Madagascar + 2 more

Madagascar: Plague Epidemic - Joint Situation Report No. 2, as of 13 October 2017



• 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.

• The response continues to scale up. The Inter-Sectoral Coordination Committee, chaired by the National Bureau of Risk and Disaster Management (BNGRC), meets twice a week.

• The closure of schools has been extended by another week to 20 October as a preventive measure in affected districts.

610 Cases to date

63 Deaths recorded, a case fatality rate of 10%

415 Cases have been pneumonic

473 Cases have been recorded Antananarivo and Toamasina alone.

5,000 Patients can be assisted with current medical supplies

17.7 - 10.3% Decrease in fatality rate

Situation overview

The current plague season started a month early and have been predominantly of the pneumonic form, which is highly transmissible between humans and, without appropriate treatment, rapidly fatal. Outbreaks have been concentrated in the densely populated cities of Antananarivo and Toamasina, and other non-endemic areas, where there is little experience in responding to plague. Responding to pneumonic plague is particularly challenging in densely populated urban areas. Antananarivo, for example, is the transportation and trade hub of the country. Nine doctors treating cases have been infected in Toamasina.

While the impact on sectors such as banking and energy have been limited, inter-sectoral, decentralized response mechanisms have been established in affected districts. The joint response of both health sector and non-health sector partners have contributed to the downward trend in case fatality rates. Since the activation of the multi-sectoral approach, development partners have become increasingly aware of their role. The need to unite all efforts is necessary to stop this epidemic as soon as possible. The private sector and civil society organizations are engaging through various technical commissions, strengthening support to the response in all affected areas.


The joint response plan of the Government of Madagascar and its partners requires US$9.5 million, focussing on pneumonic plague in an urban context. To date, WHO has provided $1.5 million, UNICEF $500,000, IFRC $250,000, UNDP $200,000 and UNFPA $331,000. Some have also provided in-kind assistance: China gave $200,000 in medicine, DHL is providing storage facilities, and USAID has donated 18,000 respirator masks, 100,000 simple masks and 10 vehicles to support operations of the Department of Public Health. Discussions for emergency funding from the OCHA-managed Central Emergency Response Fund (CERF) is underway; as well as with the private sector.

$9.5 million required, of which $2.8 million has already been raised


UN Office for the Coordination of Humanitarian Affairs
To learn more about OCHA's activities, please visit