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CDCMaps&StatisticsPlague
MapsandStatistics
PlagueintheUnitedStates
PlaguewasfirstintroducedintotheUnitedStatesin1900,byratinfestedsteamshipsthathad
sailedfromaffectedareas,mostlyfromAsia.Epidemicsoccurredintheseportcities.Thelast
urbanplagueepidemicintheUnitedStatesoccurredinLosAngelesfrom1924through1925.
Plaguethenspreadfromurbanratstoruralrodentspecies,andbecameentrenchedinmanyareas
ofthewesternUnitedStates.Sincethattime,plaguehasoccurredasscatteredcasesinrural
areas.MosthumancasesintheUnitedStatesoccurintworegions:
NorthernNewMexico,northernArizona,andsouthernColorado
California,southernOregon,andfarwesternNevada
PlaguecasesintheUnitedStates,19702012.
Between1900and2010,999confirmedorprobablehumanplaguecasesoccurredintheUnited
States.Over80%ofUnitedStatesplaguecaseshavebeenthebubonicform.
(/plague/symptoms/index.html)Inrecentdecades,anaverageofsevenhumanplaguecaseshave
beenreportedeachyear(range:117casesperyear).Plaguehasoccurredinpeopleofallages
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(infantsuptoage96),though50%ofcasesoccurinpeopleages1245.Itoccursinbothmenand
women,thoughhistoricallyisslightlymorecommonamongmen,probablybecauseofincreased
outdooractivitiesthatputthemathigherrisk.
PlaguecasesintheUnitedStates,19702012.Sincethemid20thcentury,plagueintheUnitedStateshastypicallyoccurredintheruralWest.
PlagueWorldwide
PlagueepidemicshaveoccurredinAfrica,Asia,andSouthAmericabutmosthumancasessince
the1990shaveoccurredinAfrica.Almostallofthecasesreportedinthelast20yearshave
occurredamongpeoplelivinginsmalltownsandvillagesoragriculturalareasratherthanin
largertownsandcities.Between1,000and2,000caseseachyeararereportedtotheWorld
HealthOrganization(http://www.who.int/ith/diseases/plague/en/)
(http://www.cdc.gov/Other/disclaimer.html)(WHO),thoughthetruenumberislikelymuchhigher.
Itishardtoassessthemortalityrateofplagueindevelopingcountries,asrelativelyfewcasesare
reliablydiagnosedandreportedtohealthauthorities.WHOcitesmortalityratesof810%,
howeversomestudies(WHO,2004)suggestthatmortalitymaybemuchhigherinsomeplague
endemicareas.
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Distributionofplaguecases,worldwide.DatafromWHO.
Pagelastreviewed:April23,2013
Pagelastupdated:April23,2013
Contentsource:CentersforDiseaseControlandPrevention
NationalCenterforEmergingandZoonoticInfectiousDiseases(NCEZID)
DivisionofVectorBorneDiseases(DVBD)
CentersforDiseaseControlandPrevention1600CliftonRoadAtlanta,GA30329
4027,USA
800CDCINFO(8002324636)TTY:(888)2326348ContactCDCINFO
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