• October 25, upon the request of the Government of the Republic of Madagascar, the Government of Japan decided to provide emergency relief goods (blankets, non-contact thermometers, masks) through the Japan International Cooperation Agency (JICA) to Madagascar in response to plague outbreak.
• Upon the request of the Government of Madagascar, and in light of the friendly relations between Japan and Madagascar, Japan decided to provide emergency assistance to Madagascar to meet its humanitarian needs.

(Reference)
In Madagascar, plague is prevalent since the end of August. The pulmonary plague, which is contagious via droplets from person to person, has been spreading mainly in metropolitan areas. As of October 23, 1192 cases have been confirmed, out of which 124 people have died.