Humanitarianresponse Logo

Madagascar: Plague Epidemic Joint Situation Report No. 4, as of 01 November 2017

This report is published under the coordination of the National Office for Risk and Disaster Management (BNGRC), with input from all relevant Ministries and the Humanitarian Country Team, which includes the United Nations System in Madagascar. It covers the period until 31 October 2017.

Highlights

The epidemic remains active in 12 districts.

  • 1,836 cases have been identified (253 confirmed, 693 probable and 890 suspected), 61 per cent of which were pneumonic.
  • 133 deaths have been recorded, half of which occurred within communities.
  • 1,044 patients have been cured since the beginning of this epidemic, 83 others are under treatment in hospital.
  • There has been a slow-down in new cases of plague from 477 new cases during week 41 of the current outbreak (9-15 October) to 161 new cases during week 43 (23-29 October).
  • 4,825 people who had been in contact with the disease completed prophylactic treatment, out of a total of 6,203 people identified.
  • 17 districts have established health control posts.

Situation overview

Although plague is endemic in Madagascar, this season has been uncharacteristic: it started a month early, has been predominately of the pneumonic form, and has most affected the largest urban centers of Madagascar (Antananarivo, Toamasina, Fianarantsoa and Antsirabe). Many of the districts currently affected have no experience of the disease, which represents another challenge in addition to the difficulties in controlling the epidemic in urban areas.

The total number of cases (1,836) is already almost 5 times higher than the average annual total (September to April). However, there has been a slow-down in new cases of plague from 477 new cases during week 41 of the current outbreak (9-15 October) to 161 new cases during week 43 (23-29 October).

Medical and non-medical responses to pneumonic plague (as compared to the bubonic form) is challenging in urban environments due to population density and mass transit. The capital Antananarivo, a transport and trade hub, has been most affected. The urban context increases risk for the all actors involved in the response, including social workers, members of security and defense forces, journalists, sanitation workers, communication workers, volunteers and particularly for health workers, of whom 77 have been infected to date.

Webspace(s): 
Organization(s): 
United Nations Office for the Coordination of Humanitarian Affairs
Government of Madagascar - Bureau National de Gestion des Risques et des Catstrophes
Original Publication Date: 
01 Nov 2017
Document type: 
Situation Report
Location(s): 
Madagascar
Theme(s): 
Natural Disasters
Disaster(s)/Emergency: 
Madagascar: Plague Outbreak - Sep 2017