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On 9 November the World Health Organisation (WHO) reported the outbreak of plague continues in Madagascar, although incidence rates have been falling since mid-October 2017.
From 1 August to 8 November 2017, 2 034 cases of plague, including 165 deaths were reported. Of these cases, 1 565 (77%) were pulmonary (pneumonic) plague, 297 (15%) were bubonic plague and 1 was septicaemic. A further 171 cases have not been were not yet classified Eight-two healthcare workers have been affected, none of whom have died.Cases have been reported from 55 of the 114 districts in the country. Analamanga Region has reported 71% of all recorded cases.
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.