Madagascar: Plague Outbreak - Sep 2017Ongoing
On 13 September 2017, the WHO was notified of an outbreak of pulmonary plague in Madagascar. The outbreak was detected on 11 September 2017. As of 14 September 2017, a total of 28 cases, including five deaths (case fatality rate 17.8%) have been reported since the initial case was detected on 27 August 2017. Two cases have been confirmed by rapid diagnostic test (RDT) at the Institut Pasteur de Madagascar (IPM). Thus far the outbreak is localized in Tamatave and Faratsiho in Vakinankaratra Region (100km southwest of Antananarivo). (WHO, 15 Sep 2017)
By 28 September, there were 104 cases of which 52 were confirmed pneumonic plague with 20 deaths (19.23% case fatality rate).The outbreak affected the densely populated cities in Madagascar that include Antananarivo/Analamanga with 3,724,021 inhabitants, Tamatave/ Atsinanana with 1,412,021 inhabitants, Majunga /Boeny with 889277 inhabitants, and Finanrantsoa /Haut Matsuartra with 1,333,550 inhabitants.(WHO, 29 Sep 2017)
As of 30 September, 10 cities have reported pneumonic plague cases and the three most affected districts include: the capital city and suburbs of Antananarivo (27 cases, 7 deaths), Toamasina (18 cases, 5 deaths), and Faratshio (13 cases, 1 death). (WHO, 2 Oct 2017)
The outbreak of plague in Madagascar continues, with an overall reduction in the case fatality rate. On 12 October 2017, 61 new cases and no deaths were reported from six districts. Between 1 August and 12 October 2017, a total of 684 cases (suspected, probable and confirmed) including 57 deaths (case fatality rate 8.3%) have been reported from 35 out of 114 districts in the country. Of these, 474 cases (69.3%) were clinically classified as pneumonic plague, 156 (22.8%) were bubonic plague, one case was septicaemic plague, and 54 cases were unspecified. At least fifteen healthcare workers have contracted plague since the beginning of the outbreak...Eighteen (81.2%) out of 22 regions in the country, including traditionally non-endemic areas, have been affected. (WHO, 12 Oct 2017)
Appeals & Funding
On October 4 the Government launched its response plan, mobilizing community authorities and civil servants, reducing large gatherings, and temporarily closing schools – currently until early November.
1. Situation Update
18 OCTOBRE 2017 | VICTORIA, SEYCHELLES - Des tests effectués le mardi 17 octobre par un laboratoire partenaire de l’Organisation mondiale de la Santé à Paris sur des échantillons provenant de cas suspects de peste pulmonaire aux Seychelles ont donné des résultats négatifs.
Du vendredi 20 octobre 2017 au vendredi 20 octobre 2017
SITUATION GENERALE DE LA PESTE A MADAGASCAR
Actuellement, 39 Districts qui se trouvent dans 17 Régions de Madagascar sont touchés par l’épidémie de la peste.
Ce jour, il a été notifié 911 cas dont : 612 de formes pulmonaires, 175 de formes buboniques et 124 non précisés.
Le bilan général fait état de : 554 personnes qui sont déjà guéries et sortis de l’hôpital, 262 personnes en cours de traitement et 95 décès.
A. Situation analysis
Description of the disaster
A plague outbreak in Madagascar has raised concern in neighbouring countries. As of 12 October, a total of 684 cases (suspected, probable and confirmed) including 57 deaths (CFR 8.3%) have been reported from 35 out of 114 districts. Of these 474 were clinically classified as pneumonic plague.
The Madagascar Ministry of Health (MoH) reported caseload on 16 October was 805 (confirmed and suspected) with 74 deaths.
Reprise de la saison pesteuse plus tôt qu’habituellement : 01 août 2017.
Cas de peste en dehors des foyers connus et cas majoritaire de peste pulmonaire dans des zones urbaines (Antananarivo, Toamasina).
Depuis le 27 septembre, 2206 tests de diagnostic rapide (TDR) ont été distribués par l’IPM dont 205 à Toamasina, 806 dans les Centres hospitaliers d’Antananarivo et 367 au Service Peste du Ministère de la Santé Publique.
Antananarivo/ Geneva, 19 October 2017— The Secretary General of the International Federation of Red Cross and Red Crescent Societies (IFRC), Elhadj As Sy has appealed for international support for Madagascar’s plague response, at the end of an emergency visit to the Indian Ocean island nation.
A. Situation analysis
Description of the disaster
Tamatave – Médecins Sans Frontières (MSF) has begun working with local authorities to tackle an outbreak of pneumonic plague in the port city of Tamatave on the east coast of Madagascar.
MSF’s international medical personnel are supporting staff from the Malagasy Ministry of Health to provide treatment to the patients currently hospitalised in the plague triage and treatment centre. The specialised centre was built earlier this week outside the city’s hospital by international partners, including MSF.
• Thirty-five districts have been affected; of which 6 districts have not recorded new cases for the past 15 days.
• A total of 610 cases have been recorded with 63 deaths. The capital Antananarivo is the most affected with 347 cases and 30 deaths.
• The case fatality rate has stabilized at around 10 per cent. About 68 per cent of all cases have been pneumonic.
• On 12 October 2017, 61 new cases were treated, including 42 in Antananarivo Renivohitra.
According to WHO's report of 17 October, between 1 August and 15 October, 849 cases (suspected, probable and confirmed) have been recorded, including 67 deaths. The case fatality rate is 7,9%. Of the 849 reported cases, 9,2% were confirmed, 35% classified as probable and 55% remain suspect. Of these, 568 cases (67%) were clinically classified as pneumonic plague, 155 (18,3%) as bubonic plague. At least 39 healthcare workers have contracted plague since the beginning of the outbreak.
Geneva/Antananarivo, 18 October **–** The Secretary General of the International Federation of Red Cross and Red Crescent Societies (IFRC), Elhadj As Sy, arrives later today in Madagascar as the Red Cross response to the plague outbreak continues.
Mr Sy will spend Thursday 19 October meeting with Red Cross officials and volunteers involved in the response, as well as senior government figures. Mr Sy will announce a major international appeal for Madagascar.
1. Situation update
A la demande des autorités malgaches et à la suite à l’épidémie de peste, le centre de crise et de soutien du ministère de l’Europe et des affaires étrangères a coordonné l’envoi à Madagascar d’une aide humanitaire (sous la forme de matériel médical spécifique) et, en lien avec l’agence nationale de santé publique, d’une mission d’experts médicaux.