It's treatable with antibiotics, and there's not much news reporting since 2018, but there is this on wikipedia: https://en.wikipedia.org/wiki/21st-century_Madagascar_plague_outbreaks "Plague has endemically resided in Madagascar since it was first brought to the island from India in 1898, on the central high plateau of Madagascar, usually occurring every year as a seasonal upsurge during the rainy season.[26] Plague resides in Madagascar similar to the way flu resides in the United States. "Plague season" is generally October through March, and mostly affects rural areas of Madagascar.[25] Plague, although endemic, has been relatively dormant in Madagascar until 1990. Annually until then, there were about 20-30 cases reported a year. Recently, however, the annual number of cases has risen to typically between 800 and 1500 a year.[27]"