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It is more than three years since circulation of virus-derived polio ceased in Madagascar (last case 22 August 2015).
TRAVAX methodology requires that polio vaccine is recommended for travellers for a total of three years following the last case report, polio vaccine is therefore no longer recommended for travellers to the Madagascar.
Polio is spread mainly through person to person contact via the faecal-oral route. Particularly in areas where sanitation is poor. Travellers should take strict precautions with food, water and personal hygiene.
Further information can be found on the Poliomyelitis page.
