Global & Disaster Medicine

There has been a rise in the number of human plague cases globally resulting in the categorisation of Yersinia pestis, the aetiological agent of the highly fatal pneumonic plague, as a re-emerging pathogen by the WHO.

Nature

“….The progression of pneumonic plague is very rapid after first appearance of the symptoms in humans, and the case fatality rate approaches 100%, if the antimicrobial treatment is delayed. Unfortunately, antibiotic-resistant Y. pestis strains have been isolated from plague patients and/or engineered for bioweaponization, which is concerning as Y. pestis is classified by the Centers for Disease Control and Prevention (CDC) as a Tier-1 select agent. The optimal strategy for protection against this deadly disease would be through vaccination; however, there are currently no Food and Drug Administration (FDA)-licensed plague vaccines available in the United States.…”

A person wearing a hat, a mask suggestive of a bird beak, goggles or glasses, and a long gown.


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