Is it safe to swim in Lake Malawi? Yes, it is safe. We would advise taking precautions against Bilharzia after your visit just to be safe, this is a single dose of pills that are perfectly safe to take whether you have it or not.
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In 1985, the Lake Malawi region was considered free of schistosomiasis (bilharzia or bilharziasis). But the disease has since returned and is expanding rapidly. At least seven million people in Malawi live in bilharzia-prone areas.
Lake Malawi offers some of the best freshwater snorkeling and diving in the world. There are plenty of brightly-coloured and often endemic cichlid fish; the lake is always warm and the currents are usually moderate.
Lake Karachay, a small lake in the southern Ural mountains in western Russia, is thought to be the most polluted spot on Earth. Starting in 1951, the Soviet Union used Karachay as a dumping site for radioactive waste from Mayak, a nearby nuclear waste storage and reprocessing facility located near the town of Ozyorsk.