In Madagascar, the tap water is not reliably safe. Using bottled or filtered water is strongly advised.
Madagascar’s public water systems are frequently disrupted, and contamination can occur at multiple points between source and tap. Even treated water may be exposed to bacteria.
Quick Overview
Tap Water Concern: Our Advice Tap Water Drinkable? ❌ No, use bottled water Common Risks: Bacteria, parasites, viruses Brush Teeth? ❌ No, use bottled water Wash Fruits/Vegetables? ❌ No, use filtered or bottled water Use Ice in Drinks? ❌ No, avoid unless purified Safe to Shower? ✅ Yes Filter Bottle Needed? ✅ Strongly recommended
Information compiled from CDC, WHO, and official water providers across Madagascar.
Worried About Tap Water? Consider Using a Filter Bottle
We’ve taken a close look at the most trusted travel filter bottles so you can avoid waterborne illnesses, cut down on single-use plastic, and skip the bottled water habit. These aren’t products we sell, just ones we genuinely recommend based on research and traveler experiences—you’ll find them listed below.
Health Risks for Travelers
Although residents may regularly consume the tap water without issues, travelers are often more susceptible to waterborne diseases due to differences in immunity and water treatment protocols. Contaminants that may be harmless to locals can cause digestive problems for foreign visitors.
Common health concerns include:
- Traveler’s diarrhea from unfamiliar bacteria like E. coli
- Parasites such as Giardia or Cryptosporidium, especially in untreated water sources
- Viral infections including hepatitis A and norovirus, often linked to poor sanitation
- Exposure to heavy metals or chemical pollutants in areas with inadequate water regulation
Risks are elevated in:
- Rural areas lacking centralized water treatment
- Flood-prone regions with compromised infrastructure
- Older buildings with neglected rooftop tanks or corroded plumbing
Even if the water appears clear, it may contain microbial or chemical contaminants that can lead to short-term gastrointestinal illness or more serious long-term health effects.
If you experience persistent symptoms while traveling in Madagascar, consult a local doctor or pharmacist. In many tourist areas, English-speaking care is available.
More About Tap Water in Madagascar
Access to drinking water in Madagascar has improved a lot in recent years—from 43% in 2018 to nearly 56% in 2024. Still, almost half the population doesn’t have clean water, and only 12.3% have access to basic sanitation. Programs like Water is Life are working to bring safe water to rural households, especially in the southern parts of the country.
FAQs About Tap Water in Madagascar
Is it safe to brush your teeth with tap water?
If the tap water isn’t safe to drink, it’s also best not to use it for brushing your teeth—use bottled water instead.
Can I use tap water to wash my face?
For basic hygiene like washing your face, tap water is usually fine—just don’t rinse your mouth with it.
Is it safe to use ice in drinks?
Ice can carry the same risks as drinking the water directly, so only use it if you’re sure it’s safe.
Can I shower safely with tap water?
Showering with tap water is low risk, but use caution if you have open cuts or sensitive skin.
Not sure what’s in the water where you’re staying? A small shower filter is easy to pack and can make a big difference for your skin and hair. Just make sure the shower has a standard connection point—some are built in and can’t be modified. Most travelers recommend this travel-friendly filter. Check today’s best price here.
Can I wash fruits and vegetables with tap water?
It’s safer to rinse produce with bottled or filtered water, especially if you plan to eat it raw.
Is bottled water expensive in Madagascar?
While it might cost more in remote areas, bottled water is generally accessible and not too expensive.
If you’re heading to Madagascar, you may also include Mozambique, Comoros, or Réunion in your trip across the Indian Ocean. Don’t forget to check how tap water quality varies between these destinations.