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The World Health Organization announced on Tuesday that the "moderate risk" that the outbreak of plague in Madagascar would spread to other countries in the region, but advised against travel restrictions.
The outbreak of bubbling balls spreading to infected rats by bladder fever and pneumonia plague, spread to a person, infected 133 people, of whom 24 were killed since August 1, according to WHO numbers.
Madagascar has suffered a devastating epidemic almost every year since 1980, often caused by rats escaping from forest fires.
But World Health Organization spokeswoman Christian Lindmeier told reporters that current outbreaks have greater potential than most to spread to Madagascar since it already affects large urban areas, including the capital of Antananarivo.
Pneumonal plague, though less frequent on the island, spreads more easily, he pointed out, pointing out that the 17 deaths reported were the result of respiratory variants of the disease.
"The general risk of further spread at the national level is high," Lindmeier said.
At a regional level, the risk was "moderate due to frequent flights to the neighboring islands of the Indian Ocean," he said.
But the risk of international disease spread was "low," he said.
For this reason, Lindmeier said that WHO for now advised against hitting any travel or trade restrictions on Madagascar.
Plague is a very contagious disease that in the past has killed millions of people around the world before they are mostly eradicated.
Pneumonal plague can quickly kill within 18 to 24 hours of infection if not treated but common antibiotics can cure it if given early.
WHO stressed that most people can recover from the plague if they are quickly treated and invoked by anyone in affected areas who are experiencing respiratory symptoms to seek treatment free of charge.
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