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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
Main Authors: 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
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creator Kisaakye, Esther
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Bainomugisha, Kenneth
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Kadobera, Daniel
Sekamatte, Musa
Lubwama, Bernard
Tumusiime, Dan
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Gary, Joy
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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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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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