Vaccines advised to ALL Madagascar visitors

Vaccines advised to SOME Madagascar visitors i The vaccines you need will depend on where in the country you are visiting, how long you will stay and what activities you will undertake during your trip. During your consultation our nurse will advise if you should consider any of the following vaccinations.

There is a risk of Malaria in Madagascar. London Travel Clinic offers a range of antimalarials to keep you protected

NOTE: British travellers should also ensure they have adequate protection from MEASLES, MUMPS and RUBELLA and TUBERCULOSIS, which are normally given as part of the childhood vaccination schedule.

Destination Information for Madagascar

Madagascar is the fourth largest island in the world. It floats in the Indian Ocean off the East coast of Africa. Around 90% of the wildlife in Madagascar is unique to the island, and for nature-lovers and tourists alike there really is nowhere else quite like it in the world. About a quarter of all primates in the world find their home here, as well as hundreds of species of frogs, bats and spiders. There’s plenty to do in Madagascar away from the wildlife, too. Beautiful beaches, excellent surfing, scuba diving, rock climbing and caving means adventure addicts and sun-seekers will find this an island paradise for all sorts of reasons.

Antananarivo, the capital city in the centre of the island, is referred to as ‘Tana’ by the locals. There’s no real tourism here, although it is the main entry and exit point for Madagascar, so most tourists will visit the city. The area around Antsirabe, just south of the capital is a hotspot for adventure sports, and here you can join an organised excursion or head off exploring yourself. There are a number of National Parks in Madagascar, and the largest of these is Tsingy de Bemaraha, a UNESCO World Heritage Site. There’s a huge variety of flora and fauna, including aloes and orchids, and the forest is home to over 50 species of tropical birds.

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Madagascar truly is the ideal destination for anyone with a sense of adventure who wants to explore one of the most unique and beautiful places on the planet. It’s best to visit during the dry season from April to October.

Malaria and regions within country:

There is a high risk of P.Falciparum malaria throughout the country.

Malaria chemoprophylaxis for high risk zones:

Doxycycline OR Atovaquone/Proguanil OR Mefloquine

If all other anti-malarials are not deemed suitable, Chloroquine plus Proguanil can be used but it is less effective.

Useful Links

International travel clinic locator: www.istm.org

The Foreign and Commonwealth Office: www.fco.gov.uk

British Embassy

British embassy in Madagascar:

British Embassy Antananarivo
Ninth Floor Tour Zital
Ravoninahitriniarivo Street
Ankorondrano
Antananarivo 101
Madagascar

Email: BEAntananarivo@moov.mg
Enquiries: Telephone +261 202233053

Vaccine Information for Madagascar

Disease & Source
Vaccination Details
Course
Price
Disease: Hepatitis A
Source: Contaminated food and water
Vaccination Details

One of the following vaccination courses may be recommended:

  • A single course injection of Havrix Monodose to cover against Hepatitis A
  • A course of three injections of Twinrix to cover against Hepatitis A and Hepatitis B
  • A single dose of Hepatyrix to cover against Hepatitis A and Typhoid fever
Course
Varies
Price
Varies
Disease: Diphtheria
Source: Person to person
Vaccination Details

A single injection of Revaxis will protect against Tetanus, Diphtheria and Polio. In the UK, the TDP vaccination against Diphtheria infection is part of the childhood immunisation schedule.

Course
1 dose
Price
£50.00
Disease: Tetanus
Source: Puncture wounds, burns and intravenous drug use
Vaccination Details

A single injection of Revaxis will protect against Tetanus, Diphtheria and Polio. In the UK, the TDP vaccination against Diphtheria infection is part of the childhood immunisation schedule.

Course
1 dose
Price
£50.00
Disease: Polio
Source: Contaminated food and water
Vaccination Details

A single injection of Revaxis will protect against Tetanus, Diphtheria and Polio. In the UK, the TDP vaccination against Diphtheria infection is part of the childhood immunisation schedule.

