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Espace donateurs Espace presse Partenaires Contact. Coalition PLUS. Partager sur Facebook. Human plague, Madagascar, — Plague was brought to the island of Madagascar in 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 s.

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During the next 30 years, only 20 to 50 cases per year were reported in the entire country. However, since , the number of suspected cases has increased steadily Figure 1.

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Since , to 1, cases of suspected plague have been reported, of which to were smear-positive presumptive cases or confirmed by the isolation of Y. The population exposed to plague in the plateaus is approximately 5 million; the mean annual rate of known human cases except in Mahajanga is 3 to 4 per , inhabitants. Figure 2. Plague foci in Madagascar. The plague-endemic zones are in the gray areas and in the port of Mahajanga.

With the exception of the west coast port of Mahajanga, plague is endemic in areas more than m high.

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The major focus area is a central triangle, and the minor focus is a northern diamond Figure 2. The main plague foci in order of importance are Mahajanga, the district of Ambositra, the town of Antananarivo, and the districts of Fianarantsoa II, Miarinarivo, Betafo, and Soavinandriana. In the plateaus, the human plague season is September to April, while in Mahajanga it is July to November. Chanteau et J.

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Burans, unpub. En revanche, R. Laventure et J.

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Duplantier, unpub. Figure 3. Journal page Archives Contents list. Article Article Outline. Access to the text HTML. Access to the PDF text.

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