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<googlemap version="0.9" lat="-1917.401544525579" lon="4647.951018" zoom="15955881" height="600" controls="large">

-19.403269, 46.949987Faratsiho district-19.402581, 46.951017950974

'''== Affected districts'''==

* Maevatanana, * Majunga 1,* Miarinarivo, * Moramanga, * Toamasina 1 sy * Toamasina 2* Tsiroanomandidy* Vohémar* Ambalavao == Treatments ==  * To be taken for 10 days + min. 3 days after fever is gone === Co-Trimoxazol (aka. Cotrim) ===* 10 960 mg tablets 11.88€* 20 960 mg tablets 12.48€* 50 960 mg tablets 16.70€ Available also in powder solution. More at http://www.groupesantelaboratoires.com/notices/cotrim.pdf Note: This is the same medicine as [http://www.doctissimo.fr/medicament-BACTRIM-FORTE.htm BACTRIM] === Ciprofloxacin === https://en.wikipedia.org/wiki/Ciprofloxacin === Levofloxacin === https://en.wikipedia.org/wiki/Levofloxacin === Streptomycin (WHO 2015) ===* available only as injections (reqires cold transport) More at http://www.doctissimo.fr/medicament-STREPTOMYCINE-PANPHARMA.htm === Gentamicin (WHO 2015) ===* eye-drops only or powder === Ciprofloxacin === * 28 tablets 750 mg 27€ === Tetracyclin (WHO 2015) === * 30 tablets 500 mg 17.50€ === Doxycyclin === * 20 tablets 200mg 12.99€ === Chloraphenicol === * only avialble for animals '''WHO statement 2015'''<br>Treatment with common antibiotics such as ''tetracyclines, gentamycin or streptomycin are efficient on human plague'' but their efficacy depends on early detection. When this is the case, Tsiroanomandidycase fatality can be reduced from 60% to less than 15% for bubonic plague. This is especially important for the pneumonic form, which is highly contagious, can kill in less than 24 hours, and is invariably fatal in the absence of treatment.  '''WHO statement 2017'''<br>''Pneumonic plague'' can be fatal within 18 to 24 hours of disease onset if left untreated, but ''common antibiotics for enterobacteria'' (gram negative rods) can effectively cure the disease if they are delivered early.  '''WHO statement 2017'''<br>Rapid diagnosis and treatment is essential to reduce complications and fatality. Effective treatment methods enable plague patients to be cured, if diagnosed in time. These methods include the administration of ''antibiotics as Aminoglycosides, Fluoroquinolones, Sulfonamides'' and supportive therapy.  '''Net Doctor'''<br>Die Pest wird heutzutage mit Antibiotika behandelt. Mittel der Wahl sind Antibiotika wie ''Streptomycin, Gentamycin, Tetracycline wie Doxycyclin oder Chloramphenicol''. Wichtig sind eine schnelle Diagnose und ein frühzeitiger Therapiebeginn, um Komplikationen wie die Pestsepsis zu verhindern.  '''Pharmazeutische Zeitung 2011'''<br>'''Yersinia pestis''' wird vor allem durch den Biss von Rattenflöhen auf Menschen übertragen. Mittel der ersten Wahl zur Behandlung einer Pest-Infektion sind ''Gentamicin, Streptomycin oder Ciprofloxacin''. Weitere Antibiotika, die zur Therapie oder prophylaktisch eingesetzt werden, sind ''Ofloxacin, Levofloxacin und Doxycyclin''.  '''Apotheken Umschau'''<br>Die Pest ist mit Antibiotika behandelbar. Üblicherweise wird eine ''zehntägige'' Antibiotikatherapie, vorzugsweise mit ''Streptomycin'' durchgeführt. Auch ''Gentamycin, Tetrazyklin, Doxycyclin und Chloramphenicol'' sind wirksam. == Links == * [http://outbreaknewstoday.com/madagascar-huge-plague-season-ends-latest-numbers-10337/ A huge plague season ends, here are the latest numbers] * [http://www.afro.who.int/health-topics/plague/plague-outbreak-situation-reports Plague outbreak situation reports] * [http://www.who.int/ith/updates/20171003/en/ Information for international travellers] by WHO, 3rd October 2017) * [http://www.who.int/mediacentre/factsheets/fs267/en/ Plague fact sheet] by WHO, 7th October 2017 * [https://www.cdc.gov/plague/healthcare/clinicians.html Info for Healthcare Professionals] * [http://www.auswaertiges-amt.de/cae/servlet/contentblob/771406/publicationFile/231079/Pest.pdf Merkblatt für Beschäftigte und Reisende] - Auswärtiges Amt, VohémarOktober 2017 * [http://www.npr.org/sections/goatsandsoda/2017/10/04/555338600/why-plague-season-is-a-big-worry-in-madagascar-this-year Why 'Plague Season' Is A Big Worry In Madagascar This Year] * [https://www.welt.de/gesundheit/article169330619/Seltenere-Pest-Form-breitet-sich-auf-Madagaskar-aus.html#Comments Seltenere Pest-Form breitet sich auf Madagaskar aus], AmbalavaoDie Welt 5th October 2017 * http://www.abig.rki.de/ABiG/DE/Content/Agenzien/Agenzien.html?eigenschaft=4247382&agens=4257272 * http://www.lexpressmada.com/blog/actualites/epidemie-les-victimes-de-la-peste-augmentent/ * http://www.midi-madagasikara.mg/societe/2017/10/05/peste-pulmonaire-urbaine-le-bilan-salourdit-30-deces-et-194-cas-a-suivre-de-pres/