Plague Prevention Research Articles

Plague risk in vulnerable community: assessment of Xenopsylla cheopis susceptibility to insecticides in Malagasy prisons

BackgroundPrisons in Madagascar are at high risk of plague outbreak. Occurrence of plague epidemic in prisons can cause significant episode of urban plague through the movement of potentially infected humans, rodents and fleas. Rodent and flea controls are essential in plague prevention, by reducing human contact with plague reservoirs and vectors. Insecticide treatment is the key step available for the control of rat fleas which transmit the disease from infected rodents to human. The implementation of an adapted flea control strategy should rely on the insecticide susceptibility status of the targeted population. For the purpose of plague prevention campaign in prisons, we conducted insecticide resistance survey on Xenopsylla cheopis, the rat flea.MethodsFleas were collected on rats caught in six prisons of Madagascar. They were exposed to insecticide treated filter papers and mortality was recorded following World Health Organization protocol.ResultsThe fleas collected in the prisons had different resistance patterns, while a high level of resistance to insecticides tested was described in the Antanimora prison, located in the heart of Antananarivo, the capital of Madagascar.ConclusionsThis finding is alarming in the context of public health, knowing that the effectiveness of flea control could be jeopardized by insecticide resistance. In order to establish more accurate rat fleas control in prisons, the main recommendations are based on continuous monitoring insecticide susceptibility of flea, insecticide rotation, and the development of a new method for flea control.

Rat Fall Surveillance Coupled with Vector Control and Community Education as a Plague Prevention Strategy in the West Nile Region, Uganda.

.Plague, primarily a disease of rodents, is most frequently transmitted by fleas and causes potentially fatal infections in humans. In Uganda, plague is endemic to the West Nile region. Primary prevention for plague includes control of rodent hosts or flea vectors, but targeting these efforts is difficult given the sporadic nature of plague epizootics in the region and limited resource availability. Here, we present a community-based strategy to detect and report rodent deaths (rat fall), an early sign of epizootics. Laboratory testing of rodent carcasses is used to trigger primary and secondary prevention measures: indoor residual spraying (IRS) and community-based plague education, respectively. During the first 3 years of the program, individuals from 142 villages reported 580 small mammal deaths; 24 of these tested presumptive positive for Yersinia pestis by fluorescence microscopy. In response, for each of the 17 affected communities, village-wide IRS was conducted to control rodent-associated fleas within homes, and community sensitization was conducted to raise awareness of plague signs and prevention strategies. No additional presumptive Y. pestis-positive carcasses were detected in these villages within the 2-month expected duration of residual activity for the insecticide used in IRS. Despite comparatively high historic case counts, no human plague cases were reported from villages participating in the surveillance program; five cases were reported from elsewhere in the districts. We evaluate community participation and timeliness of response, report the frequency of human plague cases in participating and surrounding villages, and evaluate whether a program such as this could provide a sustainable model for plague prevention in endemic areas.

GW28-e1136 The plague prevention of Ebola virus in Chinese ETU in Liberia

To explore the concrete methods and effects of Ebola Treatment Unit(ETU) in the plague prevention of Ebola virus in Liberia. We improved the relative systems and designed the layout of ETU reasonably. The staff of medical team in Chinese ETU were given systematic and continual education. Then, a

Temporal and spatial distribution characteristics in the natural plague foci of Chinese Mongolian gerbils based on spatial autocorrelation

