Our public health system in the USA is surprisingly effective with this. The report I linked to from 2013 says that there are only about 7 cases a year of plague in the USA and that is because of a very effective monitoring and tracking system for the plague.
There’s lots of odd things that can infect the public health and generally our public health systems work very well at maintaining things to a dull roar, in some cases like the plague making them almost completely eliminated. Almost.
We failed with covid-19 but hopefully things will eventually improve. Fingers crossed. I look to the successes of other countries and hope they are duplicated here eventually. I’m sure they will be.===
Oh this article is trash. It’s repeating the same stuff in the 80s, just adding “but it’s not that bad folks”
” by more women in education and work, as well as greater access to contraception, leading to women choosing to have fewer children.”