According to the NICD statement‚ the number of reported cases is 449 and 48 deaths have been recorded so far.
“The outbreak is primarily located in the middle third of the island‚ centred around the capital‚ Antananarivo and Toamasina province on the east coast. A single area on the northern coast is affected. The majority of cases are presenting as pneumonic plague‚” reads the statement.
The NICD said plague is a zoonotic disease caused by a bacterium Yersinia pestis. Where plague is endemic‚ it is usually found in rodents and is spread by fleas from rodent or to other mammals.
“South African travellers to Madagascar are advised to avoid highly populated areas‚ avoid close contact with ill persons‚ wear surgical masks while in transit‚ avoid contact with rodents and dead animals‚” said the NICD statement.