Yes, Livingstone, Zambia, is located in a high-risk malaria zone, and travelers in 2026 are strongly advised to take comprehensive precautions. Malaria is endemic throughout Zambia, particularly in areas near the Zambezi River where mosquito breeding is prevalent. The risk is year-round but peaks during and after the rainy season (November to April). Health authorities in 2026 recommend a three-pronged approach for visitors to the Victoria Falls region: taking prescription antimalarial prophylaxis (such as Atovaquone/Proguanil or Doxycycline), using DEET-based insect repellents, and wearing long-sleeved clothing at dusk and dawn. Most high-end lodges in Livingstone provide mosquito netting and "knockdown" sprays in rooms, but the risk remains significant for those exploring outdoors. If you develop flu-like symptoms, fever, or chills during or up to a year after your visit, you must seek medical attention immediately and specify that you have been in a malarial region.