BackgroundThe nest flea index of Meriones unguiculatus is a critical indicator for the prevention and control of plague, which can be used not only to detect the spatial and temporal distributions of Meriones unguiculatus, but also to reveal its cluster rule. This research detected the temporal and spatial distribution characteristics of the plague natural foci of Mongolian gerbils by body flea index from 2005 to 2014, in order to predict plague outbreaks.MethodsGlobal spatial autocorrelation was used to describe the entire spatial distribution pattern of the body flea index in the natural plague foci of typical Chinese Mongolian gerbils. Cluster and outlier analysis and hot spot analysis were also used to detect the intensity of clusters based on geographic information system methods. The quantity of M. unguiculatus nest fleas in the sentinel surveillance sites from 2005 to 2014 and host density data of the study area from 2005 to 2010 used in this study were provided by Chinese Center for Disease Control and Prevention.ResultsThe epidemic focus regions of the Mongolian gerbils remain the same as the hot spot regions relating to the body flea index. High clustering areas possess a similar pattern as the distribution pattern of the body flea index indicating that the transmission risk of plague is relatively high. In terms of time series, the area of the epidemic focus gradually increased from 2005 to 2007, declined rapidly in 2008 and 2009, and then decreased slowly and began trending towards stability from 2009 to 2014. For the spatial change, the epidemic focus regions began moving northward from the southwest epidemic focus of the Mongolian gerbils from 2005 to 2007, and then moved from north to south in 2007 and 2008.ConclusionsThe body flea index of Chinese gerbil foci reveals significant spatial and temporal aggregation characteristics through the employing of spatial autocorrelation. The diversity of temporary and spatial distribution is mainly affected by seasonal variation, the human activity and natural factors.

Differentiation of Yersinia pseudotuberculosis, Yersinia pestis subsp. pestis and subsp. microti strains and other representatives of Yersinia pseudotuberculosis complex

Species Yersinia pestis includes two subspecies, pestis and microti. Strains of subsp. pestis were the cause of three plague pandemics. Strains of subsp. microti circulate in populations of rodents belonging to the genus Microtus and cause only rare endemic diseases in human beings that are not accompanied by human-to-human transmission. The existence of combined plague foci with strains from different genotypes, biovars, and even both the Y. pestis subspecies circulating in the same area, as well as periodic introductions of Y. pestis subsp. pestis strains into the foci from which only the strains of subsp. microti were isolated previously, require fast and reliable identification of strain subspecies for optimization of plague prevention and control. For differentiation of Y. pestis subspecies among themselves and against Y. pseudotuberculosis, we analyzed the DNA targets (YPDSF_3711 and opgG), selected the primers, and determined optimal concentrations of the components of the reaction mixture and temperature conditions of PCR. The suggested method allows identification according to the amplicon number and size of Y. pestis subsp. pestis (563 bp), two phylogenetic groups of subsp. microti (SNP-types 0.PE2, 0.PE3, 0.PE4, and 0.PE5, 583 and 426 bp; 0.PE7, 779, 515, and 358 bp), the progenitor of the plague microbe Y. pseudotuberculosis (779, 583, and 426 bp) and Y. similis (779 and 426 bp). The study was carried out on a representative set of strains from the State Research Center for Applied Microbiology and Biotechnology (http://obolensk.org/center/state-collection.htm) and nucleotide sequences deposited in the DDBJ/EMBL/GenBank. The study showed 100% specificity and sensitivity of the proposed method.

Probing the spatial cluster of Meriones unguiculatus using the nest flea index based on GIS technology

The nest flea index of Meriones unguiculatus is a critical indicator for the prevention and control of plague, which can be used not only to detect the spatial and temporal distributions of Meriones unguiculatus, but also to reveal its cluster rule. This study used global spatial autocorrelation and spatial hot spot detection methods to describe the relationship between different years and the autocorrelation coefficient of nest flea indexes; it also used a spatial detection method and GIS technology to detect the spatial gathered hot spot of Meriones unguiculatus in the epidemic areas. The results of this study showed that (1) there were statistically significant spatial autocorrelations in the nest flea indexes in 2006, 2012, 2013 and 2014. (2) Most of the distribution patterns of Meriones unguiculatus were statistically significant clusters of high values. (3) There were some typical hot spot regions of plague distributed along the Inner Mongolia plateau, north of China. (4) The hot spot regions of plague were gradually stabilized after increasing and decreasing repeatedly. Generally speaking, the number of hot spot regions showed an accelerated increase from 2005 to 2007, decreased slowly from 2007 to 2008, rapidly increased again after decreasing slowly from 2008 to 2010, showed an accelerated decrease from 2010 to 2011, and ultimately were stabilized after rapidly increasing again from 2011 to 2014. (5) The migration period of the hot spot regions was 2–3 years. The epidemic area of plague moved from southwest to east during 2005, 2007, 2008 and 2010, from east to southwest during 2007 and 2008, from east to west during 2010 and 2011, and from Midwest to east during 2011 and 2014. (6) Effective factors, such as temperature, rainfall, DEM, host density, and NDVI, can affect the spatial cluster of Meriones unguiculatus. The results of this study have important implications for exploring the temporal and spatial distribution law and distribution of the hot spot regions of plague, which can reduce the risk of plague, help support the decision making process for the control and prevention of plague, and form a valuable application for plague research.

