Tularemia on Martha's Vineyard.
SENSOR Occup Lung Dis Bull 2001 Sep; :1-2
In early July 2000 the Massachusetts Department of Public Health (MDPH) began investigating a cluster of tularemia cases among full and part-time residents of Martha's Vineyard. Tularemia, sometimes referred to as "rabbit fever" after its most common reservoir, is a relatively rare zoonotic disease caused by the bacterium Francisella tularensis. The disease can be transmitted from direct or indirect contact with numerous animals, the bite of a tick, the consumption of contaminated water, or the inhalation of the infecting organism. Clinical presentation will vary depending on the route of transmission and the virulence of the infecting strain. Ulceroglandular tularemia is caused by a tick bite or by skin contact with the bacteria and is the most common presentation nationally and statewide; however, in the 2000 outbreak on Martha's Vineyard, only 13% of the fifteen cases were ulceroglandular. The majority of cases (73%) had a pneumonic presentation, which is fairly uncommon and much more serious. Clinical diagnosis can be confirmed through culture or serology and the disease is treated with antibiotics.
Occupational-diseases; Occupational-health; Lung-disease; Work-environment; Workers; Occupational-exposure; Respiratory-system-disorders; Pulmonary-system-disorders; Bronchial-asthma; Employee-exposure; Occupational-respiratory-disease; Health-care; Disease-prevention; Airway-resistance; Surveillance-programs; Medical-monitoring; Lung-irritants; Environmental-hazards; Environmental-exposure; Pests; Insect-venom; Insecticide-antidotes; Insects; Bacteria; Bacterial-infections; Animals; Infection-control; Infectious-diseases
Massachusetts Department of Public Health, Occupational Health Surveillance Program, 250 Washington Street, 6th Floor, Boston, MA 02108
SENSOR Occupational Lung Disease Bulletin
Massachusetts State Department of Public Health