TY - JOUR PY - 2002// TI - Investigation of bioterrorism-related anthrax, United States, 2001: epidemiologic findings JO - Emerging infectious diseases A1 - Jernigan, Daniel B. A1 - Raghunathan, Pratima L. A1 - Bell, Beth P. A1 - Brechner, Ross A1 - Bresnitz, Eddy A. A1 - Butler, Jay C. A1 - Cetron, Marty A1 - Cohen, Mitch A1 - Doyle, Timothy A1 - Fischer, Marc A1 - Greene, Carolyn A1 - Griffith, Kevin S. A1 - Guarner, Jeannette A1 - Hadler, James L. A1 - Hayslett, James A. A1 - Meyer, Richard A1 - Petersen, Lyle R. A1 - Phillips, Michael A1 - Pinner, Robert A1 - Popovic, Tanja A1 - Quinn, Conrad P. A1 - Reefhuis, Jennita A1 - Reissman, Dori A1 - Rosenstein, Nancy E. A1 - Schuchat, Anne A1 - Shieh, Wun-Ju A1 - Siegal, Larry A1 - Swerdlow, David L. A1 - Tenover, Fred C. A1 - Traeger, Marc A1 - Ward, John W. A1 - Weisfuse, Isaac A1 - Wiersma, Steven A1 - Yeskey, Kevin A1 - Zaki, Sherif A1 - Ashford, David A. A1 - Perkins, Bradley A. A1 - Ostroff, Steve A1 - Hughes, James A1 - Fleming, David A1 - Koplan, Jeffrey P. A1 - Gerberding, Julie Louise SP - 1019 EP - 1028 VL - 8 IS - 10 N2 - In October 2001, the first inhalational anthrax case in the United States since 1976 was identified in a media company worker in Florida. A national investigation was initiated to identify additional cases and determine possible exposures to Bacillus anthracis. Surveillance was enhanced through health-care facilities, laboratories, and other means to identify cases, which were defined as clinically compatible illness with laboratory-confirmed B. anthracis infection. From October 4 to November 20, 2001, 22 cases of anthrax (11 inhalational, 11 cutaneous) were identified; 5 of the inhalational cases were fatal. Twenty (91%) case-patients were either mail handlers or were exposed to worksites where contaminated mail was processed or received. B. anthracis isolates from four powder-containing envelopes, 17 specimens from patients, and 106 environmental samples were indistinguishable by molecular subtyping. Illness and death occurred not only at targeted worksites, but also along the path of mail and in other settings. Continued vigilance for cases is needed among health-care providers and members of the public health and law enforcement communities.

Language: en

LA - en SN - 1080-6040 UR - http://dx.doi.org/ ID - ref1 ER -