What to Know About a Suspected Death From Pneumonic Plague


Situation Is ‘Very Low’ Risk Outside Russia, WHO Says

While the U.S. State Department is closely monitoring the situation, the World Health Organization (WHO) has called the situation “very low” risk outside the country, according to PBS News.

Experts consider Yersinia pestis a potential biological weapon. Because the incident occurred in a Russian research lab, there are concerns that the Russian government could be covering up a program that poses a serious risk to global health, according to the Center for Infectious Disease Research and Policy.

Plague Risk Remains Low in the U.S.

If the Russian lab worker did, in fact, die from pneumonic plague, the risk to Americans is still very low, says Robert H. Hopkins, MD, medical director of the National Foundation for Infectious Diseases.

“Plague can be transmitted from person to person, but it is only spread by contact with saliva or respiratory secretions directly from the infected person,” says Dr. Hopkins. “The likelihood this will become a pandemic is very small. Viruses like influenza and COVID much more easily pass from person to person than the plague bacteria.”

Dr. Iovine adds that infected people usually become ill very quickly and tend to isolate soon after. “It’s really unlikely that somebody with pneumonic plague is going to be out and about in public, potentially spreading it to the population at large,” she says. “The real risk is to close contacts, family members, and possibly healthcare workers.”

People can lower plague risk by avoiding areas known to have rodents with infected fleas, and by being cautious around dogs or cats that may have been exposed to these fleas.

A young man in Arizona died in 2025 of pneumonic plague due to this kind of exposure, after close interaction with two infected cats.

Know the Symptoms of Plague and Get Treatment Fast

If you suspect you’ve been near a potential source of plague, be aware of these symptoms, per Cleveland Clinic:

  • Chills
  • Fever
  • Headaches and body aches
  • Weakness and fatigue
  • Dizziness
  • Nausea, vomiting, and diarrhea

When the infection is bubonic, it can cause painful, swollen lymph nodes, while septicemic cases can cause abdominal pain and bleeding from the nose and mouth, or under the skin. Pneumonic plague can cause shortness of breath, chest pain, cough, and bloody or watery mucus, and pharyngeal plague can cause sore throat.

Antibiotics are usually very effective at treating plague if the illness is diagnosed early.

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