Madagascar
• Vaccinations: Hepatitis A, Hepatitis B, Typhoid, Rabies
• Travelers should also be up to date for Measles/Mumps/Rubella (MMR), Diphtheria/Pertussis/Tetanus (DPT), Polio
• Rabies vaccination if traveling to rural areas.
• Travel warnings for: Malaria, Dengue, Filariasis, Leishmaniasis, Onchocerciasis, Plague, Leptospirosis, Schistosomiasis, and Cryptosporidiosis.
• Malaria risk in all areas of Madagascar.
• Chloroquine is NOT an effective antimalarial drug in Madagascar.
• Atovaquone/proguanil, doxycycline, or mefloquine can be used and this should be discussed with your doctor.
• Dengue, Filariasis,Cutaneous leishmaniasis, Onchocerciasis (River blindness), Plague, are all carried by insects. Travelers should avoid insect bites and use insect repellent with DEET (30%-50%).
• Leptospirosis: avoid swimming in fresh water.
• Schistosomiasis: avoid swimming in fresh water.
• Cryptosporidiosis risk can be prevented by drinking bottled water.
Posted on October 30, 2008
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