From a health perspective, Kilimanjaro is a relatively safe place. Once you get above 6,000 feet there are no malarial mosquitos or other tropical parasites lurking. However, you’re not out of the woods medically at high altitude.
Malaria is transmitted by mosquitoes and is endemic to Tanzania. You may find yourself at risk in almost every part of the country; although this risk is diminished at altitudes above 6,561 feet / 2,000 metres. Care should always be taken between sunset and sunrise, especially during the rainy season. Always sleep under a treated net; wear trousers and closed footwear, and use an effective repellent. Your hotel in Moshi does have mosquito nets in all their rooms. You should check the nets are free of holes and contact reception if you have any issues.!
Yellow fever is an epidemic arbors disease spread by the Adedes mosquito. Travellers entering Tanzania from areas with risk of yellow fever transmission areas such as neighboring African countries are required to provide a yellow fever vaccination certificate. See the Tanzanian Government website for more details. As some countries list Tanzania as a Yellow Fever endemic country you may also be asked for a certificate after departing Tanzania and arriving at other destinations. Basic Swine Flu checks are carried out at the main points of entry to Tanzania.
When you are considering what vaccinations to have prior to your trip you may want to discuss the following with your Doctor Or travel health clinic:
Cholera is an acute infection of the small intestine caused by the Vibrio cholera bacterium which causes severe vomiting and diarrhea. The disease is transmitted through contaminated food and water and travelers should therefore practice strict food, water and personal hygiene precautions.