In Madagascar, we must emphasize the difficulty in obtaining emergency rescue services for critical evacuations. Telephone and/or radio connections in certain isolated areas can be unreliable or non-existent.

Personal first-aid kit essentials. You should bring at minimum these basic products:

• Sterile adhesive dressings
• Elastic medical tape (6cm)
• Gauze compresses
• Aspirin® and/or Paracetamol
• Eye drops (treating and cleansing)
• Anti-diarrheal medication (Smecta®, Tiorfan® or Noroxine®/Ciflox®)
• Pain reliever
• Disinfectant
• Broad-spectrum antibiotic (Augmentin® or Clamoxyl®)
• Anti-nausea medication if needed (for motion sickness)

Protection against malaria:

• Mosquito repellent;
• Product to impregnate mosquito nets and clothing;
• Curative antimalarial medication

Other essentials:

• Burn cream;
• Single-dose saline solution packets
• High-SPF sunscreen;
• Hand hygiene gel;
• Unbreakable thermometer;
• Tweezers;

Specific medications. Please remember to bring your personal medications in sufficient quantities.

Mandatory vaccinations. There are no mandatory vaccinations required to enter Madagascar's territory, however, there is a special provision regarding yellow fever. Yellow fever vaccination is not required if you are traveling from Europe, North America, Oceania, or Asia. However, it is mandatory (except where contraindicated) for children over 9 months and adults who have never been vaccinated and have previously stayed or transited for more than 12 hours in African or South American countries where yellow fever is endemic (such as multi-country itineraries).

Recommended vaccinations. For other vaccinations, as with all travel, it is recommended to be immunized against:

• Viral hepatitis A and B
• Typhoid and rabies, especially for longer, remote trips and particularly for children.
• Updating your diphtheria-tetanus-poliomyelitis vaccination is essential.

Antimalarial treatment. We advise you to arrange an antimalarial treatment. Malaria can be detected very easily—if you experience symptoms such as fever, chills, or sweating, a simple fingerprick test (available in pharmacies) will determine if you have been infected.

For your prevention, it is important to protect yourself from mosquitoes through simple and effective measures: repellents, long clothing, especially at dusk, and the use of insecticide-treated mosquito nets. This parasitic disease transmitted through mosquito bites requires individual protection measures. To these measures must be added medication appropriate to each individual: you should consult your regular doctor or a travel health clinic. Treatment must be continued after returning home for a variable period depending on the product used. Classification: zone 3. During your stay and for two months after your return, if you experience fever, seek medical advice promptly to implement antimalarial treatment if necessary. It is important to inform your doctor that you have stayed in Madagascar. It is also advisable to visit your doctor before departure to update your vaccinations according to the standard immunization schedule.