Health and Safety in Zimbabwe Zimbabwe is generally a safe and welcoming destination for travelers, but as with any international trip, proper preparation and…
Zimbabwe is generally a safe and welcoming destination for travelers, but as with any international trip, proper preparation and awareness will help ensure a smooth journey. This guide covers essential health precautions, medical information, and safety tips for your visit.
Recommended Vaccinations:
Required: Yellow Fever vaccination certificate if arriving from countries with risk of Yellow Fever transmission
Strongly Recommended:
Hepatitis A and B
Typhoid
Tetanus-diphtheria
Measles-mumps-rubella (MMR)
COVID-19 (check current requirements)
Consider Based on Activities:
Rabies (if engaging in outdoor activities or visiting remote areas)
Cholera (for long-term stays or humanitarian work)
Malaria Prevention:
Zimbabwe is a malaria-endemic country, particularly in low-lying areas
Consult your doctor about appropriate antimalarial medication
Common options include Atovaquone/Proguanil (Malarone), Doxycycline, or Mefloquine
Start medication before arrival according to your doctor’s instructions
Where to Get Medical Advice:
Travel clinic in your home country (ideally 4-8 weeks before departure)
Your regular physician
Prescription medications in original packaging with doctor’s letter
Antimalarial tablets (as prescribed)
Pain relievers (acetaminophen/paracetamol, ibuprofen)
Antihistamines for allergic reactions
Anti-diarrheal medication
Oral rehydration salts
Antiseptic ointment/cream
Bandages, gauze, and medical tape
Digital thermometer
Tweezers and small scissors
Hand sanitizer (alcohol-based)
High SPF sunscreen (the African sun is intense)
Insect repellent with 20-30% DEET
Permethrin-treated clothing for safari activities
Water purification tablets or portable filter
Electrolyte replacement packets
Anti-itch cream for insect bites
Broad-spectrum antibiotics (prescription from your doctor)
Malaria self-test kits (for longer stays in remote areas)
Comprehensive travel insurance is essential for Zimbabwe.
Your policy should include:
Emergency medical treatment and evacuation/repatriation
Coverage for adventure activities if planned (white water rafting, bungee jumping, etc.)
Trip cancellation/interruption
Lost or stolen belongings
24-hour emergency assistance
Important: Verify your policy covers Zimbabwe specifically and keep digital and physical copies of your insurance documents. Many medical facilities will require upfront payment, so choose a policy with direct billing or good reimbursement terms.
Malaria is present throughout Zimbabwe, with highest risk in:
The Zambezi Valley (including Victoria Falls and Kariba)
Lowveld areas in the south
Eastern border regions
Risk varies seasonally:
Highest: November-June (rainy season)
Moderate: July-October (though still present)
Prevention measures:
Take prescribed antimalarial medication as directed
Use insect repellent with DEET (20-30%)
Wear long-sleeved shirts and pants, especially from dusk to dawn
Sleep under insecticide-treated bed nets where provided
Use air conditioning or sealed screens when possible
Apply permethrin spray to clothing and gear
Know the symptoms: Fever, chills, headache, muscle aches, and fatigue, usually appearing 7-30 days after infection. Seek medical attention immediately if you develop these symptoms, even months after returning home.
