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The World Health Organisation (WHO) reports that an outbreak of plague in Madagascar has spread to the capital Antananarivo and other port towns, infecting at least 114 people in recent weeks. There have been 21 deaths, the latest being a man from the Seychelles who died on 27 September 2017 was visiting the capital, Antananarivo for a sports event. This latest fatality was due to pneumonic plague, which is transmitted by person-to-person spread.
Plague is rare in international travellers.
There is no commercially available vaccine against plague.
For further information see Plague.