With Dr Felicity Nicholson. For up-to-date information on health issues across Africa, click here.

Tanzania, like most parts of Africa, is home to several tropical diseases unfamiliar to people living in more temperate and sanitary climates. However, with adequate preparation, and a sensible attitude to malaria prevention, the chances of serious mishap are small. To put this in perspective, your greatest concern after malaria should not be the combined exotica of venomous snakes, stampeding wildlife, gun-happy soldiers or the Ebola virus, but something altogether more mundane: a road accident.

Private clinics, hospitals and pharmacies can be found in most large towns, and doctors generally speak good English. Consultation fees and laboratory tests are inexpensive when compared with most Western countries, so if you do fall sick, don’t allow financial considerations to dissuade you from seeking medical help. Commonly required medicines such as broad-spectrum antibiotics, painkillers, asthma inhalers and various antimalarial treatments are widely available. If you are on any short-term medication prior to departure, or you have specific needs relating to a less common medical condition (for instance if you are allergic to bee stings or nuts), then bring necessary treatment with you.

Travel clinics and health information

A full list of current travel clinic websites worldwide is available on For other journey preparation information, consult (UK) or (US). Information about various medications may be found on All advice found online should be used in conjunction with expert advice received prior to or during travel.


Crime exists in Tanzania as it does practically everywhere in the world. There has been a marked increase in crime in Tanzania over recent years, and tourists are inevitably at risk because they are far richer than most locals, and are conspicuous in their dress, behaviour and (with obvious exceptions) skin colour. For all that, Tanzania remains a lower crime risk than many countries, and the social taboo on theft is such that even a petty criminal is likely to be beaten badly should they be caught in the act.

With a bit of care, you would have to be unlucky to suffer from more serious crime while you are in Tanzania. Indeed, a far more serious concern is reckless and drunk driving, particularly on public transport along major roads. Generally buses are regarded to be safer than light vehicles such as minibuses, though this cannot be quantified statistically. Safari drivers are generally a lot more sedate and safe behind the wheel than bus and minibus drivers. Self-drivers should take a far more defensive attitude to driving than they would at home, and be alert to the road hog mentality of many local drivers.

Women travellers

Women travellers in Tanzania have little to fear on a gender-specific level. Over the years, I’ve met several women travelling alone in Tanzania, and none had any serious problems in their interactions with locals, aside from the hostility that can be generated by dressing skimpily. Otherwise, an element of flirtation is about the sum of it, perhaps the odd direct proposition, but nothing that cannot be defused by a firm ‘No’. And nothing for that matter that you wouldn’t expect in any Western country, or – probably with a far greater degree of persistence – from many male travellers.

It would be prudent to pay some attention to how you dress in Tanzania, particularly in the more conservative parts of the Swahili coast. In areas where people are used to tourists, they are unlikely to be deeply offended by women travellers wearing shorts or other outfits that might be seen to be provocative. Nevertheless, it still pays to allow for local sensibilities, and under certain circumstances revealing clothes may be perceived to make a statement that’s not intended from your side.

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