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Information on Malaria in Madagascar

Hello Madagascar students,

As you are all likely beginning to visit travel doctors and make a plan for vaccinations and medication, we wanted to take this opportunity to provide some additional information regarding malaria prophylaxis.

Dragons has no specific stipulations or requirements regarding malaria and you should know that it is up to your discretion. We hope the following information from us can supplement info you have already received (see the Course Prep Manual for more information).

As a caveat, and in line with all of our literature, please consult your travel doctor for ALL medical recommendations. We do our best to provide clear information, but also recognize that we at Dragons are not medical professionals and cannot give specific medical advice. This is to be worked out with your doctor, but we encourage you to come to them with questions.

Also note that many malaria prophylactics have side effects that should be considered and tested before travel. Your travel doctor can also talk to you about the need to take malaria medication before, during, and after travel should you choose to take malaria prophylaxis during the course. In addition, it is important to note that medications for malaria do not prevent you from contracting the disease, but they do lessen the associated symptoms.

The CDC website for Madagascar states the following:

Areas with malaria: All areas, except rare cases in the city of Antananarivo.

Estimated relative risk of malaria for US travelers: Moderate.

Drug resistance: Chloroquine.

Malaria species: P. falciparum 85%, P. vivax 5%–10%, P. ovale 5%.

Recommended chemoprophylaxis: All areas except the city of Antananarivo: Atovaquone-proguanil, doxycycline, or mefloquine. Antananarivo: Mosquito avoidance only.

The CDC states that malaria is prevalent in nearly all areas of Madagascar. Please talk to your travel doctor about this, bringing a print-up of this post as well as the sample itinerary offered on our website and in our catalog and see what they recommend. For information on other CDC vaccination and medicine recommendations, visit this site. We will work with whatever recommendations your doctor makes and ultimately, we are in full support of whatever regimen your travel doctor has prescribed.

Best wishes,

Cara Lane-Toomey

Middle East and Africa Program Director