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General Map

General map of Comoros

Medical Summary

The health risk information presented here is summarized from Shoreland Travax®, a decision-support tool used by health care providers to perform a detailed health risk analysis based on specific locations, individual travel styles, and traveler risk behaviors. Travax provides practitioners current, independently researched malaria risk and prevention recommendations in a map-based format that goes beyond the annual WHO and CDC statements included here. Not included here are current reports from Travax of disease outbreaks or environmental events that may pose elevated risks to travelers’ health and safety. The Providers section of this site offers a directory of health care providers who utilize Shoreland Travax for travel health counseling. Learn more about the detailed reports and maps available from these practitioners (includes links to samples).

General Information

Comoros is a developing nation in the lowest 25% of the world's economies. Located between the southeastern coast of Africa and the island of Madagascar, its climate is tropical marine.

Immunizations

Depending on your itinerary, your personal risk factors, and the length of your visit, your health care provider may offer you vaccination against hepatitis A, hepatitis B, influenza, measles, mumps, rubella, rabies, or typhoid fever. Routine immunizations, such as those that prevent tetanus/diphtheria or "childhood" diseases, should be reviewed and updated as needed.

Malaria

See also: Library article for Malaria

The following is current information as reported by the World Health Organization (WHO) and the U.S. Centers for Disease Control (CDC):

WHO—International Travel and Health (current online update, Country List)

(2015) Malaria risk due predominantly to P. falciparum exists throughout the year in the whole country.
  • Recommended prevention: C – Risk of P. falciparum malaria, in combination with reported chloroquine and sulfadoxine–pyrimethamine resistance. Mosquito bite prevention plus atovaquone–proguanil or doxycycline or mefloquine chemoprophylaxis (select according to reported side effects and contraindications) a
    aAlternatively, for travel to rural areas with low risk of malaria infection, mosquito bite prevention can be combined with stand–by emergency treatment (SBET).

WHO Country List footnote: When available, the date of the most recent update or confirmation is indicated in parentheses in the country list. If no date is indicated, the most recent update or confirmation was provided before 2013.

CDC—Health Information for International Travel (current online edition)

Areas with malaria: All.
  • Estimated relative risk of malaria for US travelers: No data.
  • Drug resistance4: Chloroquine.
  • Malaria species: Primarily P. falciparum.
  • Recommended chemoprophylaxis: Atovaquone-proguanil, doxycycline, or mefloquine.
    4 Refers to P. falciparum malaria unless otherwise noted.

Other Concerns

Travelers' Diarrhea

See also: Library article for Travelers' Diarrhea

High risk exists throughout the country, with moderate risk in deluxe accommodations. Food and beverage precautions may reduce the likelihood of illness.

Travelers should carry loperamide for self-treatment of diarrhea and, if risk is moderate to high, an antibiotic to add if diarrhea is severe. Consult a knowledgeable health care provider regarding which antibiotic is appropriate for you and most effective for your destination.

Insect- and Arthropod-Borne Diseases

Chikungunya, dengue may pose a risk. Personal protective measures are important.

Other Disease and Health Risks

Additional concerns include helminths, leptospirosis, marine hazards, tuberculosis.

Consular Advice

The material below includes information from the U.S. Department of State (DOS), U.K. Foreign & Commonwealth Office (FCO), Global Affairs Canada (GAC), and Australia's Department of Foreign Affairs and Trade (DFAT), as well as from additional open-source material. Standard safety precautions that apply to all international travel can be found in the Library article Safety and Security.

Terrorism Risk

No intrinsic risk of attack by terrorist groups exists, but unforeseen attacks are possible.

Crime

Low risk of violent crime (sexual assault) exists throughout the country.

Low risk of petty crime exists throughout the country, mainly in crowded markets, parks, and on beaches.

Civil Unrest

Protests and demonstrations occur throughout the country and have the potential to turn violent without warning. Bystanders are at risk of harm from violence or from the response by authorities. Disruption to transportation, free movement, or the ability to carry out daily activities may occur.

Unsafe Areas

Piracy (involving commercial and private, leisure vessels) occurs in coastal and international waters.

Water Safety

Passenger boats may be unsafe, including ferries traveling between islands. Decline water transportation in vessels that appear overloaded or lack personal flotation devices or life jackets.

Transportation Safety

National incidence data on traffic-related injury or death are not available.

Traffic flows on the right-hand side of the road. Travelers (including drivers and pedestrians) accustomed to traffic moving on the opposite side should be vigilant when navigating traffic.

Natural Disasters

The rainy season is from December through April, coinciding with the cyclone season. Floods, mudslides, and landslides may occur.

Seismic and volcanic activity occurs, especially on Grande Comore Island.

Consular Information

Selected Embassies or Consulates in Comoros

  • United States: [+261] 20-23-480-00; mg.usembassy.gov
  • Canada: Canada does not have an embassy or consulate in Comoros.
  • United Kingdom: U.K. does not have an embassy or consulate in Comoros.
  • Australia: Australia does not have an embassy or consulate in Comoros.

Comoros' Embassies or Consulates in Selected Countries

  • In the U.S.: www.comorosembassy.org
  • In Canada: [+1] 905-319-1244
  • In the U.K.: [+44] 07768-821-888
  • In Australia: Comoros does not have an embassy or consulate in Australia.

Visa/HIV Testing

HIV testing is not required to obtain a tourist, work, or residence visa.