( CNN) A plague outbreak in Madagascar has infected 1,192 people since August, with 124 demises, the United Nations Office for the Coordination of Humanitarian Affairs and Madagascar’s National Bureau of Risk Management and Disasterreported on Monday.

The majority of cases, 67%, were the pneumonic kind of the disease, who are capable of spread from person to person.

Plague is caused by infection with the bacterium Yersinia pestis and is typically spread through the bite of infected fleas, often carried by rats, causing bubonic beset. Symptoms include painful, swollen lymph nodes, called bubos, as well as fever, shiverings and coughing.

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