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On 13 September 2017, the WHO was notified of an outbreak of pulmonary plague in Madagascar. The outbreak was detected on 11 September 2017. As of 14 September 2017, a total of 28 cases, including five deaths (case fatality rate 17.8%) have been reported since the initial case was detected on 27 August 2017. Two cases have been confirmed by rapid diagnostic test (RDT) at the Institut Pasteur de Madagascar (IPM). Thus far the outbreak is localized in Tamatave and Faratsiho in Vakinankaratra Region (100km southwest of Antananarivo).
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