycycline, mefloquine, or tafenoquine. Anopheles mosquitoes bite from dusk through dawn, which lines up with beach bonfires in Nungwi, evening walks through Stone Town, and pre-dawn Pemba dive boats. Malarone is one of CDC's first-line options because it has the shortest pre-trip and post-trip dosing window of any malaria pill.
Ready when you are

Sort the malaria pill before the flight to Zanzibar.

One visit, three prescriptions for the island trip you booked for the beaches. Reviewed by a US-licensed provider, ready at your pharmacy before you fly to Tanzania.

Medically reviewed by the Wandr Health Medical Team · Last updated May 29, 2026