At least 8 weeks before your trip, check the latest country-specific health advice from the National Travel Health Network and Centre (NaTHNaC) on the TravelHealthPro website. Each country-specific page has information on vaccine recommendations, any current health risks or outbreaks, and factsheets with information on staying healthy abroad. Guidance is also available from NHS (Scotland) on the FitForTravel website.

General information on travel vaccinations and a travel health checklist is available on the NHS website. You may then wish to contact your health adviser or pharmacy for advice on other preventive measures and managing any pre-existing medical conditions while you’re abroad.

The legal status and regulation of some medicines prescribed or purchased in the UK can be different in other countries. If you’re travelling with prescription or over-the-counter medicine, read this guidance from NaTHNaC on best practice when travelling with medicines. For further information on the legal status of a specific medicine, you’ll need to contact the embassy, high commission or consulate of the country or territory you’re travelling to.

Outbreaks of plague tend to be seasonal and occur mainly during the rainy season, with around 500 cases reported annually. Whilst outbreaks are not uncommon in rural areas, the latest outbreak in 2017, saw seen an increase in reported cases in urban areas, including Antananarivo. The Ministry of Health of Madagascar officially announced the containment of this outbreak on 27 November 2017.

209 deaths were recorded, with none related to international travel. Further outbreaks cannot be ruled out. You can find further information and advice in the ‘Outbreaks’ section of the TravelHealthPro page for Madagascar.

Although there are public and private hospitals in Antananarivo, they can only handle routine operations. 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.

You should drink or use only boiled or bottled water and avoid ice in drinks.

High levels of syphilis have been recorded.

If you need emergency medical assistance during your trip, dial 17 (117 from mobile phone) or +261 20 22 357 53 and ask for an ambulance. You should contact your insurance/medical assistance company promptly if you are referred to a medical facility for treatment.

Health facilities


  • Espace Médical (emergency service) +261 20 22 625 66, +261 34 02 088 16, +261 34 02 009 11

  • Hôpital Militaire de Soavinandriana HJRA +261 20 23 397 51, +261 32 07 230 30

  • Clinique et Maternité St.François +261 20 22 223 84, +261 20 22 672 21, +261 20 22 235 54

  • Polyclinique d’Ilafy +261 20 22 425 66, +261 20 22 425 69


  • Tamatave Hospital: +261 20 533 20 21


  • Diego-Suarez Military Hospital: +261 34 14 586 41, +261 34 14 586 45, +261 34 15 586 51