Epidemiologic Features of Four Successive Annual Outbreaks of Bubonic Plague in Mahajanga, Madagascar

Boisier, Pascal; Rahalison, Lila; Rasolomaharo, Monique; Ratsitorahina, Maherisoa; Mahafaly, Mahafaly; Razafimahefa, Maminirana; Duplantier, Jean-Marc; Ratsifasoamanana, Lala; Chanteau, Suzanne

Back to Previous Page

- Add this to...
- Twitter
- Facebook
- Google Bookmarks
- LinkedIn

Epidemiologic Features of Four Successive Annual Outbreaks of Bubonic Plague in Mahajanga, Madagascar

Published Date:

Mar 2002

Source:

Emerg Infect Dis. 8(3):311-316.

[PDF-232.26 KB]

Details:

Personal Authors:

Boisier, Pascal ; Rahalison, Lila ; Rasolomaharo, Monique ; Ratsitorahina, Maherisoa ; Mahafaly, Mahafaly ; ... More ▼

Keywords:

[+]

Description:

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.

Document Type:

Journal Article

Collection(s):

Emerging Infectious Diseases

Main Document Checksum:

[+]

Supporting Files:

	01-0250_FinalD.nxml	text/plain
	license.txt	text/plain
	01-0250-F1.gif	image/gif
	01-0250-F1.jpg	image/jpeg
	01-0250-F2.gif	image/gif
	01-0250-F2.jpg	image/jpeg
	01-0250-F3.gif	image/gif
	01-0250-F3.jpg	image/jpeg
	01-0250-F4.gif	image/gif
	01-0250-F4.jpg	image/jpeg

No Related Documents.

You May Also Like:

Trends of Human Plague, Madagascar, 1998–2016

Personal Author:

Andrianaivoarimanana, Voahangy; Piola, Patrice; Wagner, David M.; Rakotomanana, Fanjasoa; Maheriniaina, Viviane; Andrianalimanana, Samuel; Chanteau, Suzanne; Rahalison, Lila; Ratsitorahina, Maherisoa; Rajerison, Minoarisoa;

Published:

Feb 2019

Source:

Emerg Infect Dis. 25(2):220-228

Description:

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 ...

File Type:

[PDF - 1.19 MB]
Plague, a reemerging disease in Madagascar.

Personal Author:

Chanteau, S.; Ratsifasoamanana, L.; Rasoamanana, B.; Rahalison, L.; Randriambelosoa, J.; Roux, J.; Rabeson, D.;

Published:

1998 Jan-Mar

Source:

Emerg Infect Dis. 4(1):101-104.

Description:

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...

File Type:

[PDF - 57.79 KB]
Pneumonic Plague Outbreak, Northern Madagascar, 2011

Personal Author:

Richard, Vincent; Riehm, Julia M.; Herindrainy, Perlinot; Soanandrasana, Rahelinirina; Ratsitoharina, Maherisoa; Rakotomanana, Fanjasoa; Andrianalimanana, Samuel; Scholz, Holger C.; Rajerison, Minoarisoa;

Published:

Jan 2015

Source:

Emerg Infect Dis. 21(1):8-15.

Description:

Yersinia pestis, the causative agent of plague, is endemic to Madagascar, particularly to the central highlands. Although plague has not been previously reported in northern Madagascar, an outbreak of pneumonic plague occurred in this remote area in ...

File Type:

[PDF - 964.71 KB]
Asymptomatic Yersinia pestis Infection, China

Personal Author:

Li, Min; Song, Yajun; Li, Bei; Wang, Zuyun; Yang, Ronghai; Jiang, Lingxiao; Yang, Ruifu;

Published:

Sep 2005

Source:

Emerg Infect Dis. 11(9):1494-1496.

File Type:

[PDF - 60.95 KB]
Sporotrichosis, Plain of Jars, Lao People's Democratic Republic

Personal Author:

Newton, Paul N.; Chung, Wen-Hung; Phetsouvanh, Rattanaphone; White, Nicholas J.;

Published:

Sep 2005

Source:

Emerg Infect Dis. 11(9):1496-1497.

File Type:

[PDF - 45.69 KB]