Burkina Faso
Health Risks
Pre-travel preparation
A travel medicine consultation at least six to eight weeks before departure is strongly recommended for any traveller considering Burkina Faso. The range and severity of infectious disease risks in this destination requires early and thorough planning, as several key vaccines are administered in stages and antimalarial medication may need to be commenced prior to arrival. A travel doctor will assess the specific itinerary, as health risks differ considerably between urban Ouagadougou and rural or southern regions.
Travellers should be aware that healthcare infrastructure outside the capital is severely limited. Access to reliable medical facilities, pharmaceutical supplies, and emergency care cannot be guaranteed beyond major centres, and medical evacuation is likely to be required for any serious illness or injury. Comprehensive travel insurance that explicitly covers emergency medical evacuation is therefore essential and should be confirmed before departure.
Insect avoidance
Malaria risk due predominantly to Plasmodium falciparum exists throughout the year across the entire country of Burkina Faso, and both mosquito bite prevention and chemoprophylaxis are recommended for all travellers. Yellow fever risk is also present nationwide. Additionally, dengue and Zika virus can occur anywhere in the country, and protection against mosquito bites during daylight hours is recommended. Chikungunya has also been reported.
Given that Malaria-transmitting mosquitoes are most active from dusk to dawn while dengue, Zika, and chikungunya vectors bite primarily during the day, insect protection is necessary throughout the full 24-hour period rather than during any single portion of the day. Insect repellent containing DEET or picaridin should be applied to all exposed skin and reapplied at regular intervals, particularly after perspiring or washing. Long sleeved shirts, long trousers, and closed footwear should be worn whenever outdoors, and accommodation with fly screens or air conditioning is strongly preferred. A permethrin-treated mosquito net should be used wherever screened sleeping environments are unavailable, and treating outer clothing and gear with permethrin provides further protection for those spending extended periods in rural areas.
Food and water hygiene
Burkinabé cuisine is rooted in the agricultural staples of the Sahel, with tô, a firm porridge prepared from millet or sorghum, forming the basis of daily meals alongside leafy sauces and grilled meats. Riz gras, a rice dish cooked with meat and vegetables, is widely served across the country. Enjoying local food requires consistent attention to hygiene throughout the trip to prevent gastroenteritis.
Tap water should not be consumed unless it has been boiled, filtered, or chemically treated. Drinks with ice from unverified sources should also be avoided. Fruit and vegetables should only be consumed if they have been peeled or thoroughly cooked, and cooked foods that are no longer hot or that have been left at room temperature should be avoided. Hand hygiene is essential, requiring thorough handwashing with soap and water before eating and after using the toilet, or with an alcohol-based hand sanitiser where handwashing facilities are unavailable.
Rabies prevention
The rabies virus is present throughout Burkina Faso and poses a risk to travellers, particularly those venturing into rural areas or spending extended time in the country. The virus is carried by dogs and a range of wildlife including bats. Dog bites represent the most common route of human exposure across the region. Access to post-exposure treatment within Burkina Faso cannot be reliably guaranteed.
Travellers should not touch or feed any animals they do not know, should not allow animals to lick open wounds, and should not get animal saliva in their eyes or mouth.
It is advisable to consult a travel doctor prior to departure to discuss whether a pre-exposure rabies vaccination is recommended, particularly for travellers visiting rural areas, undertaking outdoor activities, planning prolonged stays, or travelling away from reliable medical facilities. Any bite, scratch, or contact of broken skin with animal saliva should be treated as significant regardless of prior vaccination history, requiring thorough wound washing and prompt medical assessment.