Madagascar is an awe-inspiring country, packed with wildlife, unique landscapes, and a rich culture. But before you head off on your adventure, understanding the basics of health and safety can help you enjoy your stay without worries. Here’s what you need to know to stay healthy and safe while traveling in Madagascar.
Health Tips for Madagascar
Vaccinations
Before entering Madagascar, make sure you are up to date on your routine vaccinations. The most commonly recommended ones for travelers include hepatitis A, hepatitis B, typhoid, and rabies. You should also check if your home country requires a yellow fever certificate. Even though yellow fever is not present in Madagascar, travelers coming from countries with known outbreaks must have this vaccination.
Stay Hydrated and Eat Safely
Tap water is usually not safe to drink in Madagascar. Always stick to bottled or purified water. Bring along a water filter or purification tablets if you’re heading to rural areas where bottled water might not be available.
Street food can be tempting, but go for stalls that are busy—it’s generally a good sign the food is fresh. Try to avoid raw or undercooked meats, salads, and anything that looks like it might have been sitting out too long.
Preventing Malaria and Other Vector-Borne Diseases
Malaria is present in many parts of Madagascar, so take prophylactic medication if recommended by your doctor. It’s also smart to wear long sleeves and use insect repellents containing DEET, especially in rural or coastal areas where mosquitoes are more common.
Don’t forget about protection from dengue and chikungunya, which are also mosquito-borne illnesses. A mosquito net is always a good idea, especially when staying in more remote areas.
Emergency Contact Numbers

In case of emergencies, it’s essential to have the right numbers saved. Here are some key contacts for Madagascar:
- Emergency medical services: 117
- Police: 117
- Fire department: 118
- Embassy or consular office of your home country
Additionally, make sure to have the contact details of your medical travel insurance provider readily available.
Staying Safe in Urban Areas
Be Mindful of Your Belongings
In cities like Antananarivo and other big towns, pickpocketing can be an issue. Always keep an eye on your belongings in crowded places like markets and bus terminals. Use a money belt or neck wallet for storing valuables such as your passport and extra cash.
Be Cautious at Night
Avoid walking alone at night, especially in poorly lit areas or neighborhoods that feel unsafe. It’s better to take licensed taxis if you’re traveling any distance after dark.
Stay Alert in Traffic
Traffic conditions in Madagascar can be chaotic. Be extra cautious when crossing streets or using taxis and tuk-tuks. If you’re renting a vehicle, be prepared for poor road conditions and aggressive driving habits.
Safety Tips for Rural and Remote Areas
Travel with a Local Guide
In rural parts of Madagascar, it’s smart to travel with a local guide who knows the area. They can help you navigate the local customs, avoid risky situations, and make sure you’re safe while exploring remote landscapes.
Keep Safe During Outdoor Activities
Madagascar is famous for its diverse trekking routes and wildlife. Whenever you’re out, ensure you have the proper gear, especially if hiking or camping. Prepare for temperature drops at night in certain parts of the country. Let someone know your plans, and always carry enough water and a first-aid kit.

Respect Local Customs and Environment
Always respect the local communities you’ll encounter, especially in off-the-beaten-path areas. It’s also essential to follow conservation rules in national parks to avoid disturbing wildlife.
Final Thoughts
Madagascar is a fantastic destination, but like anywhere in the world, it’s important to travel responsibly and stay aware of your surroundings. Take precautions, stay informed, and you’ll have an unforgettable adventure while staying healthy and safe.
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