In a follow-up on the plague outbreak in Madagascar, the Ministry of Public Health now reports that the plague epidemic is affecting 17 districts in the country, according to local media (computer translated).

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

The report states that the case count is nearing 100 since August 1. Five fatalities have been reported. Both pneumonic and bubonic plague cases are being reported.

Officials say the it is only the beginning of “plague season” in Madgascar and note that the epidemic may increase dramatically and can last into the Spring.

LISTEN: Plague: An interview with Dr. Paul Ettestad

Plague is a bacterial disease of rodents and is generally transmitted to humans through the bites of infected fleas, but can also be transmitted by direct contact with infected animals, including rodents, wildlife and pets.

People can also get infected through inhalation and in the case of pneumonic plague, person to person.

Yersinia pestis is treatable with antibiotics if started early enough.

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