Monitoring the community and identifying sick people Dispose of rubbish in rodent-proof containers to minimize possible nesting sites.Follow recommended environmental hygiene practices.Promote the use of other rodent control measures such as keeping cats.Promote the use of rodent traps inside and outside homes.Control fleas using environmental and chemical hygiene BEFORE controlling rats.Vector and reservoir control and prevention Death of tissue and gangrene in extremities.Open wounds at the lymph node, oozing pus.Inflamed lymph nodes (become hard and painful lumps).** Specific to pneumonic plague ** Every person in the community is vulnerable to pneumonic plague, especially those without proper personal protective equipment who are in contact with others who have pneumonic plague (for example, family members or unprotected health care workers).People who frequently come into contact with infected animals (for example, hunters, pet owners).Most vulnerable to contracting the disease All forms can be deadly if untreated, and pneumonic plague is always deadly if left untreated.Young children, older people and people with other illnesses or health conditions may have a higher risk of severe illness.Direct contact by touching or handling tissues or body fluids of a plague-infected animal (skinning an infected animal when hunting, for example).** specific to pneumonic plague ** When an infected person or animal coughs, sneezes or spits, they spread small droplets through the air, which can then be breathed in by other people.Transmission: Vector-borne (flea), droplet-borne and direct contact with infected tissues (of people or animals) Pneumonic plague is when the bacteria has spread to the lungs. Septicaemic plague is when the infection spreads through the bloodstream. Bubonic plague causes “bubos” in the lymph system. The type of plague is named for the location in the body the bacteria is affecting.
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