Rapid risk assessment: Outbreak of plague in Madagascar, 2017
Since 23 August 2017 Madagascar has been experiencing an outbreak of plague, and as of 3 October 2017, 194 cases and 30 deaths (case fatality rate 15.5%) have been reported. Of these cases, 124 cases are pneumonic plague including 21 deaths, 68 are bubonic plague, including nine deaths, one is a septicemic plague and one is an undetermined plague case. The cases are from 20 central, eastern and northern districts in Madagascar.
*Erratum (10 November 2017): on p 3 (Plague in Madagascar) the figure of 200 cases of bubonic plague annually was incorrect and this has been amended to 400 cases annually.
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Plague is caused by Yersinia pestis bacteria. Blood sucking fleas transmit the bacteria among animals, and various species of rodents can become infected.Read more