Skip to Main content Skip to Navigation
New interface
Journal articles

Bubonic Plague Outbreak Investigation in the Endemic District of Tsiroanomandidy - Madagascar, October 2014

Abstract : Background: Plague remains a major public health problem in Madagascar. Faced with reports of plague cases and deaths in Tsiroanomandidy district, we performed an investigation in October 2014.List of Abbreviations: BHCS: Basic Health Center; CDC: Control and prevention Diseases Center; DHS: District Health Service; IPM: Institut Pasteur de Madagascar; MOH: Ministry of Health; SMZ-TMP: Sulfamethoxazole Trimethoprim; WHO: World Health Organization Methods: We used the National plague control program case definition. We identified cases from outpatient registers and collected socio-demographic and clinical information. Plague circulation was determined through a retrospective environmental survey of rodents and vectors. Results: From August 1st to October 12th 2014, we identified 30 cases of which 13 deaths in 7 out of 17 municipalities; 18 were confirmed, 6 probable, and 6 suspected cases. The sex ratio (M/F) was 4:1. Yersinia pestis was isolated from Rattus rattus in one municipality. Flea index was 2.3. We collected 45 fleas through a trap set in a house 6 hours after insecticide spraying. Our aim was to describe the plague outbreak and to improve the national plague control strategies. Conclusion: The presence of infected flea and rodent maintain the persistence of plague in the municipalities investigated. There is a high risk of plague transmission to humans. This study showed that rodent and flea information are important for plague control strategies.
Complete list of metadata

Cited literature [14 references]  Display  Hide  Download
Contributor : Marie Chrystine Solofoharivelo Connect in order to contact the contributor
Submitted on : Wednesday, November 22, 2017 - 7:31:46 AM
Last modification on : Wednesday, June 3, 2020 - 12:14:05 PM


Bubonic plague outbreak invest...
Files produced by the author(s)




Rakotoarisoa A, Ramihangihajason T, Ramarokoto C, Rahelinirina S, Halm A, et al.. Bubonic Plague Outbreak Investigation in the Endemic District of Tsiroanomandidy - Madagascar, October 2014. Journal of Case Reports and Studies, 2017, 5 (1), pp.103 ⟨10.15744/2348-9820.5.103⟩. ⟨pasteur-01644147⟩



Record views


Files downloads