Bubonic plague, a zoonotic bacteria transmitted via flea bites that killed some 25 million people in Europe in the Middle Ages, could become an epidemic in Madagascar, where prison inmates live alongside flea-infested rats, according to the Red Cross and Pasteur Institute. Last year, 60 people in Madagascar died of the plague amid an outbreak that infected 256 people. A cleanup of prisons is underway, but officials are concerned the efforts may be too late.

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