Table of Content
•Introduction
• Historic outbreaks
• Distribution
• Causes
• Types
• Mode of transmission
• Pathogenesis
• Treatment
• Prevention
• conclusion
3.
Introduction
• Plague -highly infectious, deadly fleaborne zoonosis caused by
Yersinia pestis
• Found in mammals and their fleas
• Derived from latin term plaga, meaning a "blow" or "strike"
4.
Historic outbreaks
• JustinianPlague (542–602 AD): ~ caused 50 million deaths across the Eastern
Roman Empire
• Black death (1347–1351): ~75–200 million deaths across Europe, Asia, and
North Africa
• Third pandemic (1894–present): ~15 million deaths (mostly in India and
China)
5.
Distribution
• Plague foundon all continents except
Oceania
• Most human cases since the 1990s occurred
in Africa.
• Democratic Republic of Congo, Madagascar
and Peru - three most endemic countries.
Bubonic Plague
• Mostcommon form
• Human to human transmission is rare
• Caused by the bite of an infected flea
• Symptoms - Inflamed lymph nodes
called as ‘buboes’, fever, chills,
headaches
• Advanced stages: open sores with pus
8.
Pneumonic Plague
• Lung-basedplague
• Most virulent, rarest
• Incubation period 24 hours
• Cause - Transmitted via droplets of infected
humans
• Symptoms - high fever, severe pneumonia,
bloody coughs
9.
Septicemic Plague
• Bacteriaenters the bloodstream
• Cause - Develop from untreated
bubonic plague or independently
• Symptoms - Systemic inflammatory
response syndrome, tissue necrosis,
fever, chills
10.
Mode of transmission
•Enzootic cycle: rodents
and fleas
• Epizootic cycle:
transmission to other
species
• Direct contact: From
infected humans and
rodents
11.
Pathogenesis
• Yersinia pestis
multipliesin flea gut
• Bacteria colonies
blocks proventiculus
• Flea regurgirates
viable Y. pestis in
human host
• Disarm phagocytes
and cause necrosis
12.
Treatment
• Early diagnosisand treatment is essential for survival
• Commonly used antibiotics - aminoglycosides (streptomycin and
gentamicin), tetracyclines (doxycycline), and fluoroquinolones
(ciprofloxacin, levofloxacin, moxifloxacin)
13.
Prevention
• Informing peoplewhen zoonotic plague is present in their
environment
• Take precautions against flea bites
• Handling animal carcasses
• People advised to avoid direct contact with infected body fluids and
tissues.
14.
Conclusion
• Plague isa very severe disease, particularly in its septicaemic and
pneumonic forms,
• With a case-fatality ratio of 30% to 100% if left untreated
• It is especially contagious and can trigger severe epidemics
through person-to-person contact via droplets in the air.