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Can You Still Get the Plague in 2024?

Published in Infectious Disease 3 mins read

Yes, it is still possible to get the plague in 2024. While it is significantly less common and far more treatable than in historical pandemics, cases continue to arise each year in various parts of the world, including the United States.

Understanding the Current Landscape of Plague

Despite being largely a disease of the past in public perception, the plague, caused by the bacterium Yersinia pestis, remains endemic in certain rodent populations globally. Human cases, though rare, are a reality.

  • Global Occurrence: A handful of human cases are reported annually across different countries.
  • United States Cases: The United States also sees a small number of cases each year. These often occur in rural areas where the bacteria are present in wild rodent populations and their fleas.
  • Recent Example: For instance, in 2024, a rare case of human plague was confirmed in rural Oregon, highlighting its continued, albeit infrequent, presence.

Why Does Plague Still Exist?

The persistence of plague is primarily due to its natural cycle in the environment:

  • Natural Reservoirs: The bacteria thrive in various species of wild rodents (e.g., prairie dogs, ground squirrels, rats) and their fleas.
  • Transmission: Humans typically contract plague through:
    • Flea Bites: Bites from infected fleas that have fed on infected animals.
    • Direct Contact: Handling infected animals (alive or dead).
    • Inhalation: Inhaling infected respiratory droplets from a person or animal with pneumonic plague (less common but highly dangerous).

Types of Plague

There are three main forms of plague, each presenting with distinct symptoms:

Type of Plague Primary Characteristics
Bubonic Plague Most common form; causes swollen, painful lymph nodes (buboes); not typically spread person-to-person.
Septicemic Plague Occurs when the bacteria multiply in the bloodstream; can develop from bubonic plague; no buboes.
Pneumonic Plague Affects the lungs; can spread person-to-person through airborne droplets; most serious form.

For more detailed information on the types and symptoms of plague, you can refer to reputable sources like the Centers for Disease Control and Prevention (CDC).

Treatment and Prevention

Modern medicine has drastically changed the outlook for plague infections:

  • Effective Treatment: Unlike historical outbreaks, plague is now highly treatable with antibiotics, especially when diagnosed early. Prompt medical attention is crucial for a full recovery.
  • Prevention Strategies: Reducing exposure to infected animals and fleas is key to prevention:
    • Avoid Contact: Do not handle sick or dead rodents or other animals.
    • Flea Control: Use flea control products on pets, especially if they are outdoor animals or reside in areas where plague is endemic.
    • Wear Gloves: When handling potentially infected animals or in areas with known plague activity, wear gloves.
    • Repellents: Use insect repellent when outdoors in affected areas.
    • Report Sick Animals: Report any sightings of sick or dead rodents to local health authorities.

While the threat of widespread plague epidemics is minimal today due to advanced medical treatments and public health measures, it's important to remember that the disease still exists in its natural reservoirs and can occasionally affect humans. Awareness and preventive measures remain vital.