Host response during Yersinia pestis infection of human bronchial epithelial cells involves negative regulation of autophagy and suggests a modulation of survival-related and cellular growth pathways.

Yersinia pestis (Yp) causes the re-emerging disease plague, and is classified by the CDC and NIAID as a highest priority (Category A) pathogen. Currently, there is no approved human vaccine available and advances in early diagnostics and effective therapeutics are urgently needed. A deep understanding of the mechanisms of host response to Yp infection can significantly advance these three areas. We employed the Reverse Phase Protein Microarray (RPMA) technology to reveal the dynamic states of either protein level changes or phosphorylation changes associated with kinase-driven signaling pathways during host cell response to Yp infection. RPMA allowed quantitative profiling of changes in the intracellular communication network of human lung epithelial cells at different times post infection and in response to different treatment conditions, which included infection with the virulent Yp strain CO92, infection with a derivative avirulent strain CO92 (Pgm-, Pst-), treatment with heat inactivated CO92, and treatment with LPS. Responses to a total of 111 validated antibodies were profiled, leading to discovery of 12 novel protein hits. The RPMA analysis also identified several protein hits previously reported in the context of Yp infection. Furthermore, the results validated several proteins previously reported in the context of infection with other Yersinia species or implicated for potential relevance through recombinant protein and cell transfection studies. The RPMA results point to strong modulation of survival/apoptosis and cell growth pathways during early host response and also suggest a model of negative regulation of the autophagy pathway. We find significant cytoplasmic localization of p53 and reduced LC3-I to LC3-II conversion in response to Yp infection, consistent with negative regulation of autophagy. These studies allow for a deeper understanding of the pathogenesis mechanisms and the discovery of innovative approaches for prevention, early diagnosis, and treatment of plague.

The trophic responses of two different rodent-vector-plague systems to climate change.

Plague, the causative agent of three devastating pandemics in history, is currently a re-emerging disease, probably due to climate change and other anthropogenic changes. Without understanding the response of plague systems to anthropogenic or climate changes in their trophic web, it is unfeasible to effectively predict years with high risks of plague outbreak, hampering our ability for effective prevention and control of the disease. Here, by using surveillance data, we apply structural equation modelling to reveal the drivers of plague prevalence in two very different rodent systems: those of the solitary Daurian ground squirrel and the social Mongolian gerbil. We show that plague prevalence in the Daurian ground squirrel is not detectably related to its trophic web, and that therefore surveillance efforts should focus on detecting plague directly in this ecosystem. On the other hand, plague in the Mongolian gerbil is strongly embedded in a complex, yet understandable trophic web of climate, vegetation, and rodent and flea densities, making the ecosystem suitable for more sophisticated low-cost surveillance practices, such as remote sensing. As for the trophic webs of the two rodent species, we find that increased vegetation is positively associated with higher temperatures and precipitation for both ecosystems. We furthermore find a positive association between vegetation and ground squirrel density, yet a negative association between vegetation and gerbil density. Our study thus shows how past surveillance records can be used to design and improve existing plague prevention and control measures, by tailoring them to individual plague foci. Such measures are indeed highly needed under present conditions with prevailing climate change.

