RESUMO
An outbreak of plague occurred in the region of Oran, Algeria, from June to July 2003. Algeria had not reported this disease for >50 years. Eighteen bubonic cases were identified, and Yersinia pestis was isolated from 6 patients. Except for the index case-patient, all patients recovered. Targeted chemoprophylaxis, sanitation, and vector control played a crucial role in controlling the outbreak. Epidemiologic and biomolecular findings strongly suggested the existence of a local animal reservoir during this period, but its origin (resurgence or re-importation) could not be determined. This sudden and unexpected reemergence of plague, close to an important commercial seaport, is a textbook illustration of a public health event of international importance. It also demonstrates that the danger of plague reoccurrence is not limited to the currently indexed natural foci.
Assuntos
Busca de Comunicante , Surtos de Doenças/prevenção & controle , Peste/epidemiologia , Argélia/epidemiologia , Animais , Antibioticoprofilaxia/métodos , Reservatórios de Doenças , Vetores de Doenças , Humanos , Doenças dos Roedores/microbiologia , Doenças dos Roedores/transmissão , Saneamento , Sifonápteros/microbiologiaRESUMO
It presents information on diagnosis and treatment of plague and a review of the control of rodent reservoirs and flea vectors, with epidemiology and distribution, diagnosis and clinical manifestations, treatment, control of transmission, surveillance, and prevention. Document in pdf format.
