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Madagascar was reportedly hit with the black death in September, and health authorities are concerned because it has affected urban areas, increasing the risk of transmission and spread, according to the WHO.Historically, the plague was responsible for widespread pandemics with high mortality. It was known as the ‘Black Death’ during the fourteenth century, causing more than 50 million deaths in Europe.A recent update on the outbreak, released in a WHO report, stated that South Africa’s travel and trade links with Madagascar, where the outbreak has already killed 124 people and infected 1 133, has put it at risk.he other eight countries at risk include the Comoros, Ethiopia, Kenya, Mauritius, Mozambique, France’s La Réunion, the Seychelles, and Tanzania.

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