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Emerg Infect Dis. 1998 Jan-Mar;4(1):101-4.

Plague, a reemerging disease in Madagascar.

Author information

1
Institut Pasteru, Antananarivo, Madagascar.

Abstract

Human cases of plague, which had virtually disappeared in Madagascar after the 1930s, reappeared in 1990 with more than 200 confirmed or presumptive cases reported each year since. In the port of Mahajanga, plague has been reintroduced, and epidemics occur every year. In Antananarivo, the capital, the number of new cases has increased, and many rodents are infected with Yersinia pestis. Despite surveillance for the sensitivity of Y. pestis and fleas to drugs and insecticides and control measures to prevent the spread of sporadic cases, the elimination of plague has been difficult because the host and reservoir of the bacillus, Rattus rattus, is both a domestic and a sylvatic rat.

PMID:
9452403
PMCID:
PMC2627662
DOI:
10.3201/eid0401.980114
[Indexed for MEDLINE]
Free PMC Article

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