IAMAT |International Association of Medical Assistance to Travellers| IAMAT |International Association of Medical Assistance to Travellers|

Country Health Advice Kenya

For Specific Travellers: Plague

Risk is present around Nairobi, the district of Machakos (Eastern Province), the region southward to the border with Tanzania, including the areas of Amboseli and Tsavo National Parks.

Description

Plague is a zoonosis – an animal disease that can spread to humans – caused by Yersinia pestis bacteria. It is transmitted to humans through the bite of infected fleas that live among rodents such as squirrels, chipmunks, woodrats, prairie dogs, rabbits, and mice. There are three forms of the infection:

  1. Bubonic plague primarily affects the lymph nodes.
  2. Septicemic plague affects the bloodstream and can be contracted by handling infected animals.
  3. Pneumonic plague affects the lungs and can spread from person to person, though rarely, through contaminated air droplets.
Risk

Plague is primarily found in arid regions of Africa, South America, Asia, and North America. Hikers, campers, hunters, and persons occupationally exposed to wild rodents in endemic areas such as anthropologists, archeologists, geologists, spelunkers are at greater risk of exposure.

Symptoms

Flu-like symptoms appear 1 to 10 days after being bitten, including fever, headache, chills, muscle pain, weakness. The illness is also characterized by painful lymph glands. If untreated, the infection can spread to the bloodstream, also known as septicemic plague, which is accompanied by abdominal pain, shock, internal bleeding of organs and skin tissue that may turn black. Pneumonic plague can also develop if bubonic or septicemic plague is untreated. In this case, symptoms include shortness of breath, chest pain, and coughing blood or watery mucous. Shock and respiratory failure can become fatal. Rapid diagnosis and treatment with antibiotics is important for a full recovery. Patients need to be isolated to prevent spreading the infection to others.

Prevention
  • Ensure that your accommodation or camping area is free of rodents.
  • Remove any food sources or potential nesting materials. 
  • Avoid direct contact with rodents, carnivores who eat rodents, and dead animal tissues. 
  • Make sure cats and dogs around you do not carry fleas. 

There is currently no commercially available vaccine or preventive medication against Plague.

Yersinia pestis bacteria images, life cycle, and distribution maps
Infection Landscapes

Health risk description last reviewed: September 14, 2016
Country information last updated: January 25, 2017


Sources

  • Drancourt M. Plague. In: McGill, A; Ryan, E; Hill, D; Solomon, T, eds. Hunter's Tropical Medicine and Emerging Infectious Diseases. 9th ed. New York: Saunders Elsevier; 2013: 584-590.
  • Mead P. Plague. In: Guerrant, R; Walker D; Weller P, eds. Tropical Infectious Diseases. 3rd ed. New York: Saunders Elsevier; 2011: 276-283.
  • Wertheim, Heiman; Horby, Peter; Woodall, John, eds. Atlas of Human Infectious Diseases. Oxford: Wiley-Blackwell; 2012. 273 p.
  • Centers for Disease Control and Prevention: Plague



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