Madagascar is undoubtedly one of the best-protected countries in Africa against major international epidemics, with the exception of COVID-19, which it did not escape. Global health recommendations are rigorously enforced. However, it is crucial to be aware of health formalities to ensure a worry-free stay. Like many other countries, Madagascar imposes certain requirements to protect the health of both travelers and residents.
To tell you the truth, only the smallpox vaccination is required to enter Madagascar. However, to protect yourself, make sure before you leave that you are up to date on the universal vaccinations recommended by your doctor (diphtheria, tetanus, polio), as well as on specific vaccines such as those against typhoid fever and hepatitis A. The yellow fever vaccine is compulsory only for travelers from countries where the disease is endemic.
Madagascar is a high-risk area for malaria. It is strongly recommended that you take anti-malarial medication before, during, and after your stay. Additionally, adopt protective measures such as using mosquito repellents, wearing protective clothing, and sleeping under impregnated mosquito nets.
In some cases, particularly for longer stays, you may be required to present a certificate of good health issued by a doctor. This document certifies that you do not have any contagious diseases that could pose a risk to the local population.
In the wake of the COVID-19 pandemic, health restrictions and entry formalities for Madagascar have changed, especially for passengers arriving from high-risk areas. Upon arrival at the airport, you may encounter some inconveniences. Passengers must remain seated until a health officer sprays the cabin with a disinfectant (or insecticide), which can cause discomfort. Then, in the formalities room, you will be asked to fill out a form that may seem intrusive; among other things, it requests details of your locations during the six nights prior to your arrival in Madagascar. These measures are in line with international regulations, but this information is for guidance only and may be subject to change. It is advisable to prepare in advance.