Dottie, no you don't need it. Only SA's three north eastern provinces have malaria risk. Cape Town and the Garden Route are considered malaria-free.
On a personal note, while you're in Cape Town go over to Camps Bay for lunch, I really like it there.
If you drive down to the Cape of Good Hope, keep your car windows up and stay in the car as you drive through the approaching national park... the baboons are really aggressive.
Phil about 6 years ago
I just saw my travel dr Monday, and she said no malaria in Cape Town, but yes in Kruger (& Namibia, where I'll also be). She also said don't get bitten by a dog or monkey, so thanks Phil for the baboon advice!!
We also made sure these vaccinations were up to date: hep A and B, typhoid, polio. about 6 years ago
@traveleater, I know doctors always recommend malaria meds for Kruger but we went there in 2009 and didn't take any. Just used mosquito repellent and still got bitten! None of the locals use malaria meds, but maybe they've just grown used to it! about 6 years ago