4. Bubonic Plague Bubonic plague is mainly a disease in rodents and fleas (Xenopsylla cheopsis). Infection in a human occurs when a person is bitten by a flea that has been infected by biting a rodent that itself has been infected by the bite of a flea carrying the disease.
The bacteria multiply inside the flea, sticking together to form a plug that blocks its stomach and causes it to begin to starve.
The flea then voraciously bites a host and continues to feed, even though it can not quell its hunger, and consequently the flea vomits blood tainted with the bacteria back into the bite wound.
The bubonic plague bacterium then infects a new victim, and the flea eventually dies from starvation. Any serious outbreak of plague is usually started by other disease outbreaks in rodents, or a rise in the rodent population.