By KAYLA FOSTER

The plague has returned to the country of Madagascar as reports of more than 194 people contacting the disease came in Tuesday.

For majority of the world, the plague is a thing of the past but, for the country of Madagascar, is it a seasonal worry that has taken the lives of 63 out of the 275 reported cases last year. Officials are particularly worried about this season’s outbreak, as it is mainly affecting heavily populated areas.

Madagascar has temporarily shut down all public and government institutions, including its capital, Antananarivo, home to 1.3 million residents. World Health Organization officials said plans to ship emergency supplies are underway.

Madagascar’s Minister of Public Health, Mamy Andriamanarivo, says the country is running low on face masks for the public, CBC reports.

On average, Madagascar accounts for 82 percent of the world’s plague related deaths. It is also one of the poorest countries in the world, most people making under $2 per day, The Washington Post reports. For the United States, rare cases have been reported and all have survived.

So far there has been little news media coverage on the condition of Madagascar, as most of the United States is giving attention to Sunday night’s Las Vegas massacre, as well as Houston, Florida, and Puerto Rico rebuilding after Hurricanes Harvey, Irma and Maria.

Epidemic season runs from September to April in Madagascar. So far the disease has killed 30 people.