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Inhalation anthrax.

Authors
Brachman-PS
Source
NIOSH 1986 Sep; :693-697
Link
NIOSHTIC No.
00170172
Abstract
The etiology, epidemiology, and pathology of inhalation anthrax is described. Anthrax, or wool sorter's disease, is defined as a zoonotic disease caused by Bacillus-anthracis which occurs in three forms: cutaneous, inhalation, and gastrointestinal. Over 95 percent of the cases in the United States are of the cutaneous form. Approximately five percent of the reported cases are inhalation anthrax resulting from the inhalation of bacillus spores with subsequent development of hemorrhagic mediastinitis, toxemia, septicemia, and death. Cases are usually related to the industrial processing of contaminated animal products. Of 17 cases cited since 1900, the source of contamination was presumed to have been imported goat hair in 9, tanneries in 3, contact with imported wool in 1, and from exposure in a bacteriology laboratory in 1. The contaminated imported products were primarily from Asian, Middle Eastern, and African countries. The disease has a biphasic course consisting of an initial nonspecific phase with symptoms of mild respiratory illness followed by the sudden development of severe respiratory distress. Death usually occurs within 24 hours of the onset of the second phase. Early treatment with large doses of antibiotics and supportive therapy can reverse the disease process. Methods of prevention include the administration of an available and effective animal vaccine on a regular basis in the countries at high risk, the mandatory vaccination of humans handling contaminated animal products, and effective ventilation.
Keywords
Biological-material; Bacterial-dusts; Animal-husbandry-workers; Animal-products-workers; Livestock; Respiratory-infections; Bacterial-infections; Microorganisms; Medical-treatment
Publication Date
19860901
Document Type
Book or book chapter
Editors
Foa-V; Emmett-EA; Maroni-M; Colombi-A
Fiscal Year
1986
NTIS Accession No.
NTIS Price
Identifying No.
(NIOSH) 86-102
NIOSH Division
DRDS
Source Name
Occupational Respiratory Diseases. J. A. Merchant, Editor; Division of Respiratory Disease Studies, Appalachian Laboratory for Occupational Safety and Health, NIOSH, U.S. Department of Health and Human Services, DHHS (NIOSH) Publication No. 86-102
State
WV
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