Outbreaks of plague in nonendemic areas in Burma in 1976

ABSTRACT

Outbreaks of human bubonic plague cases were reported in several nonendemic areas in the country. These outbreaks were reported from Kachin State (135 cases), Arkan State (55 cases), Mon State (21 cases), Pegu Division (70 cases), Kayah State (58 cases), Rangoon City (5 cases), northern and eastern parts of Shan State (9 cases), and Maymyo (7 cases). A total of 678 and 52 deaths were reported in the country up to the week ending 18-12-76 out of which 360 cases with 44 deaths were from nonendemic areas. Almost all of the towns and villages affected were located on major trade routes which have direct connection with endemic areas in central Burma. The case fatality rate in nonendemic areas ranged from 0 to 75