2002
DOI: 10.3201/eid0810.020353
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Investigation of Bioterrorism-Related Anthrax, United States, 2001: Epidemiologic Findings

Abstract: In October 2001, the first inhalational anthrax case in the United States since 1976 was identified in a media company worker in Florida. A national investigation was initiated to identify additional cases and determine possible exposures to Bacillus anthracis. Surveillance was enhanced through health-care facilities, laboratories, and other means to identify cases, which were defined as clinically compatible illness with laboratory-confirmed B. anthracis infection. From October 4 to November 20, 2001, 22 case… Show more

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Cited by 629 publications
(351 citation statements)
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“…There were 3 suspect cases: 1 based only on IHC (number 6); 2 based only on serology (numbers 9 and 10). One suspect case, described in another report, 7 was excluded because no skin biopsy sample was available for histopathological evaluation and IHC testing.…”
Section: Resultsmentioning
confidence: 99%
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“…There were 3 suspect cases: 1 based only on IHC (number 6); 2 based only on serology (numbers 9 and 10). One suspect case, described in another report, 7 was excluded because no skin biopsy sample was available for histopathological evaluation and IHC testing.…”
Section: Resultsmentioning
confidence: 99%
“…However, the epidemiology and laboratory diagnosis of cutaneous anthrax changed after October 2001 because of the intentional release of B. anthracis spores through the U.S. postal system and the subsequent identification of anthrax in 22 patients, including 11 with cutaneous disease. 6,7 The index cutaneous anthrax case-patient from the 2001 outbreak, a 38-year-old woman who worked at a major news network, initially developed an ulcerative lesion on the chest and was seen by an infectious disease clinician. She reported handling "threat" letters at work.…”
Section: Discussionmentioning
confidence: 99%
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