We are connected: flea–host association networks in the plague outbreak focus in the Rift Valley, northern Tanzania

Context Plague is a serious health problem in northern Tanzania, with outbreaks since 2008 in two districts located in Rift Valley. There is dearth of knowledge on diversity of small mammal and flea fauna occurring in this plague focus. Knowledge on interactions between fleas and rodent species that harbour the plague bacterium, Yersinia pestis, is important for developing strategies for control and prevention of plague. Aims This study aims to show how rodents and fleas are associated with each other in the plague focus. Methods Animals were trapped bimonthly from 2009 to 2012 in different habitats. The fur of animals was brushed to collect fleas, which were identified and quantified. Network analysis methods, randomisation and rarefaction curves were used to show how hosts and fleas are associated. Key results Thirteen species of rodents were associated with 26 species of fleas of which Dinopsyllus lypusus, Xenopsylla brasiliensis and X. cheopis are confirmed efficient vectors of Y. pestis. Randomisation and rarefaction curves established that Lophuromys flavopunctatus had significantly higher flea species richness (n = 9) than did all other hosts, whereas Xenopsylla cheopis and Dinopsyllus spp. showed greater host species richness than did other species of fleas. There was no significant correlation between host sex and flea abundance (χ2 = 0.8, d.f. = 6, P = 0.371), but significant differences between reproductive states (adults had more fleas than did subadults) were observed, which probably reflected typical positive correlation between size and flea abundance (χ2 = 4.1955, d.f. = 1, P = 0.040). Conclusions The plague outbreak focus in northern Tanzania has a diverse fauna of rodents and fleas with multiple patterns of association and connectivity. Implications Existence of diverse populations of rodents associated with a large number of flea species, some of which are efficient plague vectors, increases the potential for persistence and transmission of plague to humans in northern Tanzania.

Locust Control Management: Moving from Traditional to New Technologies – An Empirical Analysis

The desert locust (Schistocerca gregaria Forskal) has caused great losses to agriculture in Africa, the Middle East and South West Asia. Their annual migrations take them downwind where winter, spring and summer rains fall for breeding. During the period 1863 to 1962 there were ten plagues in India and 18 upsurges from 1963 to 2012. Traditional desert locust control methods were used which were not successful. Newer technologies in the form of pesticides, ULV spraying, GPS, GIS tools, Satellite data imagery, RAMSES and elocust2 with the computers have been introduced for quick data management and analysis for planning desert locust control. The impact of newer technologies for locust control management in India for last 50 years has been successful. The South West Asia and the Middle East countries have taken responsibility for monitoring the breeding grounds and applying plague prevention strategy for desert locust control in the outbreak areas and by exchanging desert locust infestation information through FAO. The early prevention strategy for desert locust control has achieved its original objective of preventing damage to major agricultural zones in invasion area and helps protect the crops of small farmers as well as grazing grounds for the livestock.

Identification of Risk Factors for Plague in the West Nile Region of Uganda

Plague is an often fatal, primarily flea-borne rodent-associated zoonosis caused by Yersinia pestis. We sought to identify risk factors for plague by comparing villages with and without a history of human plague cases within a model-defined plague focus in the West Nile Region of Uganda. Although rat (Rattus rattus) abundance was similar inside huts within case and control villages, contact rates between rats and humans (as measured by reported rat bites) and host-seeking flea loads were higher in case villages. In addition, compared with persons in control villages, persons in case villages more often reported sleeping on reed or straw mats, storing food in huts where persons sleep, owning dogs and allowing them into huts where persons sleep, storing garbage inside or near huts, and cooking in huts where persons sleep. Compared with persons in case villages, persons in control villages more commonly reported replacing thatch roofing, and growing coffee, tomatoes, onions, and melons in agricultural plots adjacent to their homesteads. Rodent and flea control practices, knowledge of plague, distance to clinics, and most care-seeking practices were similar between persons in case villages and persons in control villages. Our findings reinforce existing plague prevention recommendations and point to potentially advantageous local interventions.

