Another American has come down with the plague — and this time, they’re not out West. The Michigan Department of Health and Human Services announced Monday that a person in that state had the bubonic plague, one of what is now 14 such cases reported nationwide in 2015. The affected resident is from Marquette County, which is in northern Michigan along Lake Superior.

But the resident didn’t necessarily contract the disease in Michigan. The state agency noted he or she “recently returned from Colorado in an area with reported plague activity.”  Colorado has been hit hardest by the plague this year. A teenager in Larimer County and an adult in Pueblo County died from the disease. The current annual U.S. tally is double the recent average (although not yet a record). FULL REPORT