If it were easily spread, there would likely be over 18,000 cases in 6 months.
The real problem isn't so much the disease (except for those directly involved.) The problem is the lack of vector identification. Were the vector know, one could give advice about what to avoid.
In the hanta virus outbreak here in northern NM (land of the flea, home of the plague), within a week, the virus was identified, and the main transmission vector (breathing dried mouse urine) was noted. Now people take precautions and there are few cases. (Spraying a woodpile with a weak Chlorox solution isn't a bad idea; neither is washing barn floors, etc. with the same.)
Well I didn't want to ask a dumb question, but 218 people in 6 months over such a wide area hardly seems like panic proportions. I'm thinking more along the same lines as you are, unless I'm missing something.