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Authorities in a city of China’s Inner Mongolia issued a warning on Sunday, a day after a hospital reported a case of suspected bubonic plague.
Sunday’s warning follows four reported cases of plague in people from Inner Mongolia last November, including two of the deadlier variant of plague—pneumonic plague.
The bubonic plague, known as the “Black Death” in the Middle Ages, is a highly infectious and often fatal disease that is spread mostly by rodents.
Plague is an infectious disease caused by Yersinia pestis, a zoonotic bacteria, usually found in small mammals and their fleas, says the World Health Organization (WHO)
People can contract plague if they are in bitten by infected fleas and develop the bubonic form of plague. Sometimes bubonic plague progresses to pneumonic plague when the bacteria reach the lungs.