Travel vaccines for Madagascar
Hepatitis A, Typhoid and Tetanus for most travellers, plus Rabies, Hepatitis B and Tuberculosis where your itinerary calls for it, in one short consultation, one minute from West Hampstead station.
- NaTHNaC-aligned advice
- GPhC-registered pharmacy
- Same-week appointments
- Lemur park and trekking briefing
- Year round malaria advice
50 West Hampstead travellers booked this week · Aqua Pharmacy, 59 Mill Ln, London NW6 1NB
Madagascar is a specialist eco-tourism destination for lemur tours, Andasibe, Nosy Be and Isalo. Vaccine needs are moderate to high; malaria is present nationwide.
NaTHNaC recommends Hepatitis A, Tetanus and Typhoid for most travellers to Madagascar, with Hepatitis B, Polio, Rabies and Tuberculosis recommended for some travellers depending on itinerary. You do not need Yellow Fever if travelling directly from the UK; a certificate is only relevant for travellers transiting via a YF-risk country in the six days before arrival.
Aqua Travel Clinic in West Hampstead is operated by Aqua Pharmacy (GPhC-registered premises 1123406, owned by Naspram Pharma Limited) under the Superintendent Pharmacist at Aqua Pharmacy. We are a NaTHNaC-designated Yellow Fever Vaccination Centre and can usually fit you in same-week for Madagascar travel vaccines. Book online in 60 seconds.
What is included in your Madagascar travel consultation
Everything you need for a safe Madagascar trip, in one short appointment with a GPhC-registered pharmacist.
Hepatitis A + Typhoid
Standard for food/water hygiene. Available as separate vaccines or combined Viatim in one injection. Hep A covers 12 months from one dose (25 years with booster); Typhoid protects around 3 years.
Yellow Fever certificate (only if transiting via YF risk country)
Only applies if you have been in a YF risk country in the last 6 days. UK-direct travellers do not need this. Aqua is a NaTHNaC-designated Yellow Fever centre and issues the ICVP in-clinic.
Tetanus / Diphtheria / Polio (Td/IPV) booster
A 10-year booster is standard for travel and takes 60 seconds in the same appointment.
Malaria prescription
Malaria is endemic. The pharmacist reviews your itinerary and prescribes atovaquone/proguanil, doxycycline or mefloquine in the same appointment. Bite avoidance advice (DEET, nets, clothing) included.
How your Madagascar appointment works
From booking to boarding, four short steps with a GPhC-registered pharmacist.
1. Book online
Pick a time at aquatravelclinic.co.uk/booking. Most travellers get an appointment within the week.
2. Quick travel history
The pharmacist reviews your itinerary, accommodation, activities and medical history.
3. Vaccinate and certify
Hep A, Typhoid and Tetanus as standard, plus Rabies, Hep B and TB where indicated. Certification: the Yellow Fever certificate (required from YF-risk countries). Combined options available to reduce injections.
4. Malaria and practical advice
Antimalarial prescription dispensed plus written checklist for the trip.
Travel vaccines for Madagascar - at a glance
NaTHNaC recommends Hepatitis A, Tetanus and Typhoid for most travellers to Madagascar, with Hepatitis B, Polio, Rabies and Tuberculosis recommended for some travellers depending on itinerary. A Yellow Fever ICVP is required only if you have been in a YF risk country in the previous six days. Aqua Travel Clinic in West Hampstead is operated by Aqua Pharmacy (GPhC premises 1123406, owned by Naspram Pharma Limited) under the Superintendent Pharmacist at Aqua Pharmacy.
Hepatitis A and Typhoid
Standard for all Madagascar travel. Available as Viatim (combined, one injection) or as separate vaccines. Hepatitis A protects for around 12 months from one dose and around 25 years with a booster. Typhoid protects for around 3 years.
Rabies
NaTHNaC recommends pre-exposure rabies vaccination for some travellers to Madagascar - particularly rural trips, longer stays, backpackers, cyclists, children, VFR travellers and anyone likely to have close animal contact. At Aqua we use the three-dose pre-exposure schedule on days 0, 7 and 21-28 (UK Green Book standard). Pharmacies cannot administer post-exposure prophylaxis (PEP) - if you are bitten or scratched abroad, wash the wound thoroughly and go straight to A&E, NHS 111 or a local hospital for post-exposure treatment.
Hepatitis B
Three-dose course (0, 1, 6 months) recommended for longer stays, medical or dental procedures, tattoos, piercings and new sexual partners abroad. An accelerated schedule is available for shorter lead times.
Tuberculosis (BCG)
Considered for long-stay work in healthcare, community immersion and family travel with young children in higher-risk regions of Madagascar. Reviewed at consultation.
Malaria
Malaria is present throughout Madagascar. The pharmacist reviews your itinerary and prescribes atovaquone/proguanil, doxycycline or mefloquine in the same appointment. Bite avoidance (DEET at least 30 percent, long sleeves at dawn and dusk, treated nets) is the essential daily defence.
Yellow Fever certificate — for travellers transiting via a YF risk country only
If you are travelling directly from the UK to Madagascar, this does not apply to you. Madagascar does not have Yellow Fever transmission and does not require the vaccine for UK-based travellers on a direct route.
The certificate only becomes relevant if you have been in a Yellow Fever risk country (most of sub-Saharan Africa or the Amazon basin) in the previous six days, including short transit stays. In that specific case, Madagascar requires an ICVP on arrival. Aqua is a NaTHNaC-designated Yellow Fever Vaccination Centre and can vaccinate + issue the ICVP in-clinic on the day.
Book your appointment
Aqua Travel Clinic is at 59 Mill Lane, West Hampstead NW6 1NB, one minute from West Hampstead station. The clinic is operated by Aqua Pharmacy (GPhC premises 1123406), part of Naspram Pharma Limited. All consultations are supervised by the Superintendent Pharmacist at Aqua Pharmacy. Book a Madagascar appointment online. Most travellers are sorted in a single 15-minute appointment.
Madagascar travel questions, answered
In West Hampstead
Exit West Hampstead station, head north up West End Lane, turn left onto Mill Lane. We are at number 59, on your right.
Aqua Travel Clinic · 59 Mill Ln, London NW6 1NB
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Book your Madagascar travel vaccines in West Hampstead
One short appointment for Hepatitis A, Typhoid and Tetanus, plus Rabies, Hepatitis B and Tuberculosis where your itinerary calls for them, with a NaTHNaC-aligned, GPhC-registered pharmacist.
Aqua Travel Clinic, operated by Aqua Pharmacy (GPhC premises 1123406, owned by Naspram Pharma Limited). Superintendent Pharmacist: Sanjay Mukundkumar Patel (GPhC 2045157).
- NaTHNaC / TravelHealthPro: Madagascar country page· NaTHNaC · accessed 2026-06-10
- WHO: International Travel and Health· World Health Organization · accessed 2026-06-10
- UKHSA Green Book: Rabies (Chapter 27)· UK Health Security Agency · accessed 2026-06-10
- GPhC Register: the Superintendent Pharmacist at Aqua Pharmacy· General Pharmaceutical Council · accessed 2026-06-10
Page reviewed by Sanjay Mukundkumar Patel MPharm (GPhC 2045157), Superintendent Pharmacist of Aqua Pharmacy. Aqua Pharmacy (Premises 1123406) is owned by Naspram Pharma Limited and operates Aqua Travel Clinic in West Hampstead. Country-entry rules can change at short notice; check NaTHNaC or your airline before travel. This page is informational; it does not replace a clinical consultation.