Plague in Lushoto district, Tanzania, 1980-1988

B S Kilonzo1, T J Mbise, R H Makundi

  • 1Rodent Research Project, Sokoine University of Agriculture, Morogoro, Tanzania.

Insights

Plague outbreaks in villages were linked to rodent reservoirs like Rattus rattus and Mastomys natalensis. Key fleas, including Dinopsyllus lypusus, transmitted the pathogen, exacerbated by poor sanitation and quarantine measures.

Area of Science:

  • Veterinary Medicine
  • Epidemiology
  • Public Health

Background:

  • Plague remains a significant zoonotic disease with potential for widespread outbreaks.
  • Rodents and their ectoparasites are known reservoirs and vectors for the plague pathogen, Yersinia pestis.

Purpose of the Study:

  • To investigate rodent and flea populations as plague reservoirs in affected villages.
  • To determine the role of specific rodent species and flea vectors in plague transmission.
  • To identify factors contributing to the spread and recurrence of plague outbreaks.

Main Methods:

  • Live-trapping of rodents in plague-endemic areas over an eight-year period.
  • Serological testing of rodents and humans for plague antibodies.
  • Identification and quantification of flea species infesting captured rodents.

Main Results:

  • A 5.7% plague positivity rate was observed in 1596 rodent sera, primarily from Rattus rattus, Mastomys natalensis, Otomys spp., and Pelomys fallax.
  • Key flea vectors identified included Dinopsyllus lypusus, Xenopsylla brasiliensis, and Ctenophthalmus calceatus, with flea indices ranging from 0.67 to 1.12.
  • Over 2800 human cases with a 10.2% mortality rate were recorded during the study period.

Conclusions:

  • Most rodent species in the study area serve as suitable reservoirs for plague.
  • Dinopsyllus lypusus, Xenopsylla brasiliensis, and Ctenophthalmus calceatus are likely primary vectors for plague transmission.
  • Inadequate quarantine, rodent/flea control, and poor sanitation contribute to the continued spread and outbreaks of plague.

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