Attachments
Situation Overview
In a double crisis, Tropical Cyclone FYTIA struck Boeny—the centre of the Mpox outbreak—making landfall near Soalala in the early hours of 31 January 2026 before moving inland and exiting into the Indian Ocean. The cyclone caused widespread flooding across the north-west, creating serious operational challenges at a time when strong public health measures are urgently needed to control Mpox transmission, maintain access to services, and continue disease monitoring and community outreach.
Madagascar’s Mpox outbreak was officially declared by the Ministry of Public Health on 30 December 2025 following laboratory confirmation, and the Ministry has confirmed that the outbreak involves Mpox Clade 1b. As of 6 February 2026, 250 confirmed cases have been reported nationwide, with Mahajanga I District (Boeny Region) identified as the location of the first confirmed cases.
Surveillance and reporting have since expanded, with 688 cumulative notified cases recorded nationwide, including 235 suspected cases, 203 recovered cases, and no deaths reported to date. The outbreak remains mainly concentrated in Boeny (177 confirmed, 120 suspected), with additional cases reported in Analamanga (35 confirmed, 10 suspected), Vakinankaratra (10 confirmed, 12 suspected), Haute Matsiatra (11 confirmed, 9 suspected), Melaky (6 confirmed, 1 suspected), Atsimo Andrefana (2 confirmed, 4 suspected), Betsiboka (1 confirmed, 5 suspected), Amoron’i Mania (1 confirmed), and Vatovavy (1 confirmed). To date, 26 confirmed cases involve children.