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Emerg Infect Dis. 2007 Oct;13(10):1459-62. doi: 10.3201/eid1310.070284.

Plague reappearance in Algeria after 50 years, 2003.

Author information

1
World Health Organization, Geneva, Switzerland. bertherate@who.int

Abstract

An outbreak of plague occurred in the region of Oran, Algeria, from June to July 2003. Algeria had not reported this disease for >50 years. Eighteen bubonic cases were identified, and Yersinia pestis was isolated from 6 patients. Except for the index case-patient, all patients recovered. Targeted chemoprophylaxis, sanitation, and vector control played a crucial role in controlling the outbreak. Epidemiologic and biomolecular findings strongly suggested the existence of a local animal reservoir during this period, but its origin (resurgence or re-importation) could not be determined. This sudden and unexpected reemergence of plague, close to an important commercial seaport, is a textbook illustration of a public health event of international importance. It also demonstrates that the danger of plague reoccurrence is not limited to the currently indexed natural foci.

PMID:
18257987
PMCID:
PMC2851531
DOI:
10.3201/eid1310.070284
[Indexed for MEDLINE]
Free PMC Article

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