Madagascar health officials reported in an update Wednesday that the plague case count has now risen to 22 cases in 10 districts from August 1 to September 24, 2018.


To date, five deaths have been reported.

The 10 districts include Ambalavo, Ambatofinandrahana, Ambatolampy, Ambositra, Ankazobe, Antananarivo, Antsirabe, Arivonimamo, Fandriana and Miarinarivo.

Plague is known to be endemic Madagascar and a seasonal upsurge (predominantly the bubonic form) usually occurs early every year between September and April.