Plague, a reemerging disease in Madagascar
Plague, a reemerging disease in Madagascar
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DOI：
10.3201/eid0401.980114
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发表时间：
1998-01-01
影响因子：
11.8
通讯作者：
Rabeson, D
中科院分区：
文献类型：
--
作者：
Chanteau, S;Ratsifasoamanana, L;Rabeson, D
人类鼠疫病例在20世纪30年代后在马达加斯加几乎消失了，1990年重新出现，自那以来每年报告的确诊或推定病例超过200例。在马哈扬加港，鼠疫再次传入，每年都会发生疫情。在首都塔那那利佛，新增病例增加，许多啮齿动物感染了鼠疫耶尔森菌。尽管对鼠疫和跳蚤对药物和杀虫剂的敏感性进行了监测，并采取了控制措施防止零星病例的传播，但消除鼠疫一直很困难，因为鼠疫杆菌的宿主和宿主鼠既是家鼠，也是丛林鼠。
Human cases of plague, which had virtually disappeared in Madagascar after the 1930s, reappeared in 1990 with more than 200 confirmed or presumptive cases reported each year since. In the port of Mahajanga, plague has been reintroduced, and epidemics occur every year. In Antananarivo, the capital, the number of new cases has increased, and many rodents are infected with Yersinia pestis. Despite surveillance for the sensitivity of Y. pestis and fleas to drugs and insecticides and control measures to prevent the spread of sporadic cases, the elimination of plague has been difficult because the host and reservoir of the bacillus, Rattus rattus, is both a domestic and a sylvatic rat.