An outbreak of plague in Madagascar has killed 40 people and infected almost 80 others, the World Health Organization has said.
The WHO warned of the danger of a “rapid spread” of the disease in the capital, Antananarivo.
The situation is worsened by high levels of resistance among fleas to a leading insecticide, the WHO added.
Humans usually develop the bubonic form of the plague after being bitten by an infected flea carried by rodents.
If diagnosed early, bubonic plague can be treated with antibiotics.