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The media has reported on an outbreak of pneumonic plague in Madagascar.
Since the outbreak was identified, a total of 12 cases have been recorded and in the last two days 8 individuals have died from the infection. The outbreak is said to be confined to the village of Antsahatsihanarina which is less than 12 miles from the city of Moramanga in the east of the island.
Plague is endemic in Madagascar and according to WHO the incidence has increased over the last three years, making it the worst affected country worldwide. Bubonic plague outbreaks occur regularly in Madagascar; between September 2014 and February 2015, a total of 263 cases and 71 deaths were recorded. Pneumonic plage is a more serious infection though less common, however, infection can be transmitted person to person through coughing.
(Via Medical Xpress - accessed 27/08/15)
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.
