H5N1: OCHA: An overview of plague in Madagascar

Every year, between 300 to 1,200 suspected cases of plague are reported mainly in areas of the central highlands of the country. The country has experienced since October 2013 a rougher plague season. The beginning of the season has been plague especially marked by the outbreak of deadly pneumonic plague in two districts ( Mandritsara and Ikongo ). These two districts were little affected these recent years, but they are characterized by a large landlocked and by poor health coverage , which explains the appearance of the form pulmonary highly contagious.

via H5N1: OCHA: An overview of plague in Madagascar.