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American Red Cross Blood Services - New England Region
Maine, Massachusetts, New Hampshire, Vermont

Where Tradition and the New Millennium Meet


Malarial Travel and Residence  Deferral Policies

The American Red Cross Blood Services  follows the Food and Drug Administration (FDA) guidelines on donor deferral for travel and residence in the countries with areas with malaria.  The FDA guidelines are intended to reduce the risk of transmitting malaria  through blood transfusions.

Malaria is a blood infection caused by a parasite that can be transmitted from a donor to a patient through transfusion. It is possible to have a new infection with malaria but have no symptoms, even though the parasite is present in your blood. It is also possible to feel well, but have a very mild case of malaria, especially if you have lived for extended periods of time in parts of the world where malaria is found.

The Centers for Disease Control and Prevention keep track of the locations with malaria for international travelers from the United States, and this information is available on their web site at http://www.cdc.gov/travel/yb . There is risk of malaria in some parts of Mexico. In the Caribbean, malaria is found only in Haiti and the Dominican Republic.

The countries that have NO malaria risk in any area are as follows, listed alphabetically:

  • Albania, Andorra, Anguilla, Antigua/Barbuda, Aruba, Australia, Austria, Azores
  • Baker Island , Bahrain, Barbados, Belarus, Belgium, Bermuda, Boznia/Herzegovina, Brunei, Bulgaria
  • Canada, Canary Islands, Cayman Islands, Chile, Christmas Island, Cook Islands, Croatia, Cuba, Cyprus, Czech Republic
  • Denmark, Diego Garcia Islands, Dominica
  • England, Estonia
  • Falkland Islands, Faroe Islands, Fiji, Finland, France, French Polynesia,
  • Germany, Gibraltar, Greece, Greenland, Grenada, Guadeloupe, Guam
  • Hungary
  • Iceland, Ireland (Northern and Republic of), Israel, Italy
  • Japan, Jordan
  • Kazakhstan, Kiribati, Kuwait
  • Latvia, Lebanon, Lesotho, Libya, Liechtenstein, Lithuania, Luxembourg
  • Macedonia, Madeira, Maldives, Malta, Marshall Islands, Martinique, Micronesia, Moldova, Monaco, Mongolia, Montserrat
  • Nauru, Netherlands, Netherland Antilles, New Caledonia, New Zealand, Niue, Northern Mariana Islands, Norway
  • Pacific Islands, Palau, Pitcairn Islands, Poland, Portugal, Puerto Rico
  • Qatar
  • Reunion, Romania, Russia
  • Saint Helena, Saint Kitts, Saint Lucia, Saint Pierre, Saint Vincent, Samoa, San Marino, Scotland, Seychelles, Singapore, Slovakia, Slovenia, Spain, Sweden, Switzerland
  • Taiwan, Tokelau, Tonga, Trinidad/Tobago, Tunisia, Turks/Caicos Islands, Tuvalu
  • Ukraine, United Kingdom, United States, Uruguay
  • Vatican City, Virgin Islands
  • Wake Island
  • Yugoslavia


Countries with areas with malaria:

Countries such as Brazil, China, Colombia, Costa Rica, Dominican Republic, India, Iran, Iraq, Mexico, Peru and South Africa have areas with malaria. 

Blood donations are not tested for malaria. Therefore, it is important that people who may have malaria or been exposed to malaria because of living in, or traveling to, a country where malaria is present not be allowed to donate blood until enough time has passed to be certain that they are not infected with malaria. This is done by having a waiting period for those who lived in, move from, or traveled to, the locations with malaria.

If you have traveled outside of the United States, your travel destinations will be reviewed to see if you were in a malaria-risk area. It would be most helpful if you came prepared to report the country and city or destinations to which you traveled, as well as the travel dates.

 The deferral policies associated with travel or residence in malarial areas are:

·         Travel to an area with malaria  within the last  12 months—defer for 12 months since departure from the area with malaria.

·         Moved to the US within the last 3 years after living in a country with malaria—defer for 3 years after departure from country with malarial areas.

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©2008 American Red Cross Blood Services - New England Region
Administrative Headquarters, 180 Rustcraft Road, Suite 115, Dedham, MA 02026
Phone: 781-461-2000 or 1-800-462-9400