Musanze has one of Rwanda's lowest malaria rates, and the CDC makes no exception for it.
- Travel clinic CDC recommends medicine or vaccines for some areas · which ones
- No CDC travel notice for mosquito-borne disease
Trekkers report few mosquitoes in the cold, high country around the park, and Musanze district's malaria incidence is among the lowest in Rwanda. The CDC still lists malaria in "All" areas of the country. Yellow fever vaccine is generally not recommended unless you add Uganda.
Very few. Trekkers report few mosquitoes in the cold, high country around Volcanoes National Park, and Musanze district's malaria rates are among the lowest in Rwanda. The CDC still lists malaria in "All" areas of the country, with no exception for altitude, so the clinic question is the same as for Kigali.
Low local rates, the same CDC advice
What CDC says: "CDC recommends that travelers going to Rwanda take prescription medicine to prevent malaria." The transmission areas are "All," mostly Plasmodium falciparum resistant to chloroquine, and the medicines listed are "Atovaquone-proguanil, doxycycline, mefloquine, tafenoquine." The page says nothing about altitude, so Musanze, Kinigi and the park are covered. What we suggest you do with this: book a travel-medicine appointment 4–6 weeks before departure and bring the whole route, Kigali and any Uganda leg included. Our malaria-zone checklist covers the rest, and the Rwanda briefing covers Akagera and Lake Kivu.
The local numbers are low. In Rwanda's 2012–2022 health-facility data, Musanze district's malaria incidence, aggregated over the period, was 6.5 per 1,000 children under 5, 12.6 per 1,000 males over 5 and 7.1 per 1,000 females over 5. The rate for males over 5 was the lowest of Rwanda's 30 districts, and Ngoma district recorded 670.5, 273.7 and 313.9 for the same three groups (Infectious Diseases of Poverty, September 2024). Musanze still logged 43,117 cases over those 11 years, 3,920 of them in children under 5. In the 2014–2015 national health survey, rapid tests found a 0.59% malaria prevalence in Northern Province against 5.45% nationally, and living below about 5,600 feet (1,700 m) carried about three times the odds of infection (Malaria Journal, 2020).
For yellow fever, the CDC says "Vaccine is generally not recommended for travel to Rwanda," and Rwanda doesn't require it on a direct trip from the US. It does require proof from travelers 1 year and older arriving from countries with yellow fever risk. A Bwindi leg changes the answer, since the CDC recommends the vaccine for all travelers to Uganda and Uganda requires proof at entry; our Bwindi briefing covers that side. Rwanda has no CDC Ebola notice, while the DRC's Nord-Kivu province, across the volcanoes from the park, is under a CDC Level 4 Ebola notice that advises avoiding all travel.
Cold treks, warmer evenings in town
Trekking days tend to be cold, wet and close to bite-free. Musanze town sits lower and warmer than the Kinigi lodges by the park boundary, so evening mosquitoes are more likely in town and around the Twin Lakes. Malaria mosquitoes bite from dusk to dawn, which makes dinner the moment for repellent and the lodge's net the overnight cover. Wear long sleeves and trousers on the trek, which the cold calls for anyway.
Two more CDC items touch a Virungas trip. The CDC lists schistosomiasis for Rwanda and advises against swimming in fresh water, so skip a swim in the Twin Lakes or Lake Kivu. Its Rwanda page also reports suspected Rift Valley fever, which Rwandan press placed in Eastern Province, not the north.
When to go
The long dry season, roughly June to September, and the shorter dry spell around December to February tend to be the lightest months for mosquitoes and the easiest for trekking. A 2024 study found Rwanda's malaria cases peak after the rains, in May–June and November–December, and the main rains, roughly March to May, are the worst stretch for bites. The CDC's advice doesn't change by month.
Where you're going
Kinigi & the park headquarters
Where trek briefings start and most gorilla lodges sit. Cold nights and few mosquitoes, and lodges tend to supply nets. CDC's malaria advice applies here all the same.
Musanze town
Lower and warmer than Kinigi, so evening mosquitoes are more likely here. Put repellent on for dinner in town, even though the district's malaria rates are among Rwanda's lowest.
Mount Bisoke & Karisimbi
The day hike to Bisoke's crater lake and the two-day Karisimbi climb run high above the farms, and hikers tend to see no mosquitoes. Dress for cold and wet.
Twin Lakes Burera & Ruhondo
Burera district had no malaria case in the 2014–2015 national survey. Lakeside evenings still call for repellent, and skip a swim, since the CDC lists schistosomiasis for Rwanda.
The Virungas kit
- Picaridin 20% travel sprays for dinner in Musanze and evenings by the lakes. Odorless, quick to reapply, and one 3.4 oz bottle covers about a week for one person.
- A warm long-sleeved layer and long trousers for the trek and cold lodge evenings, covering skin as well as keeping you warm.
What travelers report
Paraphrased from TripAdvisor posts about the park and linked so you can read them in full. Neither carries a year, and conditions change with the season and the altitude.
- Volcanoes National Park (Musanze/Kinigi)
Posters said the cold, high-altitude area has few mosquitoes, so they are not much of a concern. Another advised carrying repellent anyway, saying it is recommended at the trek briefing point and that lodges provide mosquito nets. TripAdvisor ↗
- Mount Bisoke hike, Volcanoes National Park
A reviewer of the Bisoke hike said malaria tablets had been advised for the trip, although there did not seem to be any mosquitoes. TripAdvisor ↗
One rule outlasts the trip. Any fever during or after your trip means a doctor visit, and you tell the doctor you were in Rwanda, along with any Uganda leg. Malaria can show up weeks later, low local rates or not.
Traveler questions
Do I need malaria pills for gorilla trekking in Rwanda?
The CDC recommends malaria prevention medicine for all of Rwanda and names no exception for altitude, so Musanze, Kinigi and the park are covered, even though the district's malaria rates are among the country's lowest. It lists atovaquone-proguanil, doxycycline, mefloquine and tafenoquine. Whether that means a prescription for your trip 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 Volcanoes National Park?
The CDC says "Vaccine is generally not recommended for travel to Rwanda," and Rwanda doesn't require it on a direct trip from the US. It does require proof from travelers 1 year and older arriving from countries with yellow fever risk. If you add Bwindi, the CDC recommends the vaccine for all travelers to Uganda 9 months and older, and Uganda requires proof at entry, so settle it at the clinic. Our Bwindi briefing covers that leg.
Are there mosquitoes on the gorilla trek?
Very few, by trekkers' accounts. Trekking days tend to be cold and wet, and the mosquito window is the evening, especially in Musanze town and around the Twin Lakes, which sit lower and warmer than the Kinigi lodges. Malaria mosquitoes bite from dusk to dawn, so put repellent on at sundown and sleep under the lodge net.
Can I swim in the Twin Lakes or Lake Kivu?
The CDC says schistosomiasis is found in Rwanda and advises against swimming in fresh, unchlorinated water such as lakes. That covers Burera, Ruhondo and Lake Kivu, so enjoy them from a boat or the shore.
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
- CDC destination page for travelers
- CDC Travel Health Notice
- CDC Travel Health Notice
- World Health Organization
- Peer-reviewed study (PubMed Central)
- Peer-reviewed study (PubMed Central)
- Peer-reviewed study (PubMed Central)
- European Centre for Disease Prevention and Control
- European Centre for Disease Prevention and Control
- newtimes.co.rw
- World Health Organization
- africanparks.org