Nouakchott and the Adrar are CDC malaria areas. Nouadhibou and Zouérat are not.
- Travel clinic CDC recommends medicine or vaccines for some areas · which ones
- No CDC travel notice for mosquito-borne disease
CDC's malaria advice covers all of Mauritania except the northern regions of Dakhlet Nouadhibou and Tiris Zemmour, so the capital and the Chinguetti and Ouadane oases are inside it. Dengue has been urban in Nouakchott since 2014, and the cool, dry months from December to March tend to be the easiest time to go.
Are there mosquitoes in Mauritania? Yes, and CDC recommends prescription medicine to prevent malaria for all of the country except the two northern regions of Dakhlet Nouadhibou and Tiris Zemmour. That puts Nouakchott and the Adrar oases inside the malaria area, and dengue has been established in the capital since 2014.
Where CDC's malaria advice applies
What CDC says: "CDC recommends that travelers going to certain areas of Mauritania take prescription medicine to prevent malaria." The areas are "All; except in the regions of Dakhlet Nouadhibou and Tiris Zemmour where there is no transmission," and the options are atovaquone-proguanil, doxycycline, mefloquine and tafenoquine. That puts Nouakchott, Atar, Chinguetti and Ouadane inside the malaria area, and Nouadhibou and Zouérat outside it. What we suggest you do with this: book a travel-medicine appointment 4–6 weeks before departure and bring every stop and your dates. Our malaria-zone checklist covers everything around the prescription.
Mauritania reported 77,369 confirmed malaria cases in 2024, up from 31,424 in 2023, according to WHO's World Malaria Report 2025. The parasite is mainly Plasmodium falciparum, resistant to chloroquine. Travelers visiting family are the ones malaria most often catches out, because they tend to skip the prevention medicine. Malaria mosquitoes and sand flies, which CDC lists for leishmaniasis, both bite from dusk to dawn, so put on repellent before sunset, wear long sleeves after dark and sleep in a screened room or under a net.
For yellow fever, CDC recommends the vaccine for travelers 9 months and older "going to areas south of the Sahara Desert," and not for "travel limited to areas in the Sahara Desert," which covers an Adrar trip. Where Nouakchott falls is shown on CDC's map, so settle it with the clinic.
Dengue in Nouakchott, Rift Valley fever in the south
Dengue became an urban disease in Nouakchott with the capital's first laboratory-confirmed epidemic in 2014, around the time Aedes aegypti was first reported there. The European Centre for Disease Prevention and Control, citing Africa CDC, counted 110 dengue cases in Mauritania in 2026 as of August 30. Aedes bites in daylight, with peaks after sunrise and in the late afternoon, so in Nouakchott repellent goes on in the morning, not only at dusk.
Rift Valley fever follows heavy rains. WHO counted 46 confirmed human cases and 14 deaths from September 27 to October 30, 2025, in 11 districts, including the border regions of Assaba, Brakna and Trarza. Most people catch it from the blood or organs of infected animals and some from mosquito bites, so on family visits to herding areas, avoid contact with sick or slaughtered animals and raw milk.
CDC's Level 1 diphtheria notice for sub-Saharan Africa lists Mauritania and advises adults to have had a Td or Tdap booster in the last 10 years.
When to go
The cool, dry months, roughly December to March, are when most Adrar trips run, and they tend to bring the fewest bites. The rains fall roughly July to October, mostly in the south, and August to November tends to be the worst stretch. CDC's malaria advice applies in every month.
Where you're going
Nouakchott
Inside CDC's malaria area, and dengue has been urban here since 2014. Wear repellent from the morning on, and sleep in a screened or air-conditioned room.
Atar, Chinguetti & Ouadane
Inside CDC's malaria area, though yellow fever vaccine isn't recommended for travel limited to the Sahara. Oasis nights tend to bring flies and mosquitoes, so pack repellent.
The iron-ore train
Nouadhibou and Zouérat, at the two ends of the line, are in the regions where CDC lists no malaria transmission. Choum, where riders usually leave the train for Atar, is in the Adrar and inside the malaria area.
The US State Department's travel advisory for Mauritania has been reported at Level 3, Reconsider Travel, so check the current advisory before you book. Next stop Senegal or Morocco? Our Senegal and Morocco briefings cover both.
The Mauritania kit
- Picaridin 20% travel sprays: odorless in the heat and quick to reapply before sunset. One 3.4 oz bottle lasts one person about a week.
- Permethrin 0.5% for clothing: treat a long-sleeved shirt, trousers and socks at home 48 hours before you fly. Clothing only, never skin.
- A warm long-sleeved layer for cool desert nights in the Adrar.
Two last notes. CDC says schistosomiasis is found in Mauritania, so avoid swimming in fresh water. And any fever during or after your trip needs prompt care and a malaria test, and you tell the doctor you were in Mauritania. After time in a malaria area, that rule holds for a year.
Traveler questions
Do I need malaria pills for a Chinguetti or Ouadane trip?
CDC's malaria area for Mauritania is "All; except in the regions of Dakhlet Nouadhibou and Tiris Zemmour where there is no transmission," so the Adrar, Atar, Chinguetti and Ouadane included, is inside it, in the cool season too. CDC names atovaquone-proguanil, doxycycline, mefloquine and tafenoquine as the options, and which one suits you is a call for a travel clinic, made 4–6 weeks before departure. Our malaria-zone checklist covers the rest.
Do I need a yellow fever vaccine for Mauritania?
It depends on where you go. CDC says "Vaccine is recommended for all travelers ≥9 months old going to areas south of the Sahara Desert" and "Vaccine is not recommended for travel limited to areas in the Sahara Desert." A trip limited to the Adrar falls under the Sahara exception. Which side of the line Nouakchott falls on is shown on CDC's map, so check it with the clinic. Proof isn't required on a direct trip from the US, only from travelers 1 year or older arriving from a country with yellow fever risk.
What is Rift Valley fever, and who catches it?
A virus that CDC lists for Mauritania and that infects livestock as well as people. Most human infections come from contact with the blood or organs of infected animals, some from mosquito bites, and outbreaks follow heavy rains. WHO counted 46 confirmed cases and 14 deaths from September 27 to October 30, 2025, in 11 districts. On family visits to herding areas after the rains, avoid contact with sick or slaughtered animals and raw milk.
Do camel treks bring ticks?
They can. CDC lists African tick-bite fever and Crimean-Congo hemorrhagic fever, both spread by ticks, and Hyalomma ticks on camels and livestock are the main carriers of the second. WHO's Africa office reported one confirmed case in Rosso District, Trarza, in late August 2026. Wear long trousers on a trek, use a repellent with 20% or more DEET, which CDC suggests where ticks are a concern, and check for ticks afterward.
Sources
Health authorities, surveillance reports and news coverage of official bulletins used for this briefing, last checked October 2026. Traveler reports are linked where they appear. This page summarizes public-health guidance and is not medical advice.
- CDC destination page for travelers
- Peer-reviewed study (PubMed Central)
- Peer-reviewed study (PubMed Central)
- Peer-reviewed study (PubMed Central)
- World Health Organization
- European Centre for Disease Prevention and Control
- CDC Travel Health Notice
- World Health Organization
- World Health Organization
- World Health Organization
- World Health Organization
- World Health Organization
- World Health Organization
- World Health Organization
- World Health Organization
- CDC Travel Health Notice
- World Health Organization
- Peer-reviewed study (PubMed Central)
- Peer-reviewed study (PubMed Central)
- Peer-reviewed study (PubMed Central)