Plague outbreak in remote Madagascar puzzles investigators
Plague, though terrifying, is nothing new in Madagascar, where around 600 cases are reported annually. But there was something different about a suspected plague outbreak reported last December. The outbreak’s location was far away from recent outbreaks and implied plague had spread to new parts of the island nation, but health officials couldn’t explain it.
On 4 November 2014, WHO was notified by the Ministry of Health of Madagascar of an outbreak of plague. The first case, a male from Soamahatamana village in the district of Tsiroanomandidy, was identified on 31 August. The patient died on 3 September. As of 16 November, a total of 119 cases of plague have been confirmed, including 40 deaths. Only 2% of reported cases are of the pneumonic form.