Water Precautions:
Tap water safety varies throughout Zimbabwe
In major cities, tap water may be treated but infrastructure issues affect quality
In rural areas, tap water is generally unsafe for visitors
Recommended: Bottled water with sealed caps or treated water
Water purification methods: Boiling (1 minute), water purification tablets, quality water filter
Food Safety Tips:
Choose freshly cooked, hot foods
Avoid raw vegetables and salads unless properly prepared at reputable establishments
Peel fruits yourself before eating
Be cautious with street food, especially in high heat
“Boil it, cook it, peel it, or forget it” is a good rule of thumb
Dairy products should be pasteurized
Common Foodborne Illnesses:
Traveler’s diarrhea
Typhoid
Hepatitis A
Cholera (occasional outbreaks)
Beyond malaria, be aware of these insect-transmitted diseases:
Dengue Fever:
Transmitted by day-biting mosquitoes
No specific treatment or vaccine
Symptoms: High fever, severe headache, joint and muscle pain, rash
Prevention: Same mosquito precautions as for malaria
African Tick Bite Fever:
Transmitted by ticks during bush walks or safari activities
Symptoms: Fever, headache, muscle pain, and characteristic black skin lesion
Prevention: Wear long clothing, use insect repellent, check for ticks
Tsetse Flies:
Present in some game reserves (mostly in Zambezi Valley)
Can transmit sleeping sickness (rare in tourists)
Painful bites can cause local reactions
Prevention: Avoid dark blue/black clothing, use insect repellent
Zimbabwe’s sun is intense, especially at high altitudes:
Sunburn and Heat-Related Illnesses:
Use sunscreen with SPF 30+ and reapply regularly
Wear broad-brimmed hat and sunglasses
Limit sun exposure between 10 AM and 4 PM
Stay hydrated (2-3 liters of water daily)
Take breaks in the shade during activities
Heat Exhaustion and Heatstroke:
Symptoms of heat exhaustion: Heavy sweating, weakness, cold/clammy skin, nausea
Symptoms of heatstroke: High body temperature, hot/dry skin, confusion, possible unconsciousness
Treatment: Move to cool place, hydrate, seek medical attention for severe symptoms
A parasitic infection found in freshwater bodies throughout Zimbabwe:
Transmitted through skin contact with contaminated water
Present in Lake Kariba, parts of the Zambezi River, and many other water bodies
Risk activities: Swimming, wading, water sports in untreated freshwater
Symptoms may not appear for weeks or months
Prevention: Avoid swimming in lakes and rivers unless explicitly declared safe
Treatment available if exposed (consult doctor upon return)
Safe Swimming Options:
Hotel pools with chlorinated water
Designated safe swimming areas at Victoria Falls (Devil’s Pool in dry season)
Hot springs in some locations (higher temperature kills parasites)
Major Cities (Harare, Bulawayo)
Several private clinics and hospitals of reasonable standard
Avenues Clinic (Harare) and Mater Dei Hospital (Bulawayo) generally recommended
Emergency services available but may be limited
Some specialized treatments available, but complex cases often transferred to South Africa
Credit cards accepted at private facilities, but upfront payment usually required
Tourist Areas (Victoria Falls, Kariba)
Basic private clinics with essential services
24-hour medical facilities in Victoria Falls
Stabilization capabilities for emergencies
Limited diagnostic equipment and specialist physicians
Medical evacuation may be necessary for serious conditions
Rural and Game Reserves
Very limited medical facilities
Safari lodges usually have basic first aid capabilities
Some remote areas accessible only by air ambulance
Carries often have wilderness first aid training
Consider medical evacuation insurance essential
Important Emergency Contacts:
Medical Emergency: Private ambulance services in major cities
MARS (Medical Air Rescue Service): +263 242 302 141
EMRAS Ambulance: +263 242 771 221
Police Emergency: 995 (service quality varies)
Tourist Police (Victoria Falls): +263 83 2844578
Zimbabwe Tourism Authority Helpline: +263 242 758 712
Air Evacuation:
Available from remote areas to Harare or Johannesburg
Requires appropriate insurance coverage
Coordinate through your insurance company’s emergency assistance
Safari operators can usually assist with arrangements
Note: In emergency situations, immediately inform your accommodation, tour operator, or safari guide who can assist with local emergency procedures.
