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Exercise increased caution to Madagascar due to crime , unrest , and health . Some areas have increased risk. Crime Violent crime, such as armed robbery and assault, occurs throughout Madagascar, particularly after dark, in remote areas, and along major national roads in the south and western areas of the country. Petty crime is common, especially in tourist locations. Stay aware of your surroundings. Unrest Strikes and other protest activity related to political and economic conditions occur regularly, particularly in periods near elections. Violent confrontations between the Dahalo (criminal gangs that steal cattle) and security forces have increased in several regions of Madagascar, particularly in areas south and west of the capital. Health Medical infrastructure is very limited in populated areas of Madagascar and is extremely limited in rural areas of Madagascar. Serious medical emergencies in Madagascar require medical evacuation. Review the Health section of the Travel Guidance on this page for more information.