Other countries do still suffer from epidemics of bubonic plague though. Most recently Madagascar has suffered through four annual epidemics infecting thousands of people.
A number of articles have reviewed these outbreaks and there are some interesting facts:
- Madagascar has accounted for 45% of all the cases of plague in Africa in the last 15 years.
- The case-fatality rate is just under 8%.
- All the Y. pestis isolates remain sensitive to streptomycin.
- Plague outbreaks occur during the dry and cool season.