The large plague outbreak that began in Madagascar in August appears to be waning, according to government case counts and local news reports.

The outbreak has infected about 1,800 people so far, killing 127 of them.

A World Health Organization spokesman, Tarik Jasarevic, confirmed reports in Malagasy media that both deaths and new cases were declining and most hospitalized patients had recovered, although “we cannot rule out the possibility of further spikes.”

An Oct. 31 situation report from W.H.O.’s Africa region shows cases peaking in mid-October; Madagascar confirmed its first plague death by laboratory testing only on September 11.

The man thought to have triggered the outbreak — who was initially assumed to have malaria — died in August after he rode minibus taxis through two major cities, spreading the disease.