Bacillus cereus pneumonia is unusual in nonimmunocompromised hosts. We describe fatal cases in 2 metalworkers and the associated investigation. Anthrax toxin genes were identified in B. cereus isolates from both patients using polymerase chain reaction. Finding anthrax toxin genes in non-Bacillus anthracis isolates has, to our knowledge, only been reported once previously.

Collectively, the results demonstrate a persistent problem with chronic fatigue in this study population, likely reflective of continued inadequate opportunities for recovery and restorative sleep.

Accommodating adolescent sleep patterns significantly improves mental health and performance in the training environment.

A major proportion of aircraft pilots may participate in healthcare avoidance behavior due to fear of aeromedical certificate loss. This may result in delayed or limited medical care in pilots with new or chronic medical conditions.