Before travelling | During your journey


Before going to Madagascar you should check with your doctor. Malaria is a risk throughout the year and is highest on the coast; resistance to chloroquine is reported. Malarial mosquitos are most active at dusk and daybreak so cover up and use repellent at those times. Bring a mosquito net for protection as you sleep and an effective repellent. Your doctor will probably advise you to take a malaria prophylaxis like Mefloquine (Larium) or Malarone.

For any stay longer than 30 days in above all for journeys into rural areas following injections are also highly recommended:

  • Hepatitis A
  • Hepatitis B
  • Tetanus
  • Polio
  • Typhoid
  • Rabies (feral/half wild dogs carry the disease in Madagascar)
  • Cholera (check with your doctor)

All travellers coming from a country with yellow fever are required an inoculation against the disease.

Cases of dengue fever and chikungunya fever have been reported in January and February 2006, and are transmitted by mosquitoes; precautionary measures against being bitten should be taken at all times. Other risks include bilharzia, tuberculosis, rabies and bubonic plague; HIV/AIDS is prevalent. Dysenteries and diarrhoeal diseases are common and precautions with food and water should be taken. Tap water should not be drunk unless it has been boiled or chemically treated. It is recommended that travellers bring antibiotics and anti-diarrhoeal drugs in case of severe diarrhoea. Medical facilities are limited, and outside of the capital medical care may be difficult to find. Limited French medications are available in Tana and it is advisable to bring along a medical kit for private use. Comprehensive medical insurance is advised.

Make sure the ice cubes in your drink are made from bottled water. Don't drink from taps. Brush teeth with bottled water also.