Abstract
Plague is circulating regularly in localised areas worldwide, causing sporadic cases outside Africa and remains endemic or causes limited outbreaks in some African countries. Furthermore, some notable outbreaks have been reported in Asia in the last 20 years. A limited outbreak with five cases has recently been notified by the health authorities of the Libyan Arab Jamahiriya.
Highlights
Plague is a zoonosis caused by the bacillus Yersinia pestis
Outbreak report On 14 June 2009, the health authorities of the Libyan Arab Jamahiriya reported suspected cases of bubonic plague to the World Health Organization in compliance with the Revised International Health Regulations (IHR)
All identified cases presented with bubonic plague
Summary
Plague is circulating regularly in localised areas worldwide, causing sporadic cases outside Africa and remains endemic or causes limited outbreaks in some African countries. Some notable outbreaks have been reported in Asia in the last 20 years. A limited outbreak with five cases has recently been notified by the health authorities of the Libyan Arab Jamahiriya. 1998 and 2008, more than 23,278 cases were reported including 2,116 fatalities (case fatality ratio, CFR, of approximately 9%) in 11 countries [3]. Over 95% of the 23,278 cases, were reported in Africa with well-identified endemic plague foci (mainly in three countries: Madagascar, the Democratic Republic of Congo [DRC] and Tanzania)
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