Spatial distribution and ecological environment analysis of great gerbil in Xinjiang Plague epidemic foci based on remote sensing

Yersinia pestis (Plague bacterium) from great gerbil was isolated in 2005 in Xinjiang Dzungarian Basin, which confirmed the presence of the plague epidemic foci. This study analysed the spatial distribution and suitable habitat of great gerbil based on the monitoring data of great gerbil from Chinese Center for Disease Control and Prevention, as well as the ecological environment elements obtained from remote sensing products. The results showed that: (1) 88.5% (277/313) of great gerbil distributed in the area of elevation between 200 and 600 meters. (2) All the positive points located in the area with a slope of 0–3 degree, and the sunny tendency on aspect was not obvious. (3) All 313 positive points of great gerbil distributed in the area with an average annual temperature from 5 to 11 °C, and 165 points with an average annual temperature from 7 to 9 °C. (4) 72.8% (228/313) of great gerbil survived in the area with an annual precipitation of 120–200mm. (5) The positive points of great gerbil increased correspondingly with the increasing of NDVI value, but there is no positive point when NDVI is higher than 0.521, indicating the suitability of vegetation for great gerbil. This study explored a broad and important application for the monitoring and prevention of plague using remote sensing and geographic information system.

The comprehensive diagnosis and prevention of duck plague in northwest Shandong province of China

Here, we report the first outbreak of duck plague (DP) confirmed in 4 tissue samples that were collected since August 2012 from the northwestern region of Shandong province, China. Among these, 3 were collected from commercial Jin-ding variety layer ducks and one from Cherry Valley meat-breeding ducks. The sick ducks (7 to 49 wk old) were characterized by typical DP symptoms and necroscopic features. The flocks experienced high morbidity and mortality rates, and decreased production performance, which led to tremendous economic losses. The diagnosis of DP infection was confirmed by comprehensive analyses of epidemiological data, clinical signs, necroscopic features, histopathological examinations, and viral isolation and identification. According to the laws of the People's Republic of China on Animal Epidemic Prevention, emergency measures were implemented to control the outbreak, which included slaughter of the infected flocks and proper disposal of the bodies, manure, and other wastes, disinfection and thorough cleaning of the duck facilities, fields, tools, utensils, and devices, as well as emergency vaccination of the threatened flocks and the implementations of revised immunization procedures. Possible causes of the DP outbreak and the prevalence of the virus in Shandong province were also analyzed and are discussed herein.

Factors associated with flea infestation among the different rodent species in Mbulu and Karatu districts, northern Tanzania

Flea infection with the bacterium, Yersinia pestis is acquired from reservoirs which include several rodents and other small mammals. In areas that are endemic of plague, reservoirs of Y. pestis and various flea vectors are responsible for perpetuating existence of the disease. The objective of this cross sectional study was to investigate the magnitude and factors associated with flea infestation among different rodent species of northern Tanzania, where outbreaks of plague have been recently reported. House rodents were trapped with box traps, while field and forest rodents were trapped with Sherman live traps. Fleas were removed from the rodents by using shoe-shining brush and were identified to genus level. Among the captured rodents, Rattus rattus (26.5%), Lophuromys flavopunctatus (16.5%), Praomys delectorum (16.2%) and Mastomys natalensis (32.3%) were most abundant rodent species, accounting for 91% of all species. Altogether, 805 fleas belonging to nine species were collected from 61% of the captured rodents. The most common fleas were Xenopsylla spp.; Dinopsyllus spp and Ctenophthalmus spp. Fleas were found to be highly abundant in M. natalensis, R. rattus, P. delectorum and L .flavopunctatus. Most of rodents were heavily infested with various flea species. These flea species probably play an important role in the transmission of plague in these two districts. We conclude that rodent species was the most important risk factor associating with flea infestation among the rodent population. Therefore, measures for control and prevention of plague in this area should particularly target rodents associated with high intensity of flea infestation.

