Madagascar Health Care and Vaccinations

Title Special precautions
Yellow Fever

No*

Typhoid

Yes

Tetanus

Yes

Rabies

Sometimes

Malaria

Yes

Hepatitis A

Yes

Diphtheria

Yes

* A yellow fever vaccination certificate is required from travellers coming from infected areas.

Much of the healthcare in Madagascar is robust, with several hospitals and health care centres spread throughout the country. However, services are sometimes lacking, and whilst basic healthcare is free, hospitals are often woefully under staffed. Health insurance is strongly recommended; it should include cover for emergency repatriation. Private healthcare is also available. Pharmacies are thin on the ground so visitors should stock up and pack plenty of medication for stomach upsets as effective remedies in the country will be limited. There is no emergency ambulance service on the island, although a private air ambulance service is available. The emergency number for police is 17.

Food and drink

Visitors should not drink the tap water in Madagascar. Water quality country-wide is likely to be contaminated so water used for drinking, brushing teeth or making ice should be sterilised or boiled first. Milk is unpasteurised and so the widely-available powdered or tinned milk is advised. Dairy products are also best avoided. Vegetables should be cooked and fruit peeled. Check all food is well-cooked, especially meat and fish.

Other risks

Bilharzia is common but travellers can avoid it by avoiding swimming and paddling in fresh water and saving their swims for only clean, well-chlorinated swimming pools. Vaccinations against tuberculosis and hepatitis B are sometimes advised. There have been outbreaks of human plague in Northwest Madagascar as well as in other regions; travellers should avoid handling sick or dead animals and take insect protection measures such as wearing repellent. Malaria is a risk in Madagascar, so do take steps to protect yourself by taking a course of anti-malarials.

Visa and passport information is updated regularly and is correct at the time of publishing. You should verify critical travel information independently with the relevant embassy before you travel.