Via L'Express de Madagascar: Epidemic - The milestone of one hundred plague dead approaches. The edited Google translation:
The hundred milestone will soon be surpassed in terms of suspected plague deaths. The Ministry of Public Health yesterday reported ninety-five deaths out of the nine hundred and eleven cases recorded between 1 August and 18 October at 11 pm. In the region of Analamanga, there are thirty-one deaths and more than five hundred cases. Yesterday, no deaths were reported in the city of Antananarivo.
Doctors predict, however, that there will not be much time left for this figure to be reached and exceeded. They are certain that there are still patients who remain at home without treatment, at the risk of spreading the bacteria.
Just the day before yesterday, a patient escaped from the Anosy Avaratra hospital, with a high risk of transmission of the disease to those who came into contact with him, as soon as he left the hospital, according to an official with the Ministry of Public Health yesterday. It states that a person who contracted the bacteria should not die, if he receives the care in time.
"Of the total cases, five hundred and fifty-four people have been cured," says Dr. Mahery Ratsitorahana, Director of Health Surveillance and Epidemiological Surveillance.
Not taken care of
At community level, the Ministry of Public Health ensures and strengthens the response to detect all people who may have symptoms. "In each case, we seek out all the people in contact with a plague-bearer for the chemiprophylaxis and the disinfection of the places where the patient or the deceased passed. The tracing of the contacts is also carried out. There are 1,800 agents at the community level for active case-finding, "said Dr Joséa Ratsirarson, secretary general of the Ministry of Public Health.
At a press conference on the plague situation in Ambohidahy yesterday, the Minister of Public Health, Professor Mamy Lalatiana Andriamanarivo, welcomed the fruits of these activities, affirming the decline in the number of patients treated.
"The majority of cases currently received at hospitals are not sick from the plague," he says.
It is too early to rejoice at such an advance. In recent days, plague-related deaths have been reported in homes, namely in Ampefiloha-Ambodirano, Andranomanalina, Mahamasina, by the Health and Hygiene Department within the Antananarivo Urban Community. This confirms the possibility of cases of patients not being taken care of and outside the control of health workers at the community level.