Health
Being prepared will go a long way to making sure your trip to Madagascar goes smoothly. You’ll need a yellow fever certificate (although there is no risk of the disease in Madagascar itself) and up-to-date vaccinations. We recommend that you check the latest country-specific health advice from the National Travel Health Network and Centre (NaTHNaC) on the TravelHealthPro website at least 8 weeks before your trip and book your vaccinations accordingly. Madagascar is classified as a high-risk country for rabies, so vaccination is advisable, especially if you intend to have contact with animals, or are likely to be 24 hours away from medical help.
The biggest health threat in Madagascar is malaria. There is no vaccine against the disease, but there are several preventative drugs that you can take to minimise risk. There can be seasonal outbreaks of plague with around 500 cases reported annually. These are mostly in rural areas, during the rainy season, and don’t usually affect international travellers. High levels of syphilis have also been recorded.
You should drink or use only boiled or bottled water and avoid ice in drinks, and if you’re travelling away from major centres, we’d recommend carrying a personal first aid kit, as well as suncream, insect repellent, a mosquito net and anti-malarial medications.
Hospitals in Antananarivo can only handle routine operations and any complex surgery requires evacuation either to Mauritius, South Africa or La Reunion. Make sure you have adequate travel health insurance and accessible funds to cover the cost of any medical treatment abroad and repatriation.
Crime
Most visitors return home from Madagascar after a crime-free trip, but there are positive steps that you can take to keep yourself and your possessions safe. Robberies, theft, carjackings and street crime can occur, particularly in towns and cities.
Following a few common-sense safety tips will greatly decrease the risk of anything happening during your trip:
- Stay aware in markets and busy areas, especially at night
- Never leave your bags unattended
- Keep valuables out of sight when you’re out and about
- Use your accommodation’s safe for valuables and travel documents wherever possible
- Avoid walking alone in city centres after dark
- If you’re stopped by the police, ask for ID as there have been reports of individuals falsely claiming to be police
- Don’t touch any suspect packages
- Lock car doors and keep windows closed at all times, particularly in Antananarivo
- We do not recommend hiring motorbikes, scooters, ATV vehicles, quad bikes or other types of motorised vehicles whilst abroad. Safety and quality of vehicles vary considerably and the traffic conditions can be much more dangerous than what UK travellers are used to. Should you wish to go against this advice, you should ensure you are hiring from a reputable company and that your travel insurance covers you for such activities.