Prophylaxis and therapy of plague

Plague has been a scourge of mankind for centuries, and outbreaks continue to the present day. The virulence mechanisms employed by the etiological agent Yersinia pestis are reviewed in the context of the available prophylactic and therapeutic strategies for plague. Although antibiotics are available, resistance is emerging in this dangerous pathogen. Therapeutics used in the clinic are discussed and innovative approaches to the design and development of new therapeutic compounds are reviewed. Currently there is no licensed vaccine available for prevention of plague in the USA or western Europe, although both live attenuated strains and killed whole-cell extracts have been used historically. Live strains are still approved for human use in some parts of the world, such as the former Soviet Union, but poor safety profiles render them unacceptable to many countries. The development of safe, effective next-generation vaccines, including the recombinant subunit vaccine currently used in clinical trials is discussed.

Predictors for abundance of Rattus tanezumi in households of commensal rodent plague foci

To explore the predictors on the abundance of Rattus (R.) tanezumi in households of commensal rodent plague foci. Thirty natural villages that experienced previous plague cases in Lianghe county, Yunnan province, were selected followed by random selection of 20 households in each village through computer technique. Live traps were set in households to capture small mammals which were then identified to species in the field according to their morphological features. Data on potential factors for abundance of R. tanezumi were collected through questionnaires and field observation and were coded and computerized using EpiData software and further analyzed by hurdle regression model under R software. A total of 166 rodents (133 R. tanezumi and 33 Suncus murinus) were captured. from final multilevel hurdle regression model showed that the likelihood of R. tanezumi captures increased by 1.67- to 2.76-fold in households belonged to Dai ethnic families that stored foodstuff in metal pail, often raising dogs, and having adjacent houses. The number of R. tanezumi captures increased by 2.18-fold in the villages where over 80% of the households would raise chickens. In the villages with communal latrine, the likelihood and the number of R. tanezumi capture increased 1.93-fold and 2.38-fold, respectively. While the likelihood of R. tanezumi captures would reduce by 45% - 61% in those households where there were cats and cattle being raised and maize grown in the village. The number of R. tanezumi captures would reduce by 63% in the households where there were outside toilet. The abundance of R. tanezumi seemed to be closely related to the ecological environment factors. Programs on plague control and prevention should relate to ecological factors that influencing the abundance of R. tanezumi.

Socioenvironmental Etiology of Plague Outbreak in Himachal Pradesh: A Retrospective Enquiry

ABSTRACT Aims (1) To ascertain various socioepidemiological factors related to 2002 plague outbreak in Himachal Pradesh (HP). (2) To elucidate the sylvatic cycle of plague bacilli transmission. Materials and methods The study was conducted among affected families during 2002 HP plague outbreak. The opinion of natives of plague affected Hatkoti belt of HP, Gujjars and health care staff about etiology, proneness, sustenance, spread, control and prevention of plague were explored. Blood samples and fleas were collected from the domestic, peridomestic and wild rodents trapped from these areas. These were investigated entomologically and microbiologically in PGIMER, Chandigarh. Results Overall 159 rodents and 22 fleas were collected from wild and domestic areas. Three species of rodents were identified; Rattus rattus, Rattus norvegicus and Peromyscus leucopus. Similarly, three flea species namely Nosopsyllus fasciatus, Epitedia wenmanni and Leptopsylla segnis were extracted. Serum and blood samples (n = 49) collected from rodents showed Gram-positive bacilli (GPB), Gram-positive cocci (GPC) and diphtheroid bacilli. Respondent villagers and Gujjars believed that plague outbreak occurred due to wrath of God and other supernatural forces. The villagers and health workers were of the view that exposure of people to plague was due to deep forest exploration for hunting. Conclusion The lifestyle of people and other social factors played a crucial role in plague outbreak in the area. The sylvatic cycle persisted in plague prone areas of HP. How to cite this article Kaur H, Goel S, Sharma Y, Kessar RR, Singh A. Socioenvironmental Etiology of Plague Outbreak in Himachal Pradesh: A Retrospective Enquiry. J Postgrad Med Edu Res 2013;47(2):112-116.

