Mozambique

Indian Ocean islands, world-class reefs, and spectacular beaches stretching along a tropical coastline.

Aerial view of a coastal peninsula in Mozambique with turquoise ocean water, white surf, sandy beach, green vegetation, rocky shoreline, and a few buildings with red roofs.

Travel Destination – Mozambique

Mozambique occupies much of the southeastern African coastline, facing the warm waters of the Indian Ocean along more than 2,400 kilometres of shore.

The country is renowned for its white-sand beaches, coral reefs, whale shark encounters, and offshore archipelagos, particularly the Bazaruto and Quirimbas Islands. Divers and snorkellers are drawn by manta rays, dolphins, turtles, and colourful coral reefs, while beach destinations attract visitors seeking a slower pace.

Inland, travellers can explore national parks, traditional fishing communities, and sections of the Great Limpopo Transfrontier Conservation Area shared with neighbouring countries.

Distances between regions can be substantial, however, and infrastructure varies considerably outside major centres. While limited medical care is available in Maputo and a handful of larger cities, facilities in rural and coastal areas may be basic, and serious medical emergencies often require evacuation to South Africa. Comprehensive travel insurance with medical evacuation cover should be considered essential.

Health Risks

Pre-travel preparation

Travelling in Mozambique often involves extended road journeys, visits to remote coastal regions, island destinations, and areas where access to medical care can be limited. Spending time preparing before departure can reduce health risks and make managing unexpected illness or injury significantly easier.

A travel health consultation at least six to eight weeks before departure allows sufficient time to review routine immunisations, organise any recommended travel vaccines, discuss malaria prevention, and obtain personalised advice based on your itinerary. Even if travel is approaching quickly, a consultation remains worthwhile.

All prescription medications should be brought from Australia in sufficient quantities for the duration of the trip, together with copies of prescriptions. Travellers should also ensure they have comprehensive travel insurance that includes emergency medical evacuation, as specialised treatment may require transfer outside Mozambique.

Insect avoidance

Protecting yourself from insect bites is an important health precaution in Mozambique. Mosquitoes can transmit several diseases, including malaria and dengue, and exposure is possible in both urban and rural locations.

Mosquitoes that carry malaria are most active from dusk until dawn, while those responsible for dengue commonly bite during daylight hours. As a result, bite prevention should be maintained throughout the day and night.

Insect repellent containing DEET or picaridin should be applied regularly to exposed skin. Long-sleeved clothing, long trousers, and accommodation with screens or air conditioning provide additional protection. Travellers staying in beach lodges, rural communities, or safari accommodation should consider sleeping under a permethrin-treated mosquito net if rooms are not adequately screened. Clothing treated with permethrin before departure may provide further protection.

Food and water hygiene

Mozambique's seafood, tropical produce, and Portuguese-influenced cuisine are highlights for many visitors, but foodborne and waterborne illnesses remain important travel health considerations.

Care with what you eat and drink can help reduce the risk of gastroenteritis, cholera, hepatitis A, and other infections spread through contaminated food or water.

Tap water should not be considered safe for drinking in most parts of the country. Bottled water with an intact seal, boiled water, or appropriately treated water should be used for drinking and brushing teeth. Ice should only be consumed if made from safe water.

Choosing food that is freshly prepared and served hot is generally the safest option. Raw seafood, unwashed fruit and vegetables, unpasteurised dairy products, and food left unrefrigerated for extended periods should be approached cautiously. Washing hands regularly with soap or using alcohol-based hand sanitiser before eating can also significantly reduce the risk of illness.

Rabies prevention

Rabies is present in Mozambique and is transmitted through the saliva of infected mammals, most commonly through bites and scratches. Dogs are responsible for most human exposures to rabies, although other animals, including bats, can also carry the virus.

Once symptoms begin, rabies is almost always fatal. Access to rabies vaccines and rabies immunoglobulin following an exposure may be difficult outside larger cities, making prevention particularly important.

