by Matthew H. Bonds, Mohammed A. Ouenzar, Andres Garchitorena et al.
PLoS Negl Trop Dis 12(1): e0006131 – Published: January 4, 2018
That there was an outbreak of plague in Madagascar this time of year is no surprise; plague emerges annually, attributed to seasonal environmental conditions that decrease rat populations and drive fleas to feed off of humans directly. Because of the ecological dynamics and persistence of the disease in rats and other hosts, complete eradication is considered nearly impossible. But the epidemiological characteristics of plague this year are unique in that it has emerged earlier than is typical, is mostly of the pneumonic form, and struck the capital.