2015
DOI: 10.1159/000440860
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An Aggregate of Four Anthrax Cases during the Dry Summer of 2011 in Epirus, Greece

Abstract: Background: Human anthrax is currently a sporadic disease in Europe, without significant regional clustering. Objective: To report an unexpected aggregate of anthrax cases and correlate local climatic factors with yearly anthrax admissions. Methods: Clinical description of a geographical-temporal anthrax aggregate, correlation of disease admissions with local weather data in the period 2001-2014 and literature reports of anthrax clusters from Europe in the last 20 years. Results: We identified 5 cases, all cut… Show more

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Cited by 4 publications
(6 citation statements)
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“…This may also lead to novel environmental exposures as previous barriers disappear and emerging bottlenecks or range expansions appear. Second, warming in semi-arid steppe or shrubland may increase dry conditions that may be favorable to anthrax spore dissemination in the middle and southerly northern latitudes, particularly when summer droughts are punctuated with intermittent precipitation 5 7 . The current study lends further support to the favorability of relatively dry conditions as anthrax suitability appeared to be optimized in areas with a mild to moderate degree of water stress, which is typical of the grasslands and steppe of eastern Europe, north-central Asia and north-central North America 67 .…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…This may also lead to novel environmental exposures as previous barriers disappear and emerging bottlenecks or range expansions appear. Second, warming in semi-arid steppe or shrubland may increase dry conditions that may be favorable to anthrax spore dissemination in the middle and southerly northern latitudes, particularly when summer droughts are punctuated with intermittent precipitation 5 7 . The current study lends further support to the favorability of relatively dry conditions as anthrax suitability appeared to be optimized in areas with a mild to moderate degree of water stress, which is typical of the grasslands and steppe of eastern Europe, north-central Asia and north-central North America 67 .…”
Section: Discussionmentioning
confidence: 99%
“…The bacterium prefers alkaline soils, but also occupies a spectrum of pH across the pedosphere 3 , 4 .The spores are resistant to heat and desiccation, enabling their persistence in the environment 1 , 4 . Moreover, the spores are subject to mechanical environmental displacement due to abiotic mechanisms such as flooding events 5 7 and local slope 8 , or biotic mechanisms such as tabanid flies 9 . B. anthracis may also share a unique relationship with grasses and ruminants.…”
Section: Introductionmentioning
confidence: 99%
“…This phenomenon has been documented at the animal burial sites of previous epizootics(10, 12, 64). Second, warming in semi-arid steppe or shrubland may increase dry conditions that can be favorable to anthrax spore preservation, dissemination and activation in the middle and southerly northern latitudes, particularly when summer droughts are punctuated with intermittent precipitation(17-19). The current study lends further support to this as landscape suitability appeared to be optimized in areas with a mild to moderate degree of water stress, which is typical of the grasslands and steppe of eastern Europe, north-central Asia and north-central North America(65).…”
Section: Discussionmentioning
confidence: 99%
“…The endospores are heat-stable and resistant to desiccation, but exhibit rapid growth with increased precipitation particularly following periods of drought(15, 16). Moreover, the spores are subject to mechanical environmental displacement due to abiotic mechanisms such as flooding events(17-19) and local slope(20), or biotic mechanisms such as tabanid flies(21). With the exception of slope, all such factors could be affected by global warming.…”
Section: Introductionmentioning
confidence: 99%
“…Disposable items that have been in direct contact with the anthrax lesion, any tissue removed during debridement, and potentially infectious wound care materials (24,25) should be disposed of in a biohazard bag according to guidelines for disposal of any potentially infectious material. No additional disinfection is needed beyond what is regularly scheduled for the facility.…”
Section: Healthcare Infection Control Issues For Cutaneous Anthraxmentioning
confidence: 99%