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Much of the island's vanilla is grown in the northeast region of the country, called the SAVA region, named after the towns of Sambava, Andapa, Vohemar, and Anthala. The sole overland connection to the rest of the island is a dirt road that goes through desert and is nearly impassable during the rainy season; during the dry season, it can take 6-8 hours to traverse. Other options are either lengthy boat trips or flights. Many of the Malagasy people live in huts that are either bamboo or corrugated metal, with little or no indoor plumbing and small solar panels for electricity. Over 100 people died last year from an out break of the bubonic plague due to very poor healthcare. If that is not poverty, what is?
That said, many of the Malagasy people do seem quite happy despite the living conditions.