Endemic Disease in Madagascar

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Endemic Disease in Madagascar

Endemic Disease in Madagascar

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Health Promotion Strategies

Health promotion depends on the different levels of prevention. The three different levels are primary prevention, secondary prevention, and tertiary prevention. Primary prevention would involve providing proper education to the citizens of Madagascar. Secondary prevention is investigating the outbreak of plague. Finally, tertiary prevention would be treating those that are infected with this disease.


Plague has become an endemic disease in Madagascar. Every year there are at least dozens of people that die from this disease, with 2017 being the worst year to date. Through proper education and treatment, this disease can be prevented. It is our job as nurses to aid in education and treatment efforts. Implementing these strategies should prove effective in mitigating the outbreak of plague in the future.


Centers for Disease Control and Prevention. (2018). Plague. (n.d.). Retrieved March 16, 2019, from https://www.cdc.gov/plague/index.html

Nguyen, V. K., Parra-Rojas, C., & Hernandez-Vargas, E. A. (2018). The 2017 plague outbreak in Madagascar: Data descriptions and epidemic modelling. Epidemics,25, 20-25. doi:10.1016/j.epidem.2018.05.001

Tasch, B. (2017, March 7). RANKED: The 30 poorest countries in the world. Retrieved March 16, 2019, from https://www.businessinsider.com/the-25-poorest-countries-in-the-world-2017-3

Mead, P. S. (2018). Plague in Madagascar — A Tragic Opportunity for Improving Public Health. New England Journal of Medicine,378(2), 106-108. doi:10.1056/nejmp1713881

Tsuzuki, S., Lee, H., Miura, F., Chan, Y. H., Jung, S., Akhmetzhanov, A. R., & Nishiura, H. (2017). Dynamics of the pneumonic plague epidemic in Madagascar, August to October 2017. Eurosurveillance,22(46). doi:10.2807/1560-7917.es.2017.22.46.17-00710

Write a 3- to 4-page paper that includes the following:

  • A summary of the article, including the title and author
    • Identify the title of the article with in-text citation and corresponding reference in reference list
  • The relationship among causal agents, susceptible persons, and environmental factors (epidemiological triangle)
  • The role of the nurse in addressing the outbreak
  • Possible health promotion/health protection strategies that could have been implemented by nurses to mitigate the outbreak
  • Epidemiologic surveillance is used in public and global health. For this Assignment, begin by locating a recent article about an outbreak of an infectious or communicable disease. The article can come from a newspaper or other source but your paper must be supported with at least three scholarly sources of evidence in the literature which may include your text or course readings.
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