All travellers to Madagascar should seek advice 4 to 6 weeks before travelling. They should and be aware of the risks and the potential outcome of infection, and the measures they can undertake to reduce these risks. There is no vaccine to protect against plague.
Prevention measures include:-
· a DEET based insect repellent to protect against flea bites
· avoid contact with dead animals, infected tissues or materials
· avoid close contact with patients with symptoms of pneumonic plague
· avoid crowded areas where cases of pneumonic plague have been recently reported
Unwell travellers who have been to areas where plague occurs, and who may have had contact with rodents or fleas or anyone with symptoms or diagnosed with pneumonic plague, should seek prompt medical advice with details of their travel history and activities.