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Published on: November 24, 2017
Risk of maritime introduction of plague from Madagascar to Mayotte
Soanandrasana Rahelinirina1, Mireille Harimalala2, Thomas Margueron3
1Plague Unit, WHO Collaborating Center, Institut Pasteur, Antananarivo, Madagascar.
Abstract:
Plague is a rodent-borne disease caused by Yersinia pestis. Most human infections are bubonic plague, as a result of being bitten by infected rodent fleas. Madagascar, Democratic Republic of Congo and Peru are the three most affected countries. Plague was introduced into eastern Madagascar in 1898 by boat from India. It is estimated that the risk of introduction of plague from Madagascar to neighboring islands is very high due to the maritime links. We conducted a study of plague reservoirs and vectors in Longoni Port in Mayotte and Mahajanga Port in Madagascar during two seasons to highlight a non-negligible risk of introduction of Y. pestis to Mayotte. The results showed that two main reservoirs of plague in Madagascar Suncus murinus and Rattus rattus and the main flea vector Xenopsylla cheopis exists in and surrounding the port of Longoni. Y. pestis was isolated from Rattus norvegicus captured close to the port of Mahajanga during this study. Plague bacteria circulate within populations of rodent without causing rodent die-off in Mahajanga. The risk of introduction of plague from Madagascar to Mayotte exists due to the regular exchanges. Continuous surveillance of rat, shrew and flea populations is therefore necessary in all the surrounding countries that have regular exchanges with Madagascar to prevent the spread of the plague.
Insights
Plague, a Yersinia pestis infection, poses a high risk to neighboring islands from Madagascar. Surveillance of rodent and flea populations is crucial to prevent its spread, particularly to Mayotte.
Area of Science:
- * Epidemiology and Zoonotic Disease Research
- * Vector-borne disease transmission dynamics
Background:
- * Plague, caused by Yersinia pestis, is a significant zoonotic disease primarily transmitted by fleas from infected rodents.
- * Madagascar is one of the most affected countries, with a high risk of plague introduction to neighboring islands due to maritime trade.
Purpose of the Study:
- * To assess the risk of Yersinia pestis introduction to Mayotte from Madagascar.
- * To identify plague reservoirs and vectors in key port areas of Madagascar and Mayotte.
Main Methods:
- * Conducted a study of plague reservoirs and vectors in Longoni Port (Mayotte) and Mahajanga Port (Madagascar).
- * Investigated two distinct seasons to capture seasonal variations in vector and reservoir populations.
Main Results:
- * Identified Suncus murinus and Rattus rattus as primary plague reservoirs and Xenopsylla cheopis as the main flea vector in Longoni Port.
- * Isolated Yersinia pestis from Rattus norvegicus near Mahajanga Port, indicating circulation within rodent populations without overt die-offs.
- * Confirmed the presence of plague reservoirs and vectors in proximity to key maritime hubs.
Conclusions:
- * A non-negligible risk of Yersinia pestis introduction from Madagascar to Mayotte exists due to regular maritime exchanges.
- * Continuous surveillance of rodent (Rattus, Suncus) and flea (Xenopsylla) populations is essential in countries with regular trade with Madagascar to prevent plague dissemination.
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