Travellers should avoid touching or feeding animals, including apparently healthy dogs, cats, and wildlife. Pre-exposure rabies vaccination should be discussed with a travel doctor, particularly by those spending extended periods in Mozambique, travelling to remote areas, working with animals, cycling, motorcycling, or undertaking outdoor activities where medical care may not be immediately accessible.

Any bite, scratch, or saliva exposure involving broken skin should be washed thoroughly with soap and running water and assessed urgently by a medical professional.

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Which shots do I need for Mozambique?

Hepatitis A

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Contaminated food and drinking water remain common sources of hepatitis A infection in many parts of the world, including Mozambique.

This viral illness affects the liver and can be acquired through eating, drinking, or close contact with an infected person, regardless of whether you are staying in a city, beach resort, or rural community. Symptoms can vary considerably, ranging from mild fatigue, nausea, and reduced appetite through to abdominal pain, dark urine, jaundice, and several weeks of illness.

Vaccination for Hepatitis A is recommended for most unvaccinated travellers visiting Mozambique. While the vaccine provides highly effective protection, careful attention to food and water hygiene remains an important additional safeguard during travel.

Typhoid

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Typhoid fever is a bacterial infection caused by Salmonella Typhi and is acquired through food or water contaminated by human waste. Travellers may be exposed in areas where sanitation and water treatment systems are limited, which can occur in both urban and rural parts of Mozambique.

The illness typically causes persistent fever, headache, fatigue, abdominal discomfort, and loss of appetite, and can become serious without treatment.

Vaccination for Typhoid fever should be discussed before travel, particularly for those planning extended stays, visiting rural regions, travelling independently, or spending significant time outside major tourist facilities. As no vaccine provides complete protection, safe eating and drinking habits remain essential throughout the trip.

Rabies

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Rabies is present in Mozambique and is transmitted through the saliva of infected mammals, most commonly through bites and scratches. Dogs are responsible for most human exposures to rabies, although other animals, including bats, can also carry the virus.

Once symptoms begin, rabies is almost always fatal. Access to rabies vaccines and rabies immunoglobulin following an exposure may be difficult outside larger cities, making prevention particularly important.

Travellers should avoid touching or feeding animals, including apparently healthy dogs, cats, and wildlife. Pre-exposure rabies vaccination should be discussed with a travel doctor, particularly by those spending extended periods in Mozambique, travelling to remote areas, working with animals, cycling, motorcycling, or undertaking outdoor activities where medical care may not be immediately accessible.

Any bite, scratch, or saliva exposure involving broken skin should be washed thoroughly with soap and running water and assessed urgently by a medical professional.

Mpox

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Mpox (formerly monkeypox) is a viral infection that spreads mainly through close physical contact with an infected person, contaminated materials such as bedding or clothing, or infected animals.

Symptoms of mpox commonly include fever, headache, muscle aches, swollen lymph nodes, and a characteristic rash that progresses through several stages before healing. Cases and outbreaks have been reported in a number of African countries, and travellers should remain aware of local public health advice before departure.

The risk for most tourists remains low, but mpox vaccination may be appropriate for some travellers depending on their planned activities, destinations, and individual risk factors. Reducing risk involves avoiding close contact with people who have a rash or other symptoms suggestive of mpox, maintaining good hand hygiene, and seeking medical attention if symptoms develop during or after travel.

Measles

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Measles continues to cause outbreaks in many parts of the world and remains a risk for international travellers. The measles virus spreads through the air when an infected person coughs, sneezes, or breathes, and can remain in an enclosed space for up to two hours after that person has left.

Symptoms typically begin with fever, cough, runny nose, and red eyes before a widespread rash develops several days later. While many people recover fully, complications such as pneumonia, brain inflammation, and hospitalisation can occur, particularly in young children, pregnant women, and people with weakened immune systems.

