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Plague  Lesson 6
 Public Health Issues

Distinguishing Natural Disease vs Bioterrorism

Natural Disease

  • Recent endemic exposure by handling the carcasses of wild animals, especially burrowing rodents, rabbits or hares, coyotes, or other carnivores.
  • Handling of a sick cat or history of flea bites in endemic area.
  • Recent history of travel in an endemic plague area (western United States, as well as international locations).
  • Cases are sporadic, infrequent, and typically occur in the rural endemic areas of the western United States.
  • In the U.S., bubonic plague is the most common clinical presentation.


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Page last reviewed February 12, 2007
Page last modified September 7, 2004

  • Content source: CDC Emergency Risk Communication Branch (ERCB), Division of Emergency Operations (DEO), National Center for Emerging and Zoonotic Infectious Diseases (NCEZID)
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