Message for U.S. Citizens

Update on Plague Outbreak in Madagascar

This is an update on the 2017 plague outbreak in Madagascar.  Plague outbreaks occur annually in Madagascar.  This year there have been confirmed cases and deaths of both bubonic and pulmonary (also known as pneumonic) plague in urban areas, including Antananarivo and Toamasina.

U.S. citizens are informed that health officials are screening all passengers arriving or departing from Ivato International airport.  Passengers with plague symptoms may be quarantined and be sent to one of the centers designated to handle suspected plague cases.  Passengers entering the Comoros at the Prince Said Ibrahim International Airport will also be subjected to health screening.

The Centers for Disease Control and Prevention (CDC) updated its plague travel guidance on November 1, 2017, recommending that travelers should be alert for symptoms of plague during or after travel to Madagascar.  If symptoms do appear, they should seek medical care and inform the provider about their travel to Madagascar.  For more information about CDC’s travel alert level 2 please visit the CDC website.

For information on symptoms and treatment please go to:

If you intend to travel to Seychelles and have been to/transited Madagascar, please visit the Seychelles Ministry of Health’s website  prior to traveling to Seychelles. According to that website, anyone traveling to Seychelles who has recently visited Madagascar may be subject to quarantine protocols.

All airlines are flying normally to and from Madagascar, except for Air Seychelles which has temporarily suspended flights to Madagascar.  U.S. citizens are advised to check with their airlines prior to departure for any updates.

U.S. citizens residing in, or visiting Madagascar are urged to monitor public health announcements from the Ministry of Public Health and the World Health Organization, and to follow public health guidelines and recommendations. Plague can be successfully treated with antibiotics, but it’s crucial that people seek medical treatment, if they experience any plague signs or symptoms.

For further information about Madagascar: