title: Pneumonic Plague Transmission, Moramanga, Madagascar, 2015.
abstract: During a pneumonic plague outbreak in Moramanga, Madagascar, we identified 4 confirmed, 1 presumptive, and 9 suspected plague case-patients. Human-to-human transmission among close contacts was high (reproductive number 1.44) and the case fatality rate was 71%. Phylogenetic analysis showed that the Yersinia pestis isolates belonged to group q3, different from the previous outbreak.
authors.forename: Beza
authors.initials: B
authors.lastname: Ramasindrazana
authors.forename: Voahangy
authors.initials: V
authors.lastname: Andrianaivoarimanana
authors.forename: Jean Marius
authors.initials: JM
authors.lastname: Rakotondramanga
authors.forename: Dawn N
authors.initials: DN
authors.lastname: Birdsell
authors.forename: Maherisoa
authors.initials: M
authors.lastname: Ratsitorahina
authors.forename: Minoarisoa
authors.initials: M
authors.lastname: Rajerison
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016358:Contact Tracing; D005260:Female; D006801:Humans; D008270:Madagascar / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D010930:Plague / Q000453:epidemiology* / Q000382:microbiology / Q000401:mortality / Q000635:transmission*; D015010:Yersinia pestis / Q000235:genetics*; D055815:Young Adult
keywords: Madagascar; Yersinia pestis; bacteria; bubonic plague; outbreak; pneumonic plague; transmission; vector-borne infections