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The World Health Organisation (WHO) has reported a total of 2348 cases of plague (including 202 deaths) in Madagascar from 1 August to 22 November 2017. This total includes 1791 cases of pneumonic plague (22% laboratory confirmed) and 341 cases of bubonic plague.
While the reporting of new cases of plague is slowing down, the outbreak is not over and further cases are expected in the coming weeks.
Plague is rare in international travellers.
No vaccine is available for plague. The most effective form of prevention is to avoid exposure to infected people or animals. If there is a possibility that a traveller has been exposed to plague, it is important to seek prompt medical attention as soon as possible. Progression of the disease may be prevented with appropriate antibiotic treatment.
Anyone experiencing rapidly progressing fever, chills, headache, weakness, respiratory symptoms, chest pain or swollen lymph nodes should seek prompt medical attention.
For further information see Plague.