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Plague in Uganda

The following background data on Plague in Uganda are abstracted from Gideon www.GideonOnline.com and the Gideon e-book series. [1,2]

The earliest record of plague in Africa was a report by missionaries in Uganda in 1877, and reporting statistics for much of the continent have been documented for more than 100 years.

A series of plague epidemics were recorded in East AFrica during the 1920’s and 1930’s – see graph [3]

31,305 plague deaths were reported in Uganda during 1910 to 1919; 17,410 during 1920 to 1929; 11,387 during 1930 to 1939.

Presumed local reservoirs include the Nile rat, Arvicanthus niloticus.
– Presumed local flea vectors include Xenopsylla cheopis and X. brasiliensis.

Notable outbreaks:
1982 – An outbreak (152 cases, 3 fatal) was reported.
1986 – An outbreak (340 cases, 27 fatal) was reported.
1993 – An outbreak (167 cases, 18 fatal) was reported in Western Region (Nebbi District).
1998 – An outbreak was reported in Arua district.
2001 – An outbreak was reported in Nebbi District.
2004 – An outbreak (4 cases, 1 confirmed, 3 fatal) of pneumonic plague was reported in Kango Subcounty.
2006 – An outbreak (127 cases, 11 fatal) was reported in Arua and Nebbi Districts – including 12 cases of pneumonic plague.
2007 – Outbreaks (179 cases, total) were reported in Masindi District (19 cases, 9 fatal), and in Arua (121 cases, 10 fatal) and Nebbi (39 cases, 9 fatal).
2008 – An outbreak (68 deaths) was reported in Arua and Nebbi.

References:
1. Berger SA. Infectious Diseases of Uganda, 2012. 398 pp, 61 graphs, 1,711 references. Gideon e-books, https://www.gideononline.com/ebooks/country/infectious-diseases-of-uganda/
2. Berger SA. Plague: Global Status, 2012. 98 pp, 102 graphs, 524 references. Gideon e-books, https://www.gideononline.com/ebooks/disease/plague-global-status/
3. Gideon graph tool at https://www.gideononline.com/wp-content/uploads/Gideon-Graphs.pps

Note featured on ProMED

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