Australians born during or after 1966 should ensure they have received two documented doses of a measles-containing vaccine before travelling overseas. Anyone uncertain of their vaccination history should discuss this with their doctor before departure.

Hepatitis B

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Hepatitis B is a viral infection that can damage the liver and, in some people, persist for life. Long-term infection may lead to complications such as cirrhosis, liver failure, and liver cancer years after the initial exposure.

The hepatitis B virus virus is spread through blood and bodily fluids and may be transmitted through sexual contact, medical or dental treatment, tattooing, piercing, or exposure to contaminated needles and equipment.

As hepatitis B occurs more commonly in Mozambique than in Australia, CDC recommends vaccination for unvaccinated travellers. Discussing your vaccination status and travel plans with a travel doctor before departure can help determine whether vaccination is appropriate for your individual circumstances.

Cholera

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Cholera is a bacterial infection spread through contaminated food and water and can cause sudden, severe diarrhoea leading to dangerous dehydration. Active cholera transmission has been reported in Mozambique in recent years. The risk to most tourists is relatively low, but vaccination may be appropriate for some travellers depending on destination, activities, and length of stay. Travellers should discuss individual risk with a travel doctor. Preventive measures include careful hand hygiene and strict attention to food and water safety.

Routine vaccinations

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Travelling to Mozambique is a good opportunity to review routine immunisations and ensure they remain current. Diseases that are uncommon in Australia due to widespread vaccination continue to circulate in many countries and can be encountered during flights, airport transit, or day-to-day travel. Routine vaccinations include protection against measles, mumps, rubella (MMR), tetanus, diphtheria, pertussis (whooping cough), polio, influenza, and COVID-19.

Travellers planning adventure activities, visiting rural areas, or spending extended periods overseas should pay particular attention to ensuring their tetanus vaccination is up to date.

Annual influenza vaccination is recommended for all travellers, as influenza circulates year-round in tropical regions and can spread easily in crowded travel settings. A travel doctor can review your vaccination history and advise whether any booster or catch-up doses are appropriate before departure.

Mozambique

Other health risks in Mozambique

Malaria

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Unlike many destinations where malaria risk is limited to particular regions, malaria transmission occurs across much of Mozambique, including popular coastal and beach destinations. The disease is caused by parasites carried by infected Anopheles mosquitoes, which are most active from sunset through to sunrise. Early malaria symptoms often resemble a flu-like illness and may include fever, chills, headache, muscle pain, fatigue, nausea, and sweating.

Because the most common malaria parasite in Mozambique, Plasmodium falciparum, can cause severe and potentially life-threatening disease, prompt diagnosis and treatment are vital.

Preventing malaria requires more than simply avoiding mosquito bites. CDC recommends that travellers to Mozambique discuss prescription antimalarial medication with a travel doctor before departure. Medication options can vary depending on medical history, itinerary, and personal circumstances.

Mosquito avoidance remains essential, with the use of insect repellent, long clothing after dark, screened or air-conditioned accommodation, and mosquito nets where necessary.

Any fever or unexplained illness developing while in Mozambique, or at any time within the following year, should prompt urgent medical assessment. Travellers should always inform healthcare providers about recent travel to a malaria-endemic country, as early recognition can be lifesaving.

Gastroenteritis

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Gastroenteritis is one of the most likely health complaints for visitors to Mozambique. Ingestion of contaminated food and water introduce bacteria into the gut, with other causes involving viral or parasitic gastroenteritis. Symptoms include diarrhoea, nausea, vomiting, and abdominal cramping within one to three days of exposure.

A high risk of gastrointestinal illness exists throughout the country, including in well-appointed accommodation in Maputo and coastal resorts, as food handling and sanitation standards are inconsistent across all settings.

Replacing fluids consistently using oral rehydration solutions is the primary treatment for straightforward cases, and most episodes resolve within several days. Prompt medical assessment is appropriate if symptoms are severe, contain blood, are accompanied by fever, or show no sign of improvement, keeping in mind that reliable medical care outside Maputo can be considerably difficult to reach.

