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  1. Probably delayed treatment or missed symptoms. Pneumonic plague moves fast once lungs are involved. How often do you see diagnostic delays?
  2. Yes. They’re more likely to see the first signs, especially in endemic regions. What is your opinion about this topic?
  3. It spreads fast, especially in close contact. Without antibiotics, it can be fatal in under 24 hours. Did you know about it?
  4. Definitely. Early pneumonic plague can look like pneumonia or flu. Without exposure history, it’s easy to miss. How could you catch it on first triage?
  5. Yes. Rural nurses are more likely to see it first. Basic training helps with faster diagnosis and response. Did you learn about plague in school?
  6. Arizona has active surveillance programs in high-risk counties. Other states monitor rodent populations. Are you receiving plague updates in your area?
  7. Cats can catch and spread plague through respiratory droplets or bites. Dogs carry fleas. Do you include pet exposure when taking history?
  8. Yes, they’re still the main transmission route for bubonic plague. Fleas from rodents are common in rural areas. Do you teach patients flea prevention?
  9. I recommend asking about recent travel to rural areas of Arizona, contact with rodents, fleas, or pets that roam outside... what is your opinion about this topic?
  10. Yes, if the patient lives in or visited an endemic area and had possible animal exposure. What is your opinion about it?
  11. It looks like flu or sepsis early on. Swollen lymph nodes can help catch bubonic plague. What else would you consider for a diagnosis?
  12. Mainly through flea bites from infected rodents. Cats can also spread it if infected. Did you know about it?
  13. Plague is immediately reportable. You should call your local or state health department right away. What else do you know about it?
  14. The recommendations are: use droplet and contact precautions for pneumonic plague. Some facilities use airborne for safety. What else do you know about it?
  15. Tell them it’s rare and treatable. Avoid contact with wild animals and flea bites. If sick, get care early. What questions are you hearing?
  16. Contact tracing is critical with pneumonic cases. It spreads fast. How do you handle it?
  17. Surely, some clinics in Arizona are on alert. Most based on travel, exposure, or symptoms... What else do you know about it?
  18. This case proves it’s still around. Nurses need to stay sharp, especially in rural areas. Did you have a similar case in the last days?
  19. It spreads through droplets and requires isolation. One case can lead to an outbreak without fast control. What else do you know about it?
  20. We should watch for painful lymph nodes, fever, headache, and fatigue. Are you noticing these symptoms in your patients?
  21. Stay calm and give facts. Plague is rare and treatable if caught early, so the risk is low for most people. Are your patients asking about it?
  22. First of all, professionals have to keep calm. It's treatable, but fast action is essential. What is your opinion about this topic?
  23. Many people still think plague is extinct but education should be to start prevention. What do you think about this topic?
  24. I’m curious—do you drink coffee daily? How does it affect your energy or health? Do you have any tips for balancing caffeine intake? Let’s share!
  25. Bubonic plague causes lymph node swelling and fever. Pneumonic affects the lungs and spreads through cough. Have you heard about these differences?