Last week it was Guinea Pigs causing Salmonella in Minneapolis and this week Russian Health officials fear an outbreak of bubonic plague in central Asia after a teenage boy died from the disease and three more were admitted to hospital in Kyrgyzstan.

Temirbek Isakunov, a 15-year-old from a mountain village near the border with Kazakhstan, reportedly died from the disease last week after eating an infected barbecued marmot. Kyrgyzstan’s emergency ministry said a young woman and two children from a different village who came into contact with Isakunov were hospitalized on Tuesday with the high fever and swelling around the neck and armpits characteristic of bubonic plague, local news outlets reported.

A total of 131 people, including 33 medical personnel, have been quarantined, although none of them have yet exhibited symptoms of the disease, the newspaper Komsomolskaya Pravda in Kyrgyzstan reported. The health ministry continues to find and quarantine people who came into contact with the teenager, according to its director.

The bacteria that cause bubonic plague are typically transmitted from rodents to humans via flea bites but can also be contracted through direct contact with infected tissue.