Details:

Alternative Title:
Emerg Infect Dis
Personal Author:
Traeger, Marc S. ; Wiersma, Steven T. ; Rosenstein, Nancy E. ; Malecki, Jean M. ; Shepard, Colin W. ; ... More +
Traeger, Marc S. ; Wiersma, Steven T. ; Rosenstein, Nancy E. ; Malecki, Jean M. ; Shepard, Colin W. ; Raghunathan, Pratima L. ; Pillai, Segaran P. ; Popovic, Tanja ; Quinn, Conrad P. ; Meyer, Richard F. ; Zaki, Sherif R. ; Kumar, Savita ; Bruce, Sherrie M. ; Sejvar, James J. ; Dull, Peter M. ; Tierney, Bruce C. ; Jones, Joshua D. ; Perkins, Bradley A. Less -
Corporate Authors:
Florida Investigation Team1
Description:
On October 4, 2001, we confirmed the first bioterrorism-related anthrax case identified in the United States in a resident of Palm Beach County, Florida. Epidemiologic investigation indicated that exposure occurred at the workplace through intentionally contaminated mail. One additional case of inhalational anthrax was identified from the index patient's workplace. Among 1,076 nasal cultures performed to assess exposure, Bacillus anthracis was isolated from a co-worker later confirmed as being infected, as well as from an asymptomatic mail-handler in the same workplace. Environmental cultures for B. anthracis showed contamination at the workplace and six county postal facilities. Environmental and nasal swab cultures were useful epidemiologic tools that helped direct the investigation towards the infection source and transmission vehicle. We identified 1,114 persons at risk and offered antimicrobial prophylaxis.
Subject:
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Anthrax
Antibiotic Prophylaxis
Bioterrorism
Dispatch
Environmental Monitoring
Epidemiological Monitoring
Fatal Outcome
Female
Humans
Inhalation Exposure
Male
Middle Aged
Nasopharynx
Population Surveillance
Risk Factors
Workplace

Source:
Emerg Infect Dis. 8(10):1029-1034.
Document Type:
Journal Article
Place as Subject:
Florida
Collection(s):
Emerging Infectious Diseases
Main Document Checksum:
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urn:sha256:e8dd64238cc4fb3c8ef8d5c2a93803108d250f5bda4d984868e6beb8c545dda3
File Type:

Supporting Files

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