Surveillance for Anthrax Cases Associated with Contaminated Letters, New Jersey, Delaware, and Pennsylvania, 2001

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.

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Surveillance for Anthrax Cases Associated with Contaminated Letters, New Jersey, Delaware, and Pennsylvania, 2001

Published Date:

Oct 2002

Source:

Emerg Infect Dis. 8(10):1073-1077.

[PDF-313.58 KB]

Details:

Alternative Title:

Emerg Infect Dis

Personal Author:

Tan, Christina G. ; Sandhu, Hardeep S. ; Crawford, Dana C. ; Redd, Stephen C. ; Beach, Michael J. ; ... More ▼

Corporate Authors:

Regional Anthrax Surveillance Team ; Centers for Disease Control and Prevention New Jersey Anthrax Surveillance Team ;

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:

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Document Type:

Journal Article

Collection(s):

Emerging Infectious Diseases

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