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Diagnosis & Treatment Of Anthrax
By peace | November 30, 2006

Anthrax is most common in animals in agricultural regions of the world. Anthrax is rare in humans. An estimated 20,000 to 100,000 cases occur yearly worldwide, mostly in developing countries. Anthrax is very rare in the United States and in other countries where animals are inspected before and after slaughter. Anthrax is also rare in U.S. travelers, although certain handicrafts might be contaminated and should be avoided.
Anthrax infection can occur in three forms: cutaneous (skin), inhalation, and gastrointestinal. B. anthracis spores can live in the soil for many years, and humans can become infected with anthrax by handling products from infected animals or by inhaling anthrax spores from contaminated animal products. Anthrax can also be spread by eating undercooked meat from infected animals. It is rare to find infected animals in the United States.
Medical professionals can diagnose anthrax by taking samples from the skin sores, blood, or other bodily fluids of people who are believed to have been exposed to B. anthracis. These samples are then sent to a lab to check whether the person has the bacteria in his or her system.
If anthrax is caught early, it is almost always successfully treated with antibiotics. If a person is known to have been exposed to B. anthracis but has no signs or symptoms of the disease, antibiotics may be given (after exposure) to prevent the disease from occurring. Although there is a vaccine for anthrax, in the United States it is currently only recommended for people who are at risk of coming into contact with B. anthracis. They include people who work with B. anthracis in laboratories, people who handle potentially infected animal products, and U.S. military personnel. The vaccine is not given routinely to people in the United States and it hasn’t been studied for use in people younger than 18.
Diagnosis
Anthrax is usually diagnosed by isolating the bacterium from the blood, skin lesions, or respiratory discharges.
Treatment
People with anthrax should be treated promptly with antibiotics. To be effective, treatment should be started early. If left untreated, the disease can be fatal.
Prevention
When travelling to countries where anthrax is common and vaccination levels of animal herds are low, avoid contact with livestock and animal products. Avoid eating meat that has not been properly slaughtered and cooked. Do not buy items made of goat hair or goat skin.
An anthrax vaccine has been licensed for use in humans. The vaccine is reported to be 93% effective in protecting against anthrax infection from skin contact. The vaccine is currently approved only for healthy men and women ages 18-65 years. Pregnant women should not be vaccinated. Anthrax vaccines intended for animals should not be used in humans.
Vaccination is recommended for:
- Persons whose work can expose them to imported animal hides, furs, bonemeal, wool, animal hair (especially goat hair), and bristles
- Persons whose work in diagnosing or investigating anthrax cases might bring them into contact with anthrax spores
Is anthrax a new or emerging infectious disease?
Because of the wide use of animal anthrax vaccines, anthrax is only a minor health problem around the world. However, lapses in local control programs can have serious consequences. Almost 10,000 cases were reported in an outbreak in Zimbabwe in the late 1970s. Hundreds of cases occur each year in several African countries.
If you worry when you hear about anthrax, remember that it’s very rare, and it’s unlikely that you will ever be exposed to the germs that cause anthrax. If you’re worried about it, talk to a science teacher or medical professional — someone who can help you find the answers to any questions you may have about anthrax.
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