Depends how long u travel? Not sure Lariam is avail. What is readily available is malaria treatment tablets. E.g. Roche's Coartem for 4800 FCFA in Mali/Senegal/Noakchott anywhere really. This is what I usually carry as a standby medication. Treats the tropicana type in 3 days, if u catch it early. Doctors and hospitals are well positioned pretty much anywhere to treat u. It is the most common decease. Watch for signes, tiredness, lackluster, aching bones, back and muscels long time before u get fever. then see a doctor, have a test done, get treated and sleep it out in 3 days. DON'T wait for fever. Rgds Manfred, just had it my 5th time in Bamako.