Epidemiology of Plague in Ecuador

Abstract
Rural plague of the inter-Andean region conforms to the classic rat-flea mechanism, with changes imposed by the climatic characteristics under which the biologic activities of the rats and the fleas are conducted. All the other phenomena foreign to this rat-flea mechanism should be considered simply accidental manifestations without any fundamental influence on it. However, such phenomena may on occasions appear to be predominant because they are the features most easily detected in the usual epidemiologic survey.

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