Looks like the number of cases is tailing off a little but the WHO report is sobering:
Since August 2017, Madagascar is experiencing a large outbreak of plague affecting major cities and other non-endemic areas.
From 1 August through 30 October 2017, a total of 1801 confirmed, probable and suspected cases of plague, including 127 deaths, have been reported by the Ministry of Health of Madagascar to WHO. Of these, 1111 (62%) were clinically classified as pneumonic plague, including 257 (23%) confirmed, 374 (34%) probable and 480 (43%) suspected cases. In addition to the pneumonic cases, 261 (15%) cases of bubonic plague, one case of septicaemic plague and 428 cases (24%) where the type has not yet been specified, have been reported (Figure 1). As of 30 October, 51 of 114 districts of Madagascar have been affected (Figure 2 and 3). Since the beginning of the outbreak, 71 healthcare workers have had illness compatible with plague, none of whom have died.
That's about a 7% mortality rate, even with resources piling in to try to help out the Malagasy government, but a big enough outbreak in the slums of Africa's or Asia's megacities would quickly overwhelm the WHO's ability to respond and the mortality rate would skyrocket. This is after all the disease that wiped out a third of Europe's population and marked our culture forever.
On the positive side, most Europeans now have some degree of resistance.
Edited by Ken L, 05 November 2017 - 10:26 AM.