COVID-19 Exceptional Travel Advisory Notice
As countries respond to the COVID-19 pandemic, including travel and border restrictions, the FCO advises British nationals against all but essential international travel. Any country or area may restrict travel without notice. If you live in the UK and are currently travelling abroad, you are strongly advised to return now, where and while there are still commercial routes available. Many airlines are suspending flights and many airports are closing, preventing flights from leaving.
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.
While travel can be enjoyable, it can sometimes be challenging. There are clear links between mental and physical health, so looking after yourself during travel and when abroad is important. Information on travelling with mental health conditions is available in our guidance page. Further information is also available from the National Travel Health Network and Centre (NaTHNaC).
The Malagasy authorities have introduced new measures in relation to coronavirus. See Coronavirus
Other health risks
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.
You should drink or use only boiled or bottled water and avoid ice in drinks.
High levels of syphilis have been recorded.
Local medical care
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.
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.