4 out of what 1.3 billion?
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4 reported.
2 issues might be in play here.
1. This is China. China doesn’t report anything that might be embarrassing to China.
2. This is in the rural area of China. Much of the rural area of China is isolated villages with little to no communication to the rest of the world. Entire villages could be wiped out by the airborne plague and it’d be a while before anyone found out.
The more likely issue at play is that the Daily Mail is bored and decided to report something, ANYTHING. America averages 7 plague cases a year. Plague happens, it’s just not that big a deal anymore.