Madagascar Travel Health Advice
Malaria is a risk throughout the year and is highest on the coast of Madagascar; visitors should take appropriate measures to avoid contracting the disease. Cases of chikungunya fever were reported in February 2010 and this disease is also transmitted by mosquitoes; precautionary measures against being bitten should be taken at all times. While AIDS has not reached the levels of some other sub-Saharan countries, travellers should ensure they don't have unprotected sex. All travellers coming from a country with yellow fever require inoculation against the disease to enter Madagascar. Vaccinations are recommended for hepatitis A, hepatitis B, typhoid and influenza, and those at risk of animal bites should also consider a rabies vaccination. Tap water should not be drunk unless it has been boiled or chemically treated.
Medical facilities are limited in Madagascar, and outside of the capital medical care may be difficult to find. Limited French medications are available in Tana; however, it is advisable to bring along a medical kit for private use. If you require specific prescription medications it is best to take them with you, in their original packaging, along with a signed and dated letter from your doctor stating what they are and why you need them. Comprehensive medical insurance is advised.
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