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Filetype[PDF-324.33 KB]


  • English

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    • Description:
      Plague was first introduced into the United States in 1900, by rat–infested steamships that had sailed from affected areas, mostly from Asia. Epidemics occurred in port cities. The last urban plague epidemic in the United States occurred in Los Angeles from 1924 through 1925. Plague then spread from urban rats to rural rodent species, and became entrenched in many areas of the western United States. Since that time, plague has occurred as scattered cases in rural areas. Most human cases in the United States occur in two regions:

      • Northern New Mexico, northern Arizona, and southern Colorado

      • California, southern Oregon, and far western Nevada

      Over 80% of United States plague cases have been the bubonic form. In recent decades, an average of seven human plague cases have been reported each year (range: 1–17 cases per year). Plague has occurred in people of all ages (infants up to age 96), though 50% of cases occur in people ages 12–45. It occurs in both men and women, though historically is slightly more common among men, probably because of increased outdoor activities that put them at higher risk.

    • Content Notes:
      Reported Cases of Human Plague - United States, 1970-2017 -- Human Plague Cases and Deaths - United States, 2000-2017 -- Number of Reported Confirmed and Probable Plague Cases per Year in the United States: 1900-2012 -- Plague Worldwide: Reported Plague Cases by Country, 2010-2015.
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