Please could someone advise me on the current malaria risk in Southern Kruger. I am heading to Croc Bridge in 2 weeks time for 2 nights. I have had malaria 3 times and am now allergic to Quinine. I have never taken anti-malarials in the past due to working in Malaria areas, but don't fancy getting it again! I currently live in Nelspruit.Bushwhackedblonde (good alias ), what is good news in recent times is that the Department of Health has approved a new malaria map of South Africa that reflects risk zones reduced both in their extent and intensity. That means that many areas that were once considered as high seasonal-risk areas are now revised to moderate seasonal-risk areas and the low-risk areas have reduced in extent. Also, certain areas that were said to be high-risk areas have now been revised to low-risk (the northern-most area of KwaZulu Natal).
All of this means that it is primarily the north-eastern areas of Limpopo and Mpumalanga where antimalarial chemoprophylaxis (medications) is still recommended from September to May, inclusive. At the time that you are going to Kruger, it is officially designated as a risk area where chemoprophylaxis is recommended. However, each person makes her or his own decision on this matter. In your case, you can weigh up the fact that you are going for two nights only, and whether you'd be in a position to use diligent non-preventative measures from dusk until dawn, versus the cost and risk of you contracting malaria over that time period. You don't say whether you're in chalets or camping, but if the former, then if you leave your air-conditioner on at night (it does get pretty warm most of the time), the chances of mosquitoes getting into the unit and biting you is greatly reduced. I have just come back from Kruger and, because it was quite dry in many areas, and it didn't rain much, there were not that many mosquitoes around - although I did get bitten several times. However, always bear in mind that it just takes one infected female Anopheles mosquito to transmit the disease.
You say you have had malaria in the past, but then you lived in a malaria area, so were always exposed to risk. You don't say where you worked, but I assume it was high-risk areas. However, the fact that you had malaria before does not change your risk of getting it again. You mention that you are allergic to quinine, but I cannot ascertain whether that allergy prevents you from using the drug to treat malaria or whether it only gives you uncomfortable side-effects. Either way, there are other options to quinine for treating malaria, although quinine is still a staple of the treatment regimen, as far as I can tell.
My advice to you is to find out more from a travel clinic or appropriate health professional and then decide what route you want to follow. If you do choose to use chemoprophylaxis, then you'd have to consult a doctor to prescribe the medications in any case. Whatever you choose, go ahead and enjoy your trip.
Disclaimer: My recommendations here - though based on some experience and some drug knowledge - are not absolute, and further consultation with suitable health-care professionals is suggested before a final decision is taken on whether to enter a malarial area, what prophylaxis to use, and any general factors and limitations that need to be taken into account. Furthermore, I only advise based on what information is given by the person(s) entering the malarial area, but I have no control on the information given to me, and so such information could possibly be incomplete or misleading.