Aims: To evaluate the decontamination of Bacillus anthracis, Bacillus subtilis, and Geobacillus stearothermophilus spores on indoor surface materials using hydrogen peroxide gas. Methods and Results: Bacillus anthracis, B. subtilis, and G. stearothermophilus spores were dried on seven types of indoor surfaces and exposed to ‡1000 ppm hydrogen peroxide gas for 20 min. Hydrogen peroxide exposure significantly decreased viable B. anthracis, B. subtilis, and G. stearothermophilus spores on all test materials except G. stearothermophilus on industrial carpet. Significant differences were observed when comparing the reduction in viable spores of B. anthracis with both surrogates. The effectiveness of gaseous hydrogen peroxide on the growth of biological indicators and spore strips was evaluated in parallel as a qualitative assessment of decontamination. At 1 and 7 days postexposure, decontaminated biological indicators and spore strips exhibited no growth, while the nondecontaminated samples displayed growth. Conclusions: Significant differences in decontamination efficacy of hydrogen peroxide gas on porous and nonporous surfaces were observed when comparing the mean log reduction in B. anthracis spores with B. subtilis and G. stearothermophilus spores. Significance and Impact of the Study: These results provide comparative information for the decontamination of B. anthracis spores with surrogates on indoor surfaces using hydrogen peroxide gas.

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Aims:  To evaluate the decontamination of Bacillus anthracis, Bacillus subtilis, and Geobacillus stearothermophilus spores on indoor surface materials using formaldehyde gas. Methods and Results:  B. anthracis, B. subtilis, and G. stearothermophilus spores were dried on seven types of indoor surfaces and exposed to approx. 1100 ppm formaldehyde gas for 10 h. Formaldehyde exposure significantly decreased viable B. anthracis, B. subtilis, and G. stearothermophilus spores on all test materials. Significant differences were observed when comparing the reduction in viable spores of B. anthracis with B. subtilis (galvanized metal and painted wallboard paper) and G. stearothermophilus (industrial carpet and painted wallboard paper). Formaldehyde gas inactivated ≥50% of the biological indicators and spore strips (approx. 1 × 106 CFU) when analyzed after 1 and 7 days. Conclusions:  Formaldehyde gas significantly reduced the number of viable spores on both porous and nonporous materials in which the two surrogates exhibited similar log reductions to that of B. anthracis on most test materials. Significance and Impact of the Study:  These results provide new comparative information for the decontamination of B. anthracis spores with surrogates on indoor surfaces using formaldehyde gas.

The SIR epidemic model for disease dynamics considers recovered individuals to be permanently immune, while the SIS epidemic model considers recovered individuals to be immediately resusceptible. We study the case of temporary immunity in an SIR-based model with delayed coupling between the susceptible and removed classes, which results in a coupled set of delay differential equations. We find conditions for which the endemic steady state becomes unstable to periodic outbreaks. We then use analytical and numerical bifurcation analysis to describe how the severity and period of the outbreaks depend on the model parameters.

In 2001, envelopes containing virulent Bacillus anthracis spores were placed into the U.S. mail, resulting in contamination of mail processing and distribution facilities and office buildings. These spore-contaminated facilities were subsequently decontaminated primarily by fumigation with hydrogen peroxide, chlorine dioxide, and formaldehyde. These highly-publicized incidents resulted in increased public awareness of the threat to human health posed by Bacillus anthracis, and increased interest in sampling, detection, and decontamination of indoor surfaces, rooms, and buildings. Fumigants offer advantages over liquid application for decontaminating rooms or buildings due to the increased coverage of large surface areas and ease of cleanup. From 2001 to the present, however, no decontamination technology has been registered by the U.S. Environmental Protection Agency (EPA) for use against B. anthracis spores; rather, decontamination has been performed through the EPA's issuance of Crisis Exemptions. Since 2001, research and testing efforts have assessed the efficacy and maturity of sporicidal fumigants as well as the maturity, chemical toxicity, material compatibility, and ventilation requirements of these technologies. Several studies have been published in the scientific literature regarding fumigant inactivation of Bacillus spores; however, most decontamination studies with fumigants have utilized surrogates for B. anthracis surrogates, which can be more resistant to a specific type of fumigant (e.g., Geobacillus stearothermophilus and vaporous hydrogen peroxide) than virulent B. anthracis. Therefore, the purpose of this review is to summarize current knowledge available in the open scientific literature describing the inactivation of virulent B. anthracis spores by various fumigating agents with respect to key operational variables that can affect fumigant decontamination efficacy, such as fumigant concentration, contact time, operational temperature, and relative humidity.