SHANGHAI - Two patients from Inner Mongolia were quarantined in Beijing suffering from pneumonic plague, authorities said last week. A 55-year old man from the same region was later diagnosed with bubonic plague after eating wild rabbit meat, the health commission said.Bites from infected fleas are the most common cause of bubonic plague infection, but the pneumonic variant - where the bacterium is breathed into the lungs - is more dangerous because it is spread through coughing.
The bacterium is believed to have originated in Yunnan in southwest China, where it remains endemic. Opium trade routes from Yunnan caused the third global plague outbreak in 1894, but it has since become increasingly rare. From 2009 to 2018, China reported just 26 cases and 11 deaths. By comparison, there were 12,082 cases of rabies over the same period, with a fatality rate of 96%.
The Center for Disease Control says Yunnan and the Qinghai-Tibet plateau in the far west are particularly vulnerable.
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