Document Detail

Urban epidemic of bubonic plague in Majunga, Madagascar: epidemiological aspects.
MedLine Citation:
PMID:  9217697     Owner:  NLM     Status:  MEDLINE    
After an absence of 62 years, an epidemic of plague occurred in the harbour city of Majunga (Madagascar) from July 1995 to March 1996, following sporadic cases in March and May 1995. By 15 March 1996, 617 clinically suspected cases of bubonic plague had been notified. Laboratory testing was carried out for 394 individuals: 60 (15.2%) were confirmed to have bubonic plague and 48 (12.2%) were considered as presumptive cases. The incidence was significantly higher in males in all age groups and in both sexes in the 5-19 age group. Twenty-four deaths were related to plague, but early treatment with streptomycin has confirmed its effectiveness insofar as the case-farality ratio was only 8.7% among confirmed and presumptive cases admitted to hospital. The difficulty of clinically diagnosing bubonic plague was affirmed. The disease met favourable conditions through the poverty and low level of hygiene prevalent in most parts of Majunga.
P Boisier; M Rasolomaharo; G Ranaivoson; B Rasoamanana; L Rakoto; Z Andrianirina; B Andriamahefazafy; S Chanteau
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Tropical medicine & international health : TM & IH     Volume:  2     ISSN:  1360-2276     ISO Abbreviation:  Trop. Med. Int. Health     Publication Date:  1997 May 
Date Detail:
Created Date:  1997-08-07     Completed Date:  1997-08-07     Revised Date:  2006-11-07    
Medline Journal Info:
Nlm Unique ID:  9610576     Medline TA:  Trop Med Int Health     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  422-7     Citation Subset:  IM    
Institut Pasteur de Madagascar, Antananarivo, Madagascar.
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MeSH Terms
Age Factors
Anti-Bacterial Agents / therapeutic use
Child, Preschool
Disease Outbreaks*
Infant, Newborn
Madagascar / epidemiology
Middle Aged
Plague / drug therapy,  epidemiology*,  mortality
Sex Factors
Streptomycin / therapeutic use
Urban Population
Reg. No./Substance:
0/Anti-Bacterial Agents; 57-92-1/Streptomycin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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