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I lived 3 years in areas with lots of malaria (South Central Africa) 2 years in Bangkok, Thailand. Now Myanmar since 1 plus year. I've never taken any medication and been lucky. But depends on where you are and the kind of malaria being spread. Dengue seems common though, I know several people who had it (urban and rural areas). So measures against mosquito bites are always a good advice. From someone who have had some bad luck with some nasty parasites, deworming pill might be a good option. I take one every 6-month. .