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SHORT COMMUNICATION
Year : 2020  |  Volume : 16  |  Issue : 1  |  Page : 36-37

Effective containment of the Plague outbreak in Madagascar


1 Member of the Medical Education Unit and Institute Research Council, Department of Community Medicine, Shri Sathya Sai Medical College and Research Institute, Sri Balaji Vidyapeeth – Deemed to be University, Ammapettai, Nellikuppam, Chengalpet District, Tamil Nadu, India
2 Department of Community Medicine, Shri Sathya Sai Medical College and Research Institute, Sri Balaji Vidyapeeth – Deemed to be University, Ammapettai, Nellikuppam, Chengalpet District, Tamil Nadu, India

Date of Submission16-Aug-2019
Date of Acceptance19-Feb-2020
Date of Web Publication07-Jul-2020

Correspondence Address:
Dr. Saurabh RamBihariLal Shrivastava
Department of Community Medicine, Shri Sathya Sai Medical College and Research Institute, Sri Balaji Vidyapeeth (SBV) – Deemed to be University, Tiruporur - Guduvancherry Main Road, Ammapettai, Nellikuppam, Chengalpet District - 603 108, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/AMJM.AMJM_4_19

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  Abstract 


Plague is an infectious and a zoonotic disease which predominantly shows its existence in areas with poor sanitary conditions. Madagascar has reported multiple outbreaks in the recent past, including the ongoing outbreak in 2018. Acknowledging the fact that the disease is preventable and often associated with fear in the community, there is a significant and an indispensable need for the public health authorities to plan and implement targeted strategies, which not only plays an instrumental role in reducing the caseload, but also the disease-specific mortality. However, the ground reality is that none of the proposed measures can deliver sustainable results if we don't support these initiatives with financial assistance. To conclude, the need of the hour is to adopt a multi-sectoral and a multifaceted approach to ensure that the ongoing outbreak is effectively contained. However, there are no doubts that the success of the same will be eventually determined by the quality of outreach services and availability of the essential logistics.

Keywords: Health, madagascar, plague


How to cite this article:
Shrivastava SR, Shrivastava PS. Effective containment of the Plague outbreak in Madagascar. Amrita J Med 2020;16:36-7

How to cite this URL:
Shrivastava SR, Shrivastava PS. Effective containment of the Plague outbreak in Madagascar. Amrita J Med [serial online] 2020 [cited 2020 Aug 8];16:36-7. Available from: http://www.ajmonline.org.in/text.asp?2020/16/1/36/289138




  Introduction Top


Plague is an infectious and a zoonotic disease which predominantly shows its existence in areas with poor sanitary conditions and below standard healthcare facilities.[1] Even though, the disease has been reported in various nations, the infectious disease continues to be an endemic in the Democratic Republic of the Congo, Madagascar, and Peru.[1] Madagascar has reported multiple outbreaks in the recent past, including the ongoing outbreak in 2018, which accounted for almost 180 and a case fatality rate of 6.7%.[1],[2],[3]

Ground reality

Nevertheless, acknowledging the fact that the disease is preventable and often associated with fear in the community, there is a significant and an indispensable need for the public health authorities to plan and implement targeted strategies, which not only plays an instrumental role in reducing the caseload, but also the disease-specific mortality.[2],[3]

Targeted interventions

The international welfare agencies have acknowledged the need to mitigate the problem and performed the risk assessment for the disease transmission by analyzing the facilities and resources available in the nation to contain the problem.[3],[4] At the same time, specific impetus has been given towards monitoring the preparedness level of the nation and formulating an action plan. This plan has specifically taken into account the strengths-weaknesses-opportunities-challenges in the nation and thus specific corrective and strengthening measures have been proposed.[2] Further, the international welfare agencies have also extended their support and technical assistance to aid the nations in their task of risk assessment, establishing a comprehensive mechanism of disease surveillance and refining of the overall public health response.[3] In addition, specific steps have been implemented to ensure an uninterrupted supply of logistics, drugs through improvisation of the supply chain management mechanism.[2],[3],[4] Simultaneously, the health workers have been trained and sensitized about the need to adhere to the infection control practices and ensure that the same message is being passed to the society to avert further expansion of the disease and also to prevent resurgence of the disease.[1],[3] Moreover, targeted steps have been taken to enable identification of the potential source of infection, improve the capacity building of the existing laboratory facilities, promotion of delivery of therapeutic drugs to patients and chemoprophylactic drugs to the contacts, and advocate isolation measures of the known patients.[1],[2],[3],[4] Further, encouragement of safe burial practices, strengthening of screening services at point of entries and exits has also been envisaged.[2],[3] However, the ground reality is that none of the proposed measures can deliver sustainable results if we don't support these initiatives with financial assistance.[2],[4]


  Conclusion Top


To conclude, the need of the hour is to adopt a multi-sectoral and a multifaceted approach to ensure that the ongoing outbreak is effectively contained. However, there are no doubts that the success of the same will be eventually determined by the quality of outreach services and availability of the essential logistics.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
World Health Organization. PlagueKey Facts; 2017. Available from: https://www.who.int/news-room/fact-sheets/detail/plague [Last accessed on 2019 Aug 17].  Back to cited text no. 1
    
2.
Nguyen VK, Parra-Rojas C, Hernandez-Vargas EA. The 2017 plague outbreak in Madagascar: Data descriptions and epidemic modelling. Epidemics 2018;25:20-5.  Back to cited text no. 2
    
3.
Shrivastava SR, Shrivastava PS. Containing the 2017 plague outbreak in Madagascar: World Health Organization. Environmental Disease 2018;3:74-75.  Back to cited text no. 3
    
4.
World Health Organization. Madagascar Plague: mitigating the Risk of Regional Spread; 2017. Available from: http://who.int/features/2017/ madagascarplaguerisk/en/ [Last accessed on 2019 Aug 17].  Back to cited text no. 4
    




 

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