Course
1 dose
Price
£50.00
Disease: Typhoid
Source: Contaminated food and water
Vaccination Details

One of the following vaccination courses may be recommended:

  • Typhim Vi, single dose injection
  • Vivotif, 3 capsules
  • Viatim, single dose injection of Hepatitis A & Typhoid combined
Course
1 dose
Price
£60.00
Disease: Hepatitis B
Source: Infected blood and bodily fluids
Vaccination Details

One of the following vaccination courses may be recommended:

  • A course of three injections of Energix B to cover against Hepatitis B
  • A course of three injections of Twinrix to cover against Hepatitis A and Hepatitis B
Course
Varies
Price
Varies
Disease: Rabies
Source: Animal to person
Vaccination Details

A course of three injections of the vaccine (Rabies BP or Rabipur) will cover against Rabies and is recommended. In the event of possible exposure to Rabies, urgent medical attention should be sought, even in those who have received pre-exposure vaccines.

Course
3 doses
Price
Per Dose ££75.00
Disease: Malaria
Source: Mosquitos
Vaccination Details

There are a range of different anti-malarial tablets that will be prescribed to travellers based on several factors, including: destination, medical history, family history, current medications, previous problems with anti-malarial tablets, age and pregnancy.

Course
1 dose
Price
£50.00

Non-Vaccinated Diseases

Disease
Source
Our Advice
Source: Insects
Our Advice: Use 50%+Deet insect repellent
Disease: Chikungunya
Source: Mosquitos
Our Advice: Use 50% Deet+ insect repellent
Disease: Dengue Fever
Source: Mosquitos
Our Advice: Use 50%+ Deet insect repellent
Disease: Filariasis
Source: Mosquitos
Our Advice: Use 50% Deet+ insect repellent
Disease: Leishmaniasis
Source: Sandfly
Our Advice: Use 50% Deet+ insect repellent
Disease: HIV/AIDS
Source: Bodily Fluids
Our Advice: Use a condom for sex and to never share needles or other injecting equipment (including syringes, spoons and swabs).
Source: Contaminated food and water, person to person
Our Advice: Tummy kit and Tummy Kit +
Disease: Brucellosis
Source: Animals to humans
Our Advice: Avoid eating or drinking unpasteurized milk, cheese, or ice cream (including queso fresco)
Disease: Schistosomiasis
Source: Parasitic Flatworms in fresh water ponds, lakes, rivers and canals
Our Advice: Avoid swimming or wading in freshwater. Drink safe water
Disease: Trypanosomiasis
Source: Insects
Our Advice: Use 50% Deet+ insect repellent

Additional Health Risks Information for Madagascar

Although there is only one small area of Madagascar, Batterie Beach, north of Toliara, which is advised against for travel, visitors to the island should take great care, wherever their specific destination. The political situation here is unstable since the transition to a democracy in 2014, and protests can become violent, particular in the capital, and in the south and south-east of the country. Be particularly vigilant in crowded areas and when travelling or walking at night. If possible travel as part of an organised tour with a local guide who can advise on specific security concerns if necessary.

A Yellow fever vaccination certificate is required for travellers aged over 9 months arriving from countries with risk of yellow fever transmission and for travellers having transited more than 12 hours through the airport of a country with risk of yellow fever transmission. Malaria is present consult a travel clinic for the necessary medication.

Other than criminal activity, one of the biggest risks to your health and safety while in Madagascar is from the weather. The cyclone season is from November to April, affecting the whole island and particularly coastal areas. Flooding, water damage, contaminated water supplies and inaccessible roads are to be expected. Follow local advice on what to do if you are present when a tropical cyclone takes place, and plan journeys in advance taking plenty of extra supplies in case you get stuck.

There are hospitals available for basic or routine treatment in the capital Antananarivo. Anything more complex will require evacuation for treatment in a neighbouring country.

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