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Outbreak of Anthrax Associated with Handling and Eating Meat from a Cow, Uganda, 2018
On April 20, 2018, the Kween District Health Office in Kween District, Uganda reported 7 suspected cases of human anthrax. A team from the Uganda Ministry of Health and partners investigated and identified 49 cases, 3 confirmed and 46 suspected; no deaths were reported. Multiple exposures from handl...
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Published in: | Emerging infectious diseases 2020-12, Vol.26 (12), p.2799-2806 |
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creator | Kisaakye, Esther Ario, Alex Riolexus Bainomugisha, Kenneth Cossaboom, Caitlin M Lowe, David Bulage, Lilian Kadobera, Daniel Sekamatte, Musa Lubwama, Bernard Tumusiime, Dan Tusiime, Patrick Downing, Robert Buule, Joshua Lutwama, Julius Salzer, Johanna S Matkovic, Eduard Ritter, Jana Gary, Joy Zhu, Bao-Ping |
description | On April 20, 2018, the Kween District Health Office in Kween District, Uganda reported 7 suspected cases of human anthrax. A team from the Uganda Ministry of Health and partners investigated and identified 49 cases, 3 confirmed and 46 suspected; no deaths were reported. Multiple exposures from handling the carcass of a cow that had died suddenly were significantly associated with cutaneous anthrax, whereas eating meat from that cow was associated with gastrointestinal anthrax. Eating undercooked meat was significantly associated with gastrointestinal anthrax, but boiling the meat for >60 minutes was protective. We recommended providing postexposure antimicrobial prophylaxis for all exposed persons, vaccinating healthy livestock in the area, educating farmers to safely dispose of animal carcasses, and avoiding handling or eating meat from livestock that died of unknown causes. |
doi_str_mv | 10.3201/EID2612.191373 |
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A team from the Uganda Ministry of Health and partners investigated and identified 49 cases, 3 confirmed and 46 suspected; no deaths were reported. Multiple exposures from handling the carcass of a cow that had died suddenly were significantly associated with cutaneous anthrax, whereas eating meat from that cow was associated with gastrointestinal anthrax. Eating undercooked meat was significantly associated with gastrointestinal anthrax, but boiling the meat for >60 minutes was protective. We recommended providing postexposure antimicrobial prophylaxis for all exposed persons, vaccinating healthy livestock in the area, educating farmers to safely dispose of animal carcasses, and avoiding handling or eating meat from livestock that died of unknown causes.</description><identifier>ISSN: 1080-6040</identifier><identifier>EISSN: 1080-6059</identifier><identifier>DOI: 10.3201/EID2612.191373</identifier><identifier>PMID: 33219644</identifier><language>eng</language><publisher>United States: U.S. National Center for Infectious Diseases</publisher><subject>Age ; Animals ; Anthrax ; Anthrax - epidemiology ; Bacillus anthracis ; bacteria ; Case studies ; Cattle ; Causes of ; Cows ; cutaneous anthrax ; Disease Outbreaks ; enteric infections ; Epidemics ; Epidemiology ; Fatalities ; Female ; Global health ; Health aspects ; Humans ; Hypotheses ; Illnesses ; Infections ; Interviews ; Livestock ; Meat ; Medical laboratories ; Outbreak of Anthrax Associated with Handling and Eating Meat from a Cow, Uganda, 2018 ; Prophylaxis ; Risk Factors ; Skin ; Uganda ; Uganda - epidemiology ; Zoonoses</subject><ispartof>Emerging infectious diseases, 2020-12, Vol.26 (12), p.2799-2806</ispartof><rights>COPYRIGHT 2020 U.S. National Center for Infectious Diseases</rights><rights>Published 2020. This article is a U.S. Government work and is in the public domain in the USA.