Plague affected areas 2017

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Affected districts

  • Ambatondrazaka
  • Ambohidratrimo
  • Andramasina
  • Ankazobe
  • Anosibean'ala
  • Tana south
  • Tana north
  • Arivonimamo
  • Faratsiho
  • Maevatanana
  • Majunga 1
  • Miarinarivo
  • Moramanga
  • Toamasina 1
  • Toamasina 2
  • Tsiroanomandidy
  • Vohémar
  • Ambalavao


  • To be taken for 10 days + min. 3 days after fever is gone

Co-Trimoxazol (aka. Cotrim)

  • 10 960 mg tablets 11.88€
  • 20 960 mg tablets 12.48€
  • 50 960 mg tablets 16.70€

Available also in powder solution.

More at

Note: This is the same medicine as BACTRIM



Streptomycin (WHO 2015)

  • available only as injections (reqires cold transport)

More at

Gentamicin (WHO 2015)

  • eye-drops only or powder


  • 28 tablets 750 mg 27€

Tetracyclin (WHO 2015)

  • 30 tablets 500 mg 17.50€


  • 20 tablets 200mg 12.99€


  • only avialble for animals

WHO statement 2015
Treatment with common antibiotics such as tetracyclines, gentamycin or streptomycin are efficient on human plague but their efficacy depends on early detection. When this is the case, case fatality can be reduced from 60% to less than 15% for bubonic plague. This is especially important for the pneumonic form, which is highly contagious, can kill in less than 24 hours, and is invariably fatal in the absence of treatment.

WHO statement 2017
Pneumonic plague can be fatal within 18 to 24 hours of disease onset if left untreated, but common antibiotics for enterobacteria (gram negative rods) can effectively cure the disease if they are delivered early.

WHO statement 2017
Rapid diagnosis and treatment is essential to reduce complications and fatality. Effective treatment methods enable plague patients to be cured, if diagnosed in time. These methods include the administration of antibiotics as Aminoglycosides, Fluoroquinolones, Sulfonamides and supportive therapy.

Net Doctor
Die Pest wird heutzutage mit Antibiotika behandelt. Mittel der Wahl sind Antibiotika wie Streptomycin, Gentamycin, Tetracycline wie Doxycyclin oder Chloramphenicol. Wichtig sind eine schnelle Diagnose und ein frühzeitiger Therapiebeginn, um Komplikationen wie die Pestsepsis zu verhindern.

Pharmazeutische Zeitung 2011
Yersinia pestis wird vor allem durch den Biss von Rattenflöhen auf Menschen übertragen. Mittel der ersten Wahl zur Behandlung einer Pest-Infektion sind Gentamicin, Streptomycin oder Ciprofloxacin. Weitere Antibiotika, die zur Therapie oder prophylaktisch eingesetzt werden, sind Ofloxacin, Levofloxacin und Doxycyclin.

Apotheken Umschau
Die Pest ist mit Antibiotika behandelbar. Üblicherweise wird eine zehntägige Antibiotikatherapie, vorzugsweise mit Streptomycin durchgeführt. Auch Gentamycin, Tetrazyklin, Doxycyclin und Chloramphenicol sind wirksam.