Details:

Alternative Title:
Emerg Infect Dis
Personal Author:
Tan, Christina G. ; Sandhu, Hardeep S. ; Crawford, Dana C. ; Redd, Stephen C. ; Beach, Michael J. ; ... More +
Tan, Christina G. ; Sandhu, Hardeep S. ; Crawford, Dana C. ; Redd, Stephen C. ; Beach, Michael J. ; Buehler, James W. ; Bresnitz, Eddy A. ; Pinner, Robert W. ; Bell, Beth P. ; Less -
Corporate Authors:
Regional Anthrax Surveillance Team ; Centers for Disease Control and Prevention New Jersey Anthrax Surveillance Team ;
Regional Anthrax Surveillance Team ; Centers for Disease Control and Prevention New Jersey Anthrax Surveillance Team ; Less -
Description:
In October 2001, two inhalational anthrax and four cutaneous anthrax cases, resulting from the processing of Bacillus anthracis-containing envelopes at a New Jersey mail facility, were identified. Subsequently, we initiated stimulated passive hospital-based and enhanced passive surveillance for anthrax-compatible syndromes. From October 24 to December 17, 2001, hospitals reported 240,160 visits and 7,109 intensive-care unit admissions in the surveillance area (population 6.7 million persons). Following a change of reporting criteria on November 8, the average of possible inhalational anthrax reports decreased 83% from 18 to 3 per day; the proportion of reports requiring follow-up increased from 37% (105/286) to 41% (47/116). Clinical follow-up was conducted on 214 of 464 possible inhalational anthrax patients and 98 possible cutaneous anthrax patients; 49 had additional laboratory testing. No additional cases were identified. To verify the limited scope of the outbreak, surveillance was essential, though labor-intensive. The flexibility of the system allowed interim evaluation, thus improving surveillance efficiency.
Subject:
[+]
Adult
Anthrax
Bioterrorism
Coroners And Medical Examiners
Equipment Contamination
Female
Hospitals
Humans
Inhalation Exposure
Population Surveillance
Postal Service
Respiratory Tract Infections
Skin Diseases, Bacterial
Time Factors

Source:
Emerg Infect Dis. 8(10):1073-1077. ;
Document Type:
Journal Article ;
Place as Subject:
Delaware ; New Jersey ; Pennsylvania ;
Delaware ; New Jersey ; Pennsylvania ; Less -
Collection(s):
Emerging Infectious Diseases
Main Document Checksum:
[+]
urn:sha256:556db900fe6ecad6539accd9414ffe21a29d12933b0bb29376bd3f3f151a8b17
File Type:

Supporting Files

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