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c688t-bb5270d9cf5029b4bbe29fc38281b298aa8ce7abe93696183fc0bb9b1f44a3113</citedby><cites>FETCH-LOGICAL-c688t-bb5270d9cf5029b4bbe29fc38281b298aa8ce7abe93696183fc0bb9b1f44a3113</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7706970/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7706970/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33219644$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kisaakye, Esther</creatorcontrib><creatorcontrib>Ario, Alex Riolexus</creatorcontrib><creatorcontrib>Bainomugisha, Kenneth</creatorcontrib><creatorcontrib>Cossaboom, Caitlin M</creatorcontrib><creatorcontrib>Lowe, David</creatorcontrib><creatorcontrib>Bulage, Lilian</creatorcontrib><creatorcontrib>Kadobera, Daniel</creatorcontrib><creatorcontrib>Sekamatte, Musa</creatorcontrib><creatorcontrib>Lubwama, Bernard</creatorcontrib><creatorcontrib>Tumusiime, Dan</creatorcontrib><creatorcontrib>Tusiime, Patrick</creatorcontrib><creatorcontrib>Downing, Robert</creatorcontrib><creatorcontrib>Buule, Joshua</creatorcontrib><creatorcontrib>Lutwama, Julius</creatorcontrib><creatorcontrib>Salzer, Johanna S</creatorcontrib><creatorcontrib>Matkovic, Eduard</creatorcontrib><creatorcontrib>Ritter, Jana</creatorcontrib><creatorcontrib>Gary, Joy</creatorcontrib><creatorcontrib>Zhu, Bao-Ping</creatorcontrib><title>Outbreak of Anthrax Associated with Handling and Eating Meat from a Cow, Uganda, 2018</title><title>Emerging infectious diseases</title><addtitle>Emerg Infect Dis</addtitle><description>On April 20, 2018, the Kween District Health Office in Kween District, Uganda reported 7 suspected cases of human anthrax. A team from the Uganda Ministry of Health and partners investigated and identified 49 cases, 3 confirmed and 46 suspected; no deaths were reported. Multiple exposures from handling the carcass of a cow that had died suddenly were significantly associated with cutaneous anthrax, whereas eating meat from that cow was associated with gastrointestinal anthrax. Eating undercooked meat was significantly associated with gastrointestinal anthrax, but boiling the meat for >60 minutes was protective. We recommended providing postexposure antimicrobial prophylaxis for all exposed persons, vaccinating healthy livestock in the area, educating farmers to safely dispose of animal carcasses, and avoiding handling or eating meat from livestock that died of unknown causes.</description><subject>Age</subject><subject>Animals</subject><subject>Anthrax</subject><subject>Anthrax - epidemiology</subject><subject>Bacillus anthracis</subject><subject>bacteria</subject><subject>Case studies</subject><subject>Cattle</subject><subject>Causes of</subject><subject>Cows</subject><subject>cutaneous anthrax</subject><subject>Disease Outbreaks</subject><subject>enteric infections</subject><subject>Epidemics</subject><subject>Epidemiology</subject><subject>Fatalities</subject><subject>Female</subject><subject>Global health</subject><subject>Health aspects</subject><subject>Humans</subject><subject>Hypotheses</subject><subject>Illnesses</subject><subject>Infections</subject><subject>Interviews</subject><subject>Livestock</subject><subject>Meat</subject><subject>Medical laboratories</subject><subject>Outbreak of Anthrax Associated with Handling and Eating Meat from a Cow, Uganda, 2018</subject><subject>Prophylaxis</subject><subject>Risk Factors</subject><subject>Skin</subject><subject>Uganda</subject><subject>Uganda - 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A team from the Uganda Ministry of Health and partners investigated and identified 49 cases, 3 confirmed and 46 suspected; no deaths were reported. Multiple exposures from handling the carcass of a cow that had died suddenly were significantly associated with cutaneous anthrax, whereas eating meat from that cow was associated with gastrointestinal anthrax. Eating undercooked meat was significantly associated with gastrointestinal anthrax, but boiling the meat for >60 minutes was protective. We recommended providing postexposure antimicrobial prophylaxis for all exposed persons, vaccinating healthy livestock in the area, educating farmers to safely dispose of animal carcasses, and avoiding handling or eating meat from livestock that died of unknown causes.</abstract><cop>United States</cop><pub>U.S. National Center for Infectious Diseases</pub><pmid>33219644</pmid><doi>10.3201/EID2612.191373</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Age Animals Anthrax Anthrax - epidemiology Bacillus anthracis bacteria Case studies Cattle Causes of Cows cutaneous anthrax Disease Outbreaks enteric infections Epidemics Epidemiology Fatalities Female Global health Health aspects Humans Hypotheses Illnesses Infections Interviews Livestock Meat Medical laboratories Outbreak of Anthrax Associated with Handling and Eating Meat from a Cow, Uganda, 2018 Prophylaxis Risk Factors Skin Uganda Uganda - epidemiology Zoonoses |
title | Outbreak of Anthrax Associated with Handling and Eating Meat from a Cow, Uganda, 2018 |
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