T he zoonotic disease anthrax, caused by the bacterium Bacillus anthracis, has been known to humankind for thousands of years and is endemic to most continents (1-3). It is a naturally occurring disease of herbivores that incidentally infects humans through contact with animals that are ill or have died from anthrax or through contact with B. anthracis-contaminated byproducts such as meat, hides, hair, and wool (4). Transmission routes include cutaneous, ingestion, inhalation, and injection; cutaneous accounts for most (95%) cases worldwide (2,4). In the United States, human risk is primarily associated with handling carcasses of hoofstock that have died of anthrax; the primary risk for herbivores is ingestion of B. anthracis spores that can persist in suitable alkaline soils in a corridor from Texas through Colorado, the Dakotas, and Montana (5-7). The 2 state agencies responsible for anthrax surveillance in Texas are the Texas Department of State Health Services (DSHS) and the Texas Animal Health Commission (TAHC). Samples that are culture-positive for B. anthracis at veterinary reference laboratories are reported to DSHS and TAHC. Veterinarians treating animals with illnesses compatible with anthrax must also report to DSHS and TAHC. Suspected cases of human anthrax are immediately reportable to DSHS. Samples or isolates from human cases are forwarded for identification to local public health reference laboratories. In Texas, animal anthrax cases are most commonly reported from the triangular area bounded by the towns of Uvalde, Ozona, and Eagle Pass (Figure 1), which includes portions of Crockett,