Honest about the risks, and specific about what prevents each one.
Not being able to buy the medicine you need
The Government of Canada states there is a significant shortage of prescription medication in Zimbabwe, that you will likely have to provide upfront payment in cash for medical services, and that power outages, food and fuel shortages are common. It asks travellers to bring sufficient quantities of their own medication, keep it in the original container, pack it in carry-on luggage and carry a copy of their prescriptions, while noting you are responsible for checking that what you carry is legal there.
Prevention Bring more than the trip strictly needs. Original labelled packaging, in hand luggage, with a printed prescription list. Ask us about an extended travel supply, and about a plan for anything that has to stay refrigerated.
Rabies, with an alert attached
CDC says rabid dogs are commonly found in Zimbabwe and carries an alert about counterfeit ABHAYRAB human rabies vaccine circulating there โ a product that may not be effective and could contain harmful ingredients. CDC says rabies vaccines are typically available throughout most of the country; the Government of Canada says treatment may be limited or may not be available. Both agree the disease is present in dogs and some wildlife, including bats.
Prevention Do not touch or feed animals you do not know, and set that rule with children before you land. Any bite, scratch or lick on broken skin: wash for fifteen minutes with soap and running water and seek medical advice the same day. Discuss pre-exposure vaccination with us before you fly โ it changes what you need to find afterwards.
Malaria
CDC lists transmission areas for Zimbabwe as all, with chloroquine resistance and P. falciparum as the main parasite. The Government of Canada is looser, describing risk in certain areas or at certain times of year, with medication recommended depending on itinerary and season. The two do not line up, so the decision belongs to your specific route and dates.
Prevention Bring dates and place names so we can read both sources against your actual trip. Where tablets are indicated, take them properly and finish the course after you get home. Repellent, long sleeves at dusk and a treated net either way.
Roads
The Government of Canada describes road conditions and road safety as poor throughout the country, with most roads lacking street lights and potholes causing many accidents. It says drivers are reckless and do not respect traffic laws, advises against driving after dark, and notes security forces may erect roadblocks anywhere without notice.
Prevention No driving after dark. A driver from your lodge or operator on long transfers. Seatbelts, including in the back, and slow down for a roadblock rather than being surprised by one.
Wildlife, on foot and up close
The Government of Canada says wildlife viewing can be risky, particularly if you are on foot or at close range โ which describes exactly the walking safaris and canoe trips Zimbabwe is known for. It also names Victoria Falls and the Honde Valley waterfalls among the tourist sites where particular caution is warranted because of crime.
Prevention Only walk with a licensed guide. Keep the distance you are told to keep, even for a photograph. At the Falls and other busy sites, treat valuables the way you would in any crowded place.
Fresh water
Both sources warn about schistosomiasis. The Government of Canada describes it as a risk found in fresh water โ lakes, rivers, ponds and wetlands โ and CDC describes transmission through wading, swimming, bathing or washing in contaminated fresh water, adding a plain instruction to avoid swimming in fresh, unchlorinated water. There is no vaccine and no preventive medication. Neither source names Lake Kariba or any other particular water, so we will not clear one either.
Prevention Treat all untreated fresh water as the same category, because that is how the guidance is written. Chlorinated pools are fine. If a swim or a water activity is part of a booked trip, raise it with us before you go.
Insect and animal-borne illness beyond malaria
CDC names dengue, African sleeping sickness, African tick-bite fever, Crimean-Congo haemorrhagic fever, Rift Valley fever, Marburg virus disease, leptospirosis, hantavirus and tuberculosis among what travellers to Zimbabwe may encounter. The Government of Canada calls dengue risk sporadic here and names chikungunya as a risk. African sleeping sickness is carried by tsetse flies, which is one reason repellent matters during the day and not only at dusk.
Prevention Repellent through the day, reapplied. Long trousers and closed shoes in bush and long grass, with a tick check after a walking day. Permethrin-treated clothing for camping and walking safaris. No unpasteurised milk.
Getting out if it is serious
The Government of Canada says you will likely need medical evacuation in the event of serious illness or injury, that good health care is limited and quality varies greatly, and that upfront cash payment is likely to be required. It asks travellers to hold insurance covering medical evacuation and hospital stays.
Prevention Insurance that names evacuation, bought before departure, with the policy number saved offline. Understand whether it pays a clinic directly or reimburses you later. Carry enough cash for the difference, and ask your camp what their own arrangement is.