Preventive Measures and Control ::plague
All steps should be taken Sincerely and actively against its spread
1.Patients should be isolated in hospital especially in case of pneumonic plague
2.The disease should be notified when there is increase in mortality amongst rats
3.Infected premises should be evacuated and then they should be disinfected
4.Plague is transmitted to rats and humans through flea which carry plague bacilli Flea should be destroyed first They can be destroyed by DDT or gammexane cresol or formaldehyde Dusting of rat burrows and rat - runs should be undertaken after the flea control
5.Population of rats can be controlled by constructing rat proof houses houses and grain stores should be free from rats rats can be destroyed by poisoning them with barium carbonate strychnine white arsenic zinc phosphide phosphorus red squill or sodium flouroacetate fumigation can also be carried out by carbon monoxide carbon dioxide sulphur dioxide etc Trapping in cages is another method of catching rats Trapped rats are collected and then burnt or killed by suitable methods
6.Public should be educated regarding hazards of plague by showing films posters and slides explaining anti - plague measures
7.Patient s room should be disinfected by DDT or Gammexane kerosene naphathalene and cresol fumigation
8.Pneumonic plague patients may transmit infection to other human beings through cough and sputum patients should be isolated Use of mask should be advised
9.Patient s house clothing and affected areas should be disinfected by treatment of BHC (Gammexine) Malathion Powder or any other appropriate insecticide
10. Sleeping on floor should be avoided
11.Prophylactic antiplague vaccine of Haffkin Institute is available Immunity lasts for two months only
12.Preventive does of Tetracycline is 500 mg every six hourly for 5 days pregnant women should preferably take trimethoprim plus sulphamethaxazole is available in several brand names For Children
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