ETIDIOH - NEW

  Abstract Background Plague, a zoonosis caused by Yersinia pestis, is endemic in Madagascar but knowledge on the epidemiological situation in the northern focus remains unclear . The aim of this study was to investigate the circulation of Y. pestis in terrestrial small mammals in north eastern Madagascar, where suspected plague outbreaks have been reported. Methods Sampling of terrestrial small mammals and their fleas was carried out in 22 trapping sites within 9 localities of the two sectors (1 and 3) of Makira Natural Park (MNP) and surroundings, from 2020 to 2022. Yersinia pestis was investigated in terrestrial small mammal spleen samples and their fleas using bacteriological, serological and molecular methods. Results A total of 614 terrestrial small mammals composed of eight species and 1,754 individual fleas were collected following 4,880 trap-nights. The black rat (Rattus rattus) represented the majority (87.8%) of the small mammal species caught. Flea infestation rate was ...

  Summary -- What is known about this topic? -  Plague is caused by the bacterium Yersinia pestis , which is transmitted primarily through fleas from rodents . This case highlights an off-season transmission of plague. Plague is most often identified during May–August. -- What is added by this report? - An Oregon man sought care at an emergency department for signs and symptoms of plague on January 30, 2024, the earliest calendar date of plague recorded in the state’s history, possibly indicating a shift in the seasonality of plague incidence . The patient did not have direct contact with rodents, but did have contact with his infected cat after cutting his finger. -- What are the implications for public health practice? -  Public health messaging and diagnostic efforts regarding plague are warranted year-round in areas with endemic disease. Abstract Plague is caused by the bacterium Yersinia pestis . Y. pestis is transmitted primarily through the bite of an infected rode...