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@ -310,7 +310,7 @@
"animal contact diseases": {
"text": "rabies"
},
"note": "<strong>note:</strong> on 22 March 2023, the US Centers for Disease Control and Prevention (CDC) issued a Travel Alert for polio in Africa; Madagascar is currently considered a high risk to travelers for circulating vaccine-derived polioviruses (cVDPV); vaccine-derived poliovirus (VDPV) is a strain of the weakened poliovirus that was initially included in oral polio vaccine (OPV) and that has changed over time and behaves more like the wild or naturally occurring virus; this means it can be spread more easily to people who are unvaccinated against polio and who come in contact with the stool or respiratory secretions, such as from a sneeze, of an “infected” person who received oral polio vaccine; the CDC recommends that before any international travel, anyone unvaccinated, incompletely vaccinated, or with an unknown polio vaccination status should complete the routine polio vaccine series; before travel to any high-risk destination, the CDC recommends that adults who previously completed the full, routine polio vaccine series receive a single, lifetime booster dose of polio vaccine"
"note": "<strong>note:</strong> on 31 August 2023, the US Centers for Disease Control and Prevention (CDC) issued a Travel Alert for polio in Africa; Madagascar is currently considered a high risk to travelers for circulating vaccine-derived polioviruses (cVDPV); vaccine-derived poliovirus (VDPV) is a strain of the weakened poliovirus that was initially included in oral polio vaccine (OPV) and that has changed over time and behaves more like the wild or naturally occurring virus; this means it can be spread more easily to people who are unvaccinated against polio and who come in contact with the stool or respiratory secretions, such as from a sneeze, of an “infected” person who received oral polio vaccine; the CDC recommends that before any international travel, anyone unvaccinated, incompletely vaccinated, or with an unknown polio vaccination status should complete the routine polio vaccine series; before travel to any high-risk destination, the CDC recommends that adults who previously completed the full, routine polio vaccine series receive a single, lifetime booster dose of polio vaccine"
},
"Obesity - adult prevalence rate": {
"text": "5.3% (2016)"
@ -577,7 +577,7 @@
"text": "president directly elected by absolute majority popular vote in 2 rounds if needed for a 5-year term (eligible for a second term); election last held on 7 November and 19 December 2018 (next to be held on 9 November 2023); prime minister nominated by the National Assembly, appointed by the president"
},
"election results": {
"text": "<em><br>2018</em>: Andry RAJOELINA elected President in second round; percent of vote in first round - Andry RAJOELINA (TGV) 39.2%, Marc RAVALOMANANA (TIM) 35.4%, other 25.4%; percent of vote in second round - Andry RAJOELINA (TGV) 55.7%, Marc RAVALOMANANA (TIM) 44.3% <br><em><br>2013</em>: Hery Martial RAJAONARIMAMPIANINA elected president in second round; percent of vote in first round - Hery Martial RAJAONARIMAMPIANINA (HVM) 15.9%, Jean Louis ROBINSON (AVANA) 21.1%, other 63%; percent of vote in second round - Hery Martial RAJAONARIMAMPIANINA (HVM) 53.5%, Jean Louis ROBINSON (AVANA) 46.5%"
"text": "<em><br>2018</em>: Andry RAJOELINA elected president in second round; percent of vote in first round - Andry RAJOELINA (TGV) 39.2%, Marc RAVALOMANANA (TIM) 35.4%, other 25.4%; percent of vote in second round - Andry RAJOELINA 55.7%, Marc RAVALOMANANA 44.3% <br><em><br>2013</em>: Hery Martial RAJAONARIMAMPIANINA elected president in second round; percent of vote in first round - Hery Martial RAJAONARIMAMPIANINA (HVM) 15.9%, Jean Louis ROBINSON (AVANA) 21.1%, other 63%; percent of vote in second round - Hery Martial RAJAONARIMAMPIANINA 53.5%, Jean Louis ROBINSON 46.5%"
}
},
"Legislative branch": {