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The latest update posted on Madagascar’s MOH website – released yesterday ( October 20th) – still reveals 911 plague cases, and ninety five deaths, but a scenario report from the World Health Organization launched on the same date offers a tally more than 40% higher.
Therefore, I believe it is probably the K2 in butter oil that is inflicting the impact. Between 1 August and 19 October 2017, a total of 1 297 cases (suspected, possible and confirmed) together with 102 deaths (case fatality price 7.9%) have been reported.