The World Health Organization (WHO) said on Saturday that tests on the deceased laboratory worker and her contacts were negative for the dangerous pathogens tested for, and that no case of plague has been registered.
According to the United Nations health agency, Russia's state health regulator reported that the worker's contacts showed no symptoms and no further linked cases of severe pneumonia had been found.
"Based on the information provided… WHO has not identified evidence of ongoing transmission associated with this event. A key uncertainty remains the absence of a confirmed diagnosis in the deceased laboratory worker," the WHO said in a statement.
The worker fell ill and died in undisclosed circumstances on October 2 at the Irkutsk Antiplague Research Institute of Siberia and the Far East in the Siberian region of Irkutsk. Russian media identified her as Darya Shipilova, a 28-year-old laboratory technician.
Pneumonic plague, a lung infection caused by the bacterium Yersinia pestis, was suspected early on. The governor of neighbouring Buryatia said the woman had "died, maybe of the plague". Russia's health watchdog Rospotrebnadzor said she had been diagnosed with "pneumonia of unknown aetiology".
Russian authorities said the worker was appropriately vaccinated and that no microorganisms linked to her work were found in her body. Post-mortem tests did not detect plague. About 200 people were placed in quarantine, though a local official said on October 6 that 60 percent had already been released.
The WHO chief, Tedros Adhanom Ghebreyesus, asked Russia to respond to media reports of a second employee with pneumonia of undetermined cause. Russia dismissed those reports as "false information". The United States has also called on Russia for transparency.
Global health officials have been extra alert to deadly pneumonia cases of unknown cause since the COVID-19 pandemic, which began with a cluster of fast-spreading, fatal respiratory illness in China. The cause of individual pneumonia cases often cannot be determined.