RT Book, Section A1 Akar-Ghibril, Nicole A1 Wiedermann, Bernhard L. A2 Kline, Mark W. SR Print(0) ID 1182936438 T1 Plague T2 Rudolph's Pediatrics, 23e YR 2018 FD 2018 PB McGraw-Hill Education PP New York, NY SN 9781259588594 LK accesspediatrics.mhmedical.com/content.aspx?aid=1182936438 RD 2024/04/25 AB Plague is a zoonotic infection primarily maintained in rodents and fleas. Humans are incidental hosts, and transmission from rodents to humans is most commonly by flea bites. This disease still exists worldwide and likely has been responsible for at least 3 devastating pandemics—the Justinian Plague (Byzantine Empire, 541–542), the Black Death (Europe and Middle East, 1346–1353), and the plague pandemic in the mid-19th century, which started in China.