Fanny Chereau, EPIET fellow from cohort 2016, was deployed with GOARN (Global Outbreak Alert and Response Network) to support the response to the plague outbreak in Madagascar, on October 2017.
Since 23 August 2017 there is an ongoing epidemic of plague in Madagascar. As of 20 October 2017 WHO has reported 1 365 cases and 106 deaths leading to 8 % case fatality. Nine hundred and fifteen (67%) cases are pneumonic plague cases. The high proportion of pneumonic plague among cases is of concern, indicating that droplet transmission is a driver of the spread of plague in Madagascar beyond the areas that have been considered as endemic for bubonic plague to date. In the last weeks, the number of new confirmed cases seem to be plateauing, indicating that the outbreak is gradually being controlled.