Dengue

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Dengue is present in Mozambique and transmitted by the daytime-biting mosquito species, producing sudden fever, intense headache, muscle and bone pain, and fatigue, with a minority of cases progressing to more serious illness. No specific antiviral treatment is available for dengue. Consistent use of insect repellent throughout daylight hours, protective clothing, and screened or insect-proof accommodation represent the most practical forms of protection available.

Schistosomiasis

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Schistosomiasis, a parasitic infection that can be spread in fresh water, is found in Mozambique.

The parasite is released from infected freshwater snails and penetrates intact skin following contact with contaminated water. Wading, swimming, bathing, or washing in contaminated freshwater streams, rivers, ponds, lakes, or untreated pools all carry a risk of infection. This is relevant across Mozambique's extensive river systems and inland lakes, and is a consideration for travellers who may cross rivers or visit freshwater environments during their itinerary.

Early symptoms can include a rash and itchy skin, fever, chills, cough, or muscle aches. If not treated, schistosomiasis can cause serious long-term health problems such as intestinal or bladder disease.

There is no vaccine or tablets to prevent schistosomiasis. Seawater and adequately chlorinated pools are considered safe. Any traveller who may have had freshwater contact in Mozambique should seek testing on returning to Australia, where effective treatment is available.

Tuberculosis

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Tuberculosis (TB) is a bacterial infection carried through the air when a person with active disease coughs, talks, or sings nearby, primarily affecting the lungs. It causes a persistent cough, fever, night sweats, and gradual weight loss over weeks to months.

Mozambique carries a TB burden above the global average, and the disease circulates across both urban and rural settings. The risk to short-stay tourists with limited sustained contact with local communities is relatively low. Travellers spending extended periods in the country, working in healthcare or community settings, or in close and repeated contact with local populations face a more meaningful level of exposure. TB screening before departure and after returning home is advisable for those in higher-risk categories.

A cough that does not resolve in the weeks after returning from Mozambique should be assessed by a general practitioner with full travel history provided.

Non-infectious conditions

Crime and unrest

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The security situation in Mozambique can be volatile. Travellers should monitor the Australian government's Smartraveller website throughout their trip and check current advisories before finalising any itinerary.

Violent crime including mugging is common, as well as kidnapping for ransom, affecting foreign workers particularly in Tete and Cabo Delgado provinces. Increased traffic along the highway to and from the South African border has led to a rise in road accidents, robberies, theft, and assaults targeting truck drivers and travellers. Petty crime including pickpocketing and bag snatching occurs in markets, public areas, and tourist locations. Demonstrations occur periodically and can turn violent with little notice.

Safety on the roads and elsewhere

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Road travel in Mozambique carries significant risks, with poor road conditions, high accident rates, and many roads becoming impassable during the rainy season. Travellers should avoid driving after dark, use reputable transport providers, wear seatbelts, and complete long journeys during daylight hours.

Travel to islands such as the Bazaruto and Quirimbas archipelagos often involves small aircraft or boats, so only licensed, reputable operators should be used. Medical facilities are limited, medicines can be scarce, and upfront cash payment may be required, making it important to bring a personal medical kit and essential medications from Australia.

Deep vein thrombosis

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Deep vein thrombosis (DVT) is a blood clot that forms in the deep veins, usually in the legs, and long-haul flights can increase the risk by slowing blood circulation during prolonged periods of sitting. Flights from Australia to Mozambique typically exceed 15 hours and require at least one stopover.

Travellers can reduce their risk by moving around the cabin regularly, performing simple leg exercises while seated, and staying well hydrated. Those with risk factors such as a history of blood clots, recent surgery, pregnancy, hormonal contraceptive use, or obesity should consult a travel doctor before departure about whether below-knee compression stockings are appropriate.

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