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2017 Madagascar plague outbreak
https://en.wikipedia.org/wiki/2017_Madagascar_plague_outbreak

Excerpt:

Plague is endemic on the central high plateau of Madagascar, usually occurring every year as a seasonal upsurge during the rainy season between September and April.[7] This pattern has occurred since about 1990 with the annual number of cases typically between 800 to 1500. The resurrgence in 1990 was probably related to the breakdown of control measures in place since the 1950s, measures that included vaccination campaigns, improved housing and public hygiene, use of insecticides for control, and streptomycin for treatment. Plague was first brought to the island from India in 1898.

The outbreak began in August 2017 with the death from pneumonic plague of a 31-year-old man who had been traveling in a crowded minibus toward the capital city of Antananarivo in the central highlands.[8] The outbreak expanded rapidly, transmitted person-to-person in the pneumonic form of the disease, which accounted for more than 60 percent of cases.[9] The outbreak was initially recognized on 11 September by local authorities and confirmed by the Institut Pasteur de Madagascar. Authorities called the outbreak "quite worrisome" because the number of cases per day was growing rapidly, and many cases were in urban areas where there are more opportunities for contact between people.[10] Panic was reported in the capital, with the main hospital overcrowded with cases.[11]

The death toll in this outbreak had by mid-October exceeded an outbreak in 2014. ...

https://en.wikipedia.org/wiki/2017_Madagascar_plague_outbreak

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