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On the ground

Health and safety in Zanzibar

Vaccinations, malaria, water, sun, the sea and staying safe, in practical terms.

2 min readUpdated 4 November 2026By the Waves and Wonders team

In short

  • See a travel clinic four to six weeks before you go, for vaccines and malaria advice.
  • Drink bottled or filtered water, and protect yourself from sun and mosquitoes.
  • Wear reef shoes on the coast and swim safely, especially with tides.
  • Zanzibar is generally welcoming and safe, with normal common-sense care.

Most visitors enjoy Zanzibar without any health problems. A few simple precautions will help you stay well. This guide is general information, not medical advice. Please speak to a doctor or travel clinic about your own needs.

Before you go

Visit a travel clinic four to six weeks before departure. Ask about routine vaccinations, hepatitis A, typhoid and malaria prevention. Carry a copy of any prescriptions, and make sure your travel insurance covers medical care and evacuation.

Malaria and insects

Malaria is present in Tanzania, including Zanzibar. Your doctor will advise whether to take preventive tablets. Use insect repellent, wear light long sleeves in the evening, and sleep under a net or in an air-conditioned room.

Food and water

Drink bottled or filtered water, and use it for brushing teeth. Choose busy restaurants with fresh food. Hotels and good restaurants are used to visitors, and street food at places like Forodhani Gardens is popular, so eat where food is freshly cooked and hot.

Sun and heat

The equatorial sun is strong. Use high-factor sunscreen, wear a hat and sunglasses, and drink plenty of water. Take a break in the shade at midday.

In the sea

  • Wear reef shoes, because sea urchins and sharp coral are common at low tide.
  • On the east coast, the tide moves far out and returns quickly. Check tide times before you walk or swim.
  • Use a guide for snorkeling and diving in unfamiliar areas, and follow safety advice.

Personal safety

Zanzibar is generally friendly and safe. Take the usual care: do not flash valuables, keep your belongings secure on the beach, avoid walking alone on empty beaches at night, and use trusted drivers. Respect local dress customs.

If you need help

Good private clinics operate in Stone Town and near the main resort areas, but serious cases may need transfer to the mainland. This is why insurance matters. Our team is on WhatsApp and can help you reach the right care.

Quick answers

Do I need malaria tablets?

Please ask your doctor or travel clinic, who will advise based on your health and itinerary.

Is the tap water safe to drink?

We advise bottled or filtered water.

Is Zanzibar safe for solo women?

Many women travel here alone and have a good time. Dress modestly in towns and use common sense, as anywhere.

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