[Correspondence] Potential plague exportation from Madagascar via international air travel

About 400 cases of plague occur annually in Madagascar;1 however in 2017, there were substantially more cases and deaths reported.2 This increase poses a potential public health risk beyond Madagascar and to countries with major travel connections with the country. Indeed, one case of plague was thought to be exported to Seychelles but fortunately samples ultimately tested negative.3 In this Correspondence, we identify countries with the strongest links to Madagascar through international air travel, and discuss these countries' ability to cope with the possibility of imported plague.

Source: The Lancet Infectious Diseases - February 22, 2018 Category: Infectious Diseases Authors: Isaac I Bogoch, Timea Maxim, Hernan Acosta, Deepit Bhatia, Shirley Chen, Carmen Huber, Andrew Janes, Jean H E Yong, Andrea Thomas, Moritz U G Kraemer, Alexander Watts, Kamran Khan Tags: Correspondence Source Type: research