Trends of Human Plague, Madagascar, 1998-2016.

Abstract:

:Madagascar is more seriously affected by plague, a zoonosis caused by Yersinia pestis, than any other country. The Plague National Control Program was established in 1993 and includes human surveillance. During 1998-2016, a total of 13,234 suspected cases were recorded, mainly from the central highlands; 27% were confirmed cases, and 17% were presumptive cases. Patients with bubonic plague (median age 13 years) represented 93% of confirmed and presumptive cases, and patients with pneumonic plague (median age 29 years) represented 7%. Deaths were associated with delay of consultation, pneumonic form, contact with other cases, occurrence after 2009, and not reporting dead rats. A seasonal pattern was observed with recrudescence during September-March. Annual cases peaked in 2004 and decreased to the lowest incidence in 2016. This overall reduction occurred primarily for suspected cases and might be caused by improved adherence to case criteria during widespread implementation of the F1 rapid diagnostic test in 2002.

journal_name

Emerg Infect Dis

authors

Andrianaivoarimanana V,Piola P,Wagner DM,Rakotomanana F,Maheriniaina V,Andrianalimanana S,Chanteau S,Rahalison L,Ratsitorahina M,Rajerison M

doi

10.3201/eid2502.171974

subject

Has Abstract

pub_date

2019-02-01 00:00:00

pages

220-228

issue

2

eissn

1080-6040

issn

1080-6059

journal_volume

25

pub_type

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