Abstract:
:From 1995 to 1998, outbreaks of bubonic plague occurred annually in the coastal city of Mahajanga, Madagascar. A total of 1,702 clinically suspected cases of bubonic plague were reported, including 515 laboratory confirmed by Yersinia pestis isolation (297), enzyme-linked immunosorbent assay, or both. Incidence was higher in males and young persons. Most buboes were inguinal, but children had a higher frequency of cervical or axillary buboes. Among laboratory-confirmed hospitalized patients, the case-fatality rate was 7.9%, although all Y. pestis isolates were sensitive to streptomycin, the recommended antibiotic. In this tropical city, plague outbreaks occur during the dry and cool season. Most cases are concentrated in the same crowded and unsanitary districts, a result of close contact among humans, rats, and shrews. Plague remains an important public health problem in Madagascar, and the potential is substantial for spread to other coastal cities and abroad.
journal_name
Emerg Infect Disjournal_title
Emerging infectious diseasesauthors
Boisier P,Rahalison L,Rasolomaharo M,Ratsitorahina M,Mahafaly M,Razafimahefa M,Duplantier JM,Ratsifasoamanana L,Chanteau Sdoi
10.3201/eid0803.010250subject
Has Abstractpub_date
2002-03-01 00:00:00pages
311-6issue
3eissn
1080-6040issn
1080-6059journal_volume
8pub_type
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