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  2. Madagascar is facing the worst outbreak of plague in 50 years. There have been more than 1,800 cases and 127 deaths since the start of August, according to new figures. The island off the south-east coast of Africa is used to seeing about 400 cases of mostly bubonic plague in the same rural areas every year.
    www.bbc.co.uk/news/health-41844625
    Madagascar has experienced several outbreaks of bubonic and pneumonic plague in the 21st century. In the outbreak beginning in 2014, 71 died; in 2017, 202 died. Smaller outbreaks occurred in January 2008 (18 deaths), and December 2013.
    en.wikipedia.org/wiki/21st_century_Madagascar_pl…
    Plague was brought to the island of Madagascar in 1898 by steamboats from India and has never disappeared. As a result of vaccination campaigns, improved housing and public hygiene, and the discovery of streptomycin and insecticides, plague was controlled in the 1950s.
    wwwnc.cdc.gov/eid/article/4/1/98-0114_article
    Plague is an endemic disease in Madagascar, with cases of bubonic plague being reported nearly every year, particularly during the epidemic season between September and April. However, the ongoing pneumonic plague remains an unusual and serious event, particularly since it is occurring in densely populated coastal cities.
    www.who.int/news-room/articles-detail/plague---ma…
    Every year, there are an estimated 400 cases of bubonic plague reported in Madagascar. However, starting in August there has been plague pneumonia spreading in highly populated areas of the country. The World Health Organization reports that there are around 1,800 cases, and 127 deaths.
    time.com/5008022/madagascar-plague-what-to-kn…
     
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