Zimbabwe is generally safer than many African destinations, but standard precautions apply:
In Urban Areas:
Leave valuable jewelry at home
Use hotel safes for passports and extra cash
Be aware of surroundings, especially at night
Use registered taxis rather than walking after dark
Keep car doors locked and windows up in cities
Be cautious at ATMs and when handling money
Watch for opportunistic theft in crowded areas
While Traveling:
Keep bags secure and within sight
Use luggage locks when appropriate
Maintain copies of important documents
Be wary of unsolicited assistance with bags
Avoid displaying expensive cameras/electronics
Keep a modest amount of cash in an accessible pocket
Specific Areas:
Harare CBD and Bulawayo require normal urban precautions
Border areas (especially Beitbridge) deserve extra vigilance
Victoria Falls town is generally safe but remain alert
Road travel in Zimbabwe presents significant challenges:
Road Conditions:
Major highways are generally adequate
Secondary roads often potholed and deteriorated
Rural roads may be rough, especially in rainy season
Wildlife on roads presents hazards, particularly at night
Limited street lighting even in urban areas
Driving Tips:
Drive on the left side of the road
International Driving Permit required with your license
4x4 vehicles recommended for rural/park areas
Avoid night driving whenever possible
Carry extra water, food, and fuel on long journeys
Police roadblocks common (keep documents accessible)
GPS navigation often unreliable; paper maps recommended
Traffic Police:
Numerous checkpoints on major routes
Always polite and cooperative
Request official ID if uncertain
Know the legitimate fees for any infractions
Alternative Options:
Private drivers/guides highly recommended for travelers unfamiliar with Zimbabwe
Scheduled bus services connect major cities (variable quality)
Domestic flights available between major destinations
Zimbabwe’s wildlife is wild and potentially dangerous:
Safari Safety:
Always follow guide instructions immediately and without question
Remain in vehicle unless explicitly permitted by qualified guides
Maintain safe distances from all animals
No loud noises or sudden movements around wildlife
Never feed or attempt to touch wild animals
Camp/Lodge Safety:
Many accommodations are unfenced with wildlife moving through
Never walk around camps/lodges at night without escort
Keep tent/room zipped or locked
Store food securely to avoid attracting animals
Use provided pathways and follow lighting protocols
Specific Hazards:
Elephants, buffalo, hippos and lions cause most serious wildlife incidents
Snakes are present but rarely encountered (watch where you step)
Crocodiles inhabit most rivers and lakes (never swim in unauthorized areas)
Scorpions and spiders typically cause painful but non-fatal reactions
Zimbabwe has experienced political challenges in recent years:
Mostly stable situation for tourists who avoid political involvement
Demonstrations occasionally occur in urban centers
Photography of government buildings, military installations, and police is prohibited
Avoid political discussions in public spaces
Follow local news and your embassy’s travel advisories
Register with your country’s embassy upon arrival
Practical Advice:
Carry photocopies of passport and visa
Be polite and respectful with officials
Keep embassy contact information accessible
Monitor local media and travel advisories
Zimbabwe has restrictive laws and conservative social attitudes regarding LGBTQ+ issues:
Same-sex acts are illegal under Zimbabwean law
Public displays of affection between same-sex couples are risky
Discretion is strongly advised
Major international hotels in tourist areas are generally more accommodating
Consider connecting with LGBTQ+ travel specialists for specific guidance
Resources:
Check your country’s travel advisory for LGBTQ+ specific information
International LGBTQ+ travel association can provide guidance
Accessibility in Zimbabwe is limited:
Few facilities are designed for wheelchair users
Major hotels in Harare, Bulawayo, and Victoria Falls have some accessible rooms
Public transportation rarely accommodates mobility devices
Safari operators can often make special arrangements with advance notice
Private guides and vehicles provide the best accessibility options
Planning Tips:
Contact accommodations directly about specific accessibility needs
Book private transfers rather than relying on public transportation
Consider specialized tour operators with experience in accessible travel
Safari lodges can often customize game drive vehicles with advance notice
Zimbabwe can be a rewarding family destination with proper preparation:
Child-friendly accommodations available in major tourist areas
Many safari lodges welcome children (age restrictions may apply for activities)
Consider child-specific health risks (consult pediatrician before travel)
Pack appropriate medications, sunscreen, and insect protection
Schedule activities with sufficient rest periods
Victoria Falls town, Nyanga, and private game reserves are particularly family-friendly
Some activities (walking safaris, certain adventure sports) have minimum age requirements
Seasonal Threats:
Flooding during rainy season (November-March) affecting low-lying areas
Occasional drought conditions in dry years
Thunderstorms with lightning risks, especially in Eastern Highlands
Preparation:
Check weather forecasts regularly during travel
Follow local authorities’ advice during severe weather
Have emergency contact information readily available
Plan flexible itinerary that can adapt to weather conditions
Carry additional supplies if traveling during rainy season
Register with your country’s embassy or consulate upon arrival:
Major Embassies in Harare:
United States: +263 24 2758 800-1
United Kingdom: +263 24 2853 235
Canada: +263 24 2252 181-4
Australia: +263 24 2853 235 (UK represents Australian interests)
European Union countries maintain embassies in Harare
Services Usually Provided:
Emergency assistance for citizens
Replacement of lost/stolen passports
Information during crises or emergencies
Lists of local medical providers and legal assistance
Health Travel Tip: Take a photo of all medication labels and prescriptions, your insurance card, and emergency contacts. Store these photos securely on your phone and share them with your travel companion. This information can be critical in an emergency situation.