An interministerial note formalizes strict health protocols at air and sea borders. Several measures are being implemented to prevent the introduction of Ebola virus to Madagascar. Ivato international airport is tightening health controls. All travelers entering Madagascar may be subject to health examination. The State announces the implementation of several measures at borders as part of efforts to prevent the introduction of Ebola virus disease to Madagascar. All passengers must complete a health declaration form and undergo screening procedures, including clinical evaluation of passengers "if necessary." "Once arriving at the airport, the passenger goes through temperature control, in addition to routine document checks. The health agent at the border performs a visual examination and observes any suspicious symptoms in the traveler, such as fever, fatigue, vomiting and other signs," explains a source from the Ministry of Public Health yesterday. Any person presenting these suspicious signs will be immediately referred to competent services and treated in accordance with national protocols, according to an interministerial note on strengthening health measures at borders to prevent the introduction of Ebola virus disease to Madagascar, dated August 19. This measure leads Madagascar to restrict access to its territory to persons from affected countries. Access to national territory is thus "temporarily prohibited" to any foreign national who has stayed or transited through a country affected by the disease in the last twenty-one days. Exceptions "The countries in question are not named, as the list will be adjusted as the epidemic evolves," indicates an official from the Ministry of Public Health. Exceptions are provided for Malagasy citizens and foreign residents, holders of valid work or study visas, diplomats and members of expatriate personnel of international organizations and NGOs. However, their entry remains conditional on strict quarantine for twenty-one days, accompanied by medical monitoring. The text specifies that all costs generated by this mandatory stay, namely accommodation, meals and transfers to the designated or approved site, are "entirely the responsibility of the person concerned." An official medical certificate issued by health authorities will validate the end of quarantine. The note asks employers to recognize this document to allow the reintegration of the agent who has completed their mandatory quarantine period. Furthermore, travel from Madagascar to affected areas is suspended until further notice. The government warns that any violation of these provisions or any false declaration exposes the author to sanctions provided for by current laws.