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Schools and universities have been shut in a desperate attempt to contain the respiratory disease, with children known to come into contact with each other more than adults, and the buildings have been sprayed to eradicate any fleas that may carry the plague Health officials are unsure how this year's outbreak began.

However, some believe it could be caused by the bubonic plague, which is endemic in the remote highlands of Madagascar.

Professor Allen Cheng, an infectious disease expert at Monash University, warned of the dangers of the plague and said this year's outbreak has been 'unusual' - because it is airborne.

He wrote in a piece for The Conversation: 'It’s not possible to eradicate plague, as it is widespread in wildlife rodents outside the sphere of human influence.'Plague, caused by the Yersina pestis bacteria, killed hundreds of millions of people in three devastating outbreaks, including the Plague of Justinian in the 6th century.

'We may have the upper hand over plague today, despite the headlines in East Africa.'But our long history with the disease demonstrates that our control over it is tenuous, and likely to be transient – and that threats to public health anywhere are threats to public health everywhere.' Two thirds of cases in Madagascar have been caused by pneumonic plague, which can be spread through coughing, sneezing or spitting and kill within 24 hours.It is strikingly different to the bubonic form, responsible for the 'Black Death' in the 14th century, which rocks the country each year and infects around 600 people.Others worry it will eventually hit the US, Europe and Britain, leaving millions more vulnerable due to how quick it can spread through populations.And with the plague season expected to run until April, scientists believe there will be another spike of cases in the coming months.

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