Retrospective review of Argus reports later identified 3 key factors that limited the effectiveness of disease management in the region: (1) a lack of government leadership and accountability, (2) poor sanitation leading to an inability to decrease the vector population and (3) an inadequate regional healthcare infrastructure (4) . Media sources recognized discrepancies in medical information provided by health officials and the medical community, and as the outbreak continued, protests erupted over poor sanitary conditions and insufficient medical resources as observed by healthcare workers. In August, the Minister of Health (MOH) declared that the outbreak had been 'controlled'; however, the media continued to report human plague cases and noted concern regarding the potential danger of plague spreading to urban markets. Travel restrictions were applied and reports later speculated that the World Health Organization (WHO) would close ports and issue a national quarantine if plague extended into coastal export areas (5, 6) . Further, officials declared a latent risk of disease transmission to bordering countries. At the end of the study reporting timeframe, media continued to identify the confirmation of new human bubonic plague cases, the implementation of vector control efforts, and the ongoing risk to residents despite attempted disease management efforts.