Ecological-geographic landscapes of natural plague foci in China VIII. Typing of natural plague foci

Since plague is an important natural focus zoonosis, the typing of natural plague foci becomes one of the elements in understanding the nature and developing related prevention program of the disease. Natural foci of plague are composed by four fundamental parts which include Eco-geographical landscape (natural plague foci), hosts, vectors and pathogens (Yersinia pestis) that comprehensively interact through the large temporal scale of evolution. Human activities have had great impact on the foci of natural plague. Based on the published serial research papers, we tried to integrate the knowledge of each factor in natural plague foci and focusing on theoretical aspects, so as to strengthen the prevention and surveillance programs of plague to be extrapolated to other zoonosis.

Analysis of monitoring results on plague's host animal and its medium insects in Quanzhou city of Fujian province between 2000 and 2009

Objective To examine the composition and distribution of animal reservoir of plague in Quanzhou city, Fujian province, and so as to accumulate basic data for making the plague prevention and control measures. Methods Rodents were captured by cages in six monitoring spots of Quanzhou city between 2000 and 2009. Then rodents and flea species were identified. Rats liver and spleen homogenates were detected of plague F1 antigen by reverse indirect hemagglutination test (RIHA); rats serum were detected of plague F1 antibody by indirect hemagglutination test (IHA). Results A total of 26 264 rodents were captured between 2000 and 2009.Rattus norvegicus and Rattus flavipectus were dominant species, which were accounted for 45.97％ (12 074/26 264)and 32.01％(8407/26 264), respectively. The account of Rattus flavipectus captured between 2005 and 2009 was (26.99 ± 2.46)％ and (37.03 ± 3.79)％ between 2000 and 2004. The difference was statistically significant (t =4.97, P ＜ 0.05). Total rodent densities was (6.86 ± 1.44)％, including(5.36 ± 1.83)％ in mountains and (6.81 ±1.66)％ in coastal areas, respectively, and the difference was not statistically significant(t =1.01, P ＞ 0.05). Total flea index and flea infection rate of rodents were 1.39 ± 0.34 and (35.90 ± 5.34)％, respectively. Xenopsylla Cheopis index was 1.20 and free flea index was 0.009. Flea infection rate was (32.36 ± 0.96)％ between 2005 and 2009, which was lower than (39.44 ± 0.39)％ between 2000 and 2004(t =2.76, P ＜ 0.05). Conclusions The major rodent species found in Quanzhou city is Rattus norvegicus. Xenopsylla Cheopis is the dominant flea species.Spreading of plague among Rattus is not found. Key words: Plague; Host-parasite relations; Fleas; Data collection

Prevention of pneumonic plague in mice, rats, guinea pigs and non-human primates with clinical grade rV10, rV10-2 or F1-V vaccines

Yersinia pestis causes plague, a disease with high mortality in humans that can be transmitted by fleabite or aerosol. A US Food and Drug Administration (FDA)-licensed plague vaccine is currently not available. Vaccine developers have focused on two subunits of Y. pestis: LcrV, a protein at the tip of type III secretion needles, and F1, the fraction 1 pilus antigen. F1-V, a hybrid generated via translational fusion of both antigens, is being developed for licensure as a plague vaccine. The rV10 vaccine is a non-toxigenic variant of LcrV lacking residues 271–300. Here we developed Current Good Manufacturing Practice (cGMP) protocols for rV10. Comparison of clinical grade rV10 with F1-V did not reveal significant differences in plague protection in mice, guinea pigs or cynomolgus macaques. We also developed cGMP protocols for rV10-2, a variant of rV10 with an altered affinity tag. Immunization with rV10-2 adsorbed to aluminum hydroxide elicited antibodies against LcrV and conferred pneumonic plague protection in mice, rats, guinea pigs, cynomolgus macaques and African Green monkeys. The data support further development of rV10-2 for FDA Investigational New Drug (IND) authorization review and clinical testing.