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Madagascar: eighteen dead from Bubonic Plague, five in hospital since 1 January 2008

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Original Post Date: 2008-01-09 Time: 00:00:00  Posted By: Adriana

At least 18 people have died of bubonic plague on the East-African island of Madagaskar in the past 10 days, and at least five patients are still in hospital. Bubonic plague is caused by a bacillus carried in the gut of rat fleas.

At the start of the rainy season – i.e. right now — rats flee the sewers of Madagaskar in massive numbers and take refuge in people’s cottages.

The Centres for Disease Control in Atlanta, USA noted that between 1930 and 1990, bubonic plague had ‘virtually disappeared’ on the island due to efficient pest-control and good health-management.

However since 1990, an annual 200 cases are being reported and bubonic plague takes on epidemic form especially in the port of Mahajanga each year.

In the capital city of Antananarivo more cases are also being notified each year since 1990. The CDC specialists write that “many rodents (there) are infected with Yersinia pestis bacillii.”

With the exception of the west coast port of Mahajanga, plague is usually found to be endemic in Malagasi-areas which are elevated above 800 metres.

“The elimination of plague has been difficult because the host and reservoirs of the bacillus, are both a domestic and a sylvatic rat, Rattus norvegicus and R. rattus,’ they noted.
http://www.cdc.gov/ncidod/eid/vol4no1/chanteau.htm

The World Health Organisation records show that in 2003, a total of 182 people had died of bubonic plague and only two of those plague victims had died outside Africa.

In the last 15 years, Madagascar (pop. 13 million) has accounted for 45% of all the cases of plague in Africa.

During the Middle Ages in Europe, tens of millions of Europeans died of bubonic plague, causing a massive collapse of the economic and socio-political systems on the continent and in the UK.
http://www.telegraaf.nl/buitenland/2982674/_Doden_door_pest_Madagaskar__.html?p=20,1

SOUTH AFRICAN RAT-INFESTATIONS WORRY HEALTH AUTHORITIES:
The South African rat-infestations have also grown out of control over the past decade, and health authorities are increasingly worried about the lack of pest-control there.

The World Health organisation identifies the Coega area in the Eastern Cape of South Africa as a ‘plague endemic area’– and bubonic plague-carrying fleas are also regularly found on rodents all over South Africa.

There now are frequent reports of homeless squatters being attacked and bitten by large rat populations who thrive in filth-strewn squatter areas, even in the centre of Johannesburg.
http://eau.sagepub.com/cgi/reprint/10/2/223.pdf

http://www.cdc.gov/ncidod/dvbid/plague/info.htm

Source: http://groups.msn.com/crimebustersofsouthafrica/alertsonhealth.msnw?action=get_message&mview=0&ID_Message=3524&LastModified=4675650269412457771