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Disclaimer: Please note that we at Sunburst International Risk Management provide the following information as a value-added service to our international clients and visitors of this website. We make every effort to verify the reports that are posted, but the accuracy and completeness of the information, and of any statements or opinions based thereon, are not guaranteed. The readers assume all risks in using information on this page. ENTRY/EXIT REQUIREMENTS: A passport and visa are required. Visas are available at all airports servicing international flights, but travelers who opt to obtain a visa at an airport should expect delays upon arrival. Visas obtained at the airport cannot be extended. Most international flights arrive in Antananarivo, but there are some limited international flights to/from the nearby islands of Comoros, Mayotte and Reunion from airports in Mahajanga, Toamasina (Tamatave), Nosy Be, Tolagnaro (Ft. Dauphin) and Antsiranana (Diego Suarez). There are also direct flights between Italy and Nosy Be. Evidence of yellow fever immunization is required for all travelers who have been in an infected zone within 6 months of their arrival in Madagascar. Travelers may obtain the latest information and details on entry requirements from the Embassy of the Republic of Madagascar, 2374 Massachusetts Avenue, N.W., Washington, D.C. 20008; telephone (202) 265-5525/6; or the Malagasy Consulate in New York City, (212) 986-9491. Honorary consuls of Madagascar are located in Philadelphia, and San Diego. Overseas, inquiries may be made at the nearest Malagasy embassy or consulate. See our Foreign Entry Requirements brochure for more information on Madagascar and other countries. Visit the Embassy of Madagascar’s website at http://www.embassy.org/madagascar for the most current visa information.
MEDICAL FACILITIES AND HEALTH INFORMATION: Standards of healthcare throughout Madagascar are well below U.S. standards. However, there are foreign physicians in Antananarivo representing a broad range of specialties. The hospitals in Antananarivo vary greatly in standards of care. Medical care outside of Antananarivo is generally well below the care available in the capital city. Caution and good judgment should be exercised when seeking hospital and medical services. The Embassy maintains a list of hospitals and specialists. A Seventh Day Adventist dental clinic offers emergency procedures and x-ray facilities. Some medications, generally of French origin, are available in Antananarivo. If you need to refill a prescription from home, it is important to carry a prescription from your doctor listing the medicine's generic name. Outside of Antananarivo, medications may not be available. Travelers should have a supply of any needed medication sufficient for the entire length of a visit before arriving in Madagascar. Americans who will be carrying medications with them to Madagascar may wish to contact the Malagasy Embassy in Washington, D.C. regarding any restrictions on imports. Ambulance services are available in Antananarivo with Espace Medical at 22-625-66, 22-219-72, or 032-02-088-16 (cellular); with Clinique Ampasanimalo at 22-235-55; or with Polyclinique Ilafy at 22-425-66/69. However, due to traffic jams, response times are often dangerously slow. Malaria is prevalent, particularly in the coastal regions. Using preventive measures and malaria prophylaxis is strongly recommended. Rabies is endemic and there are many street dogs. It is recommended travelers have the pre-exposure vaccination series prior to arrival in Madagascar. If bitten by an animal, the effected area should immediately be washed with soap and running water for ten minutes. Seek medical care immediately. Plague is also endemic to Madagascar. While the reported HIV prevalence rate is low, particularly by African standards, Madagascar suffers from a very high reported incidence of other sexually transmitted diseases. Information on vaccinations and other health precautions, such as safe food and water precautions and insect bite protection, may be obtained from the Centers for Disease Control and Prevention’s hotline for international travelers at 1-877-FYI-TRIP (1-877-394-8747); fax 1-888-CDC-FAXX (1-888-232-3299)
MEDICAL INSURANCE: The Department of State strongly urges Americans to consult with their medical insurance company prior to traveling abroad to confirm whether their policy applies overseas and whether it will cover emergency expenses such as a medical evacuation. REGISTRATION / EMBASSY LOCATION: Americans living or traveling outside of the U.S. are encouraged to register with the U.S. Embassy through the State Department’s travel registration website, https://travelregistration.state.gov. Americans without Internet access may register directly with the U.S. Embassy. By registering, American citizens make it easier for the Embassy to contact them in case of emergency. The U.S. Embassy is located at 14-16 Rue Rainitovo, Antsahavola, Antananarivo. The mailing address is B.P. 620, Antsahavola, Antananarivo, Madagascar; telephone [261] (20) 22-212-57; fax [261] (20) 22-345-39. The Embassy’s web site is located at http://www.antananarivo.usembassy.gov/.
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