Global & Disaster Medicine

CDC: What is the current situation in Madagascar?

Map of Madagascar showing areas with plague. The most affected districts and cities include Antananarivo (the capital city and its suburbs), Toamasina, and the rural district of Faratsiho. Cases have also been reported in Ambatondrazaka, Ambohidratrimo, Andramasina, Ankazobe, Anosibe An'ala, Anta-Atsimondrano, Anta-Avaradrano, Anta-Renivohitra, Arivonimamo, Faratsiho, Maevatanana, Mahajanga I, Miarinarivo, Moramanga, Toamasina I, Toamasina II, Tsiroanomandidy, Vohémar, and Ambalavao.

Map of Madagascar showing areas with plague. The most affected districts and cities include Antananarivo (the capital city and its suburbs), Toamasina, and the rural district of Faratsiho. Cases have also been reported in Ambatondrazaka, Ambohidratrimo, Andramasina, Ankazobe, Anosibe An’ala, Anta-Atsimondrano, Anta-Avaradrano, Anta-Renivohitra, Arivonimamo, Faratsiho, Maevatanana, Mahajanga I, Miarinarivo, Moramanga, Toamasina I, Toamasina II, Tsiroanomandidy, Vohémar, and Ambalavao

From August 23 through October 5, 2017, the World Health Organization (WHO) has reported more than 220 cases of plague in Madagascar; approximately 15% of those infected have died. Although bubonic plague occurs nearly every year in Madagascar, an unusual outbreak of plague pneumonia is occurring in geographically widespread areas, including in heavily populated cities of Antananarivo (the capital city and its suburbs) and Toamasina.* New cases continue to be reported; as of October 5, more than 120 of the cases are plague pneumonia (which can be spread from person to person) and 68 are bubonic plague (which is spread through flea bites).

In response to the outbreak, the local government is working to control fleas and is canceling mass gatherings because plague pneumonia can be spread from person to person in close contact.


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