Around a dozen cases, 3 deaths, as pneumonic plague kills up its heels in NW China. This is a disease that hygiene can help prevent. Get rid of the rodents and their fleas and plague disappears.

Plague is spread in two main forms, pneumonic – which is the form reported in China, and bubonic. Pneumonic plague is spread like many respiratory diseases, by being coughed or sneezed on by a sick person.

Bubonic plague can be found in the United States, almost entirely in the Southwest. It is spread by the bites of fleas, usually fleas from rats, mice or other rodents. The number of human cases varies with the natural increases or decreases in rodent populations. The NIH reports 10-20 cases of bubonic plague in the U.S. on average each year. 1 of 7 cases is fatal.

Pneumonic plague appears as a rapid onset pneumonia, with all the related symptoms, fever, shortness of breath, coughing and sometimes bloody sputum. It is very contagious for people who have close contact with the patient. The Y. pestis bacteria cannot survive longer than about an hour in open air and sunlight so personal contact is the most risky.

More at Examiner.com

This story is a prime example of the reason that EMS workers are told to use universal precautions for every patient. You cannot know what you may encounter.

Although plague is endemic west of the Mississippi — brought here in the 1800s by flea-infested rats on ships ferrying Chinese railroad workers to the USA — York had little reason to suspect it. Mountain lions usually stalk bigger game than rodents. But this lion had kittens that had to learn to hunt.

When York became ill, he visited the park’s clinic, Wong says. On Oct. 30, clinic staff diagnosed a flu-like illness and sent him home. It was there, three days later, that a roommate found him lying motionless on the couch.

Wong says York’s toughness and self-sufficiency may have cost him his life. “He was a tough guy. He gutted out more than you or I or almost anyone else would.”

USA Today
By Steve Sternberg