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Malaria is transmitted by mosquitoes that usually bite from dusk to dawn. Symptoms can develop as early as six days or as late as several months after exposure. Early
malaria symptoms are flu-like, such as head/body aches and generally feeling tired and unwell. Untreated, it can cause complications including anaemia, seizures,
mental confusion, kidney failure and coma. It can be fatal.
Malaria in this country is resistant to the medication chloroquine.
PREVENTING MALARIA
• Prevent mosquito bites.
• Chemoprophylaxis.
If visiting malarial areas, use a medication to prevent chloroquine-resistant P. falciparum malaria. These include:
◦ Atovaquone plus proguanil (Malarone® and generics)
◦ Doxycycline (many brands and generics)
◦ Mefloquine (Lariam® and generics)
Continue malarial prophylaxis while exposed to malaria. Stopping the medication while still exposed leaves you susceptible again to the dangerous
consequences of malaria.
Standard of Care

Emergency Response
Always try to call International SOS whenever medical care or advice is required, especially in emergencies.
There is no public ambulance system in Mali.
Private clinics run well-equipped vehicles. However, the quality of their medical staff varies.
Emergency Numbers
Fire 18
Police 17

Standard of Health Care
Medical care in Mali is significantly below international standards. Hospitals often lack basic medications and supplies. Very few doctors speak English. Serious medical
conditions may require international evacuation.
Private clinics in Bamako may be adequately equipped to provide emergency care prior to international evacuation. Alternatively, use public hospitals, where the
emergency units are managed by French-trained staff.

OutPatient Care
In Bamako, seek medical assistance at the private clinics where outpatient, GP and specialist services are provided by western-trained doctors. Experienced specialists
are available either in their own practice or in hospital clinics. Note that physicians' offices are usually poorly equipped and maintained.
Paying for Health Care
Physicians and hospitals expect cash payment at the time services are rendered and may withhold urgent care pending a deposit or adequate financial guarantee. No
private clinics in Bamako accept credit cards. Consultation rates are not regulated and may vary.
Do not defer medical treatment because of financial concerns. Contact International SOS, and if our terms allow, we will make financial arrangements on your behalf.
Dental Care
There are some reputable dentists in Bamako who are appropriately equipped. Elsewhere, dental services are inadequate.
Blood Supplies
Although there is a National Blood Agency, blood supplies in Mali are limited and UNSAFE. They are not screened according to international standards. If blood is
required, evacuation to Dakar or Abidjan will be necessary.