We strongly recommend purchasing travel insurance, including health insurance for your trip.
Malaria is a serious disease that is endemic throughout the Lowveld region of South Africa. Though considered a low-risk area, especially in the winter, there have been cases of malaria in Hoedspruit. The mosquito which transmits malaria is active at night, in particular between the hours of 1800h and 2100h. Nkanyi House is equipped with screens on all windows and most doors to keep mosquitoes out. Still, repellant should be worn any time you are outside in the evening. Talk to your health care practitioner about ways that you can reduce your risk of malaria while travelling in South Africa.
For most travelers, there are no mandatory vaccines for entering South Africa. There is no risk of Yellow Fever in South Africa. However, you will need to show proof of Yellow Fever vaccination if you are arriving from a country that has a risk of Yellow Fever.
The Centers for Disease Control recommend that your routine vaccines (such as tetanus and MMR) be up-to-date. See the CDC traveler's health page for other vaccines that you may want to consider.
While South Africa does have a higher crime rate than many high-income countries, most of the crime occurs in areas not frequented by tourists. We have traveled throughout the country on many occasions. With the exception of a scam at an ATM (more on that later) we have never experienced a problem. However we do take precautions similar to what we do at home, to minimize our risk of having crime disrupt our vacation. Here are some tips that we have to help to ensure that you have an enjoyable and safe vacation.