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Further cases of bubonic plague have been reported in Madagascar. The health ministry has now recorded 84 cases and 42 deaths from plague since September 2013. The affected districts are quite remote and include: Ikongo in the southwest, Mandritsara in the north, Soanierana Ivongo in the northwest and Tsiroanomandidy in the central highlands.
(Via IRIN - accessed 20/12/13)
Advice for Travellers
Plague is an infection of wild rodents and is transmitted by fleas to other animals and humans. The risk to travellers is generally low however, travel to plague endemic areas may be a risk, particularly if camping, hunting or having contact with rodents
In plague endemic areas contact with rodents should be discouraged. Travellers to these areas should be advised on how to store and dispose of food produce to prevent attraction to rodents. Avoidance of flea bites must be advised by use of repellents and insecticides. Travellers should also be discouraged from camping and handling rodents both dead or alive.
