When regular sanitary practices are interrupted, plague can extendįrom its usual areas of endemicity into urban centers. Is reported, the risk of exposure exists primarily in rural In most countries of Africa, Asia, and South America where Wild-rodent harborage and food sources near homes, ridding pet dogsĪnd cats of fleas at least weekly, and avoiding direct contact with Recommended risk-reduction measures include Many plague patients in the western United States are infectedĪ direct result of wild-rodent plague in the immediate vicinity of It is not indicated for most travelers to countriesĬases, * particularly if their travel is limited to urban areas Living in areas with enzootic plague such as the western United Routine vaccination is not necessary for persons No need to vaccinate persons other than those at particularly high The areas of the most intensive epidemic and epizootic infectionīeen some countries in Africa, Asia, and South America.īecause human plague is rare in most parts of the world, there Epidemic plague may result whenĭomestic rat populations and their fleas become infected. In this country, a few human cases develop each yearįollowing exposure to infected wild rodents or their fleas and,Ĭommonly, to other infected wild animals (bobcats, coyotes,Īnd domestic animals (cats, dogs). Plague is a natural infection of rodents and theirĪnd occurs in many parts of the world, including the western United Update of the previous recommendations (MMWR 1978 27:255-8) to These revised ACIP recommendations on plague vaccine represent For assistance, please send e-mail to: Type 508 Accommodation and the title of the report in the subject line of e-mail. Persons using assistive technology might not be able to fully access information in this file.
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