In an update on the plague situation in Madagascar, the Ministry of Health is now reporting plague has affected eight districts in the country–Central Highlands, Ambalavao, Ambatofinandrahana, Ambositra, Ankazobe, Fandriana, Miarinarivo and Antisirabe.

Bipolar staining of a plague smear prepared from lymph aspirated from an adenopathic lymph node, or bubo, of a plague patient./CDC
Bipolar staining of a plague smear prepared from lymph aspirated from an adenopathic lymph node, or bubo, of a plague patient./CDC

In these eight districts, 16 suspect cases have been reported in one month, including four fatalities. Five of the cases have been laboratory confirmed.

Of the 5 confirmed cases, two (2) were classified as bubonic plague and three (3) as pulmonary plague.

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

Related: Congo, Madagascar top countries reporting most plague 2000-2009, US reports 57 cases