Endemic Disease in Madagascar

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Endemic Disease in Madagascar

Endemic Disease in Madagascar

Health Promotion Strategies

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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 authorIdentify 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.

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

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