Lessons Learned From the Investigation of a Cluster of Cutaneous Anthrax Cases in Connecticut

被引:16
|
作者
Guh, Alice [1 ]
Heyman, Marian L. [2 ,3 ]
Barden, Diane
Fontana, John [4 ]
Hadler, James L. [5 ]
机构
[1] Ctr Dis Control & Prevent, Prevent & Response Branch, Div Healthcare Qual Promot, Atlanta, GA 30333 USA
[2] Connecticut State Dept Publ Hlth, Indoor Environm Qual Unit, Hartford, CT USA
[3] Connecticut State Dept Publ Hlth, Environm & Occupat Hlth Assessment Program, Hartford, CT USA
[4] Connecticut Dept Publ Hlth Lab, Hartford, CT USA
[5] Connecticut Dept Publ Hlth, Infect Dis Sect, Hartford, CT USA
来源
关键词
anthrax; Bacillus anthracis; environmental remediation; occupational diseases;
D O I
10.1097/PHH.0b013e3181ca650d
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
In 2007, two cases of cutaneous anthrax associated with West African drum making were reported in Connecticut in a drum-maker and his child. Although both cases were due to exposure to naturally occurring Bacillus anthracis from imported animal hides, ensuing investigative and remediation efforts were affected by the intentional B anthracis attacks in 2001. To share our experience of responding to an outbreak of anthrax in the biologic terrorism preparedness era, we summarize Connecticut's investigation and describe lessons learned. Laboratory capacity to rapidly assist in diagnosing anthrax, collaborative associations between epidemiologists and law enforcement personnel, and training in use of the Incident Command System, all these a result of public health preparedness, enhanced the initial recognition and subsequent investigation of these anthrax cases. However, without established guidelines for environmental risk assessment and remediation of private residences contaminated by B anthracis, challenges were encountered that resulted in a conservative and expensive approach to remediation. Without a more rigorous approach to ensuring that B anthracis spore-free hides are used, the making of animal hide drums is likely to pose a continuing risk for anthrax to those working with contaminated hides and those exposed to subsequently contaminated environments.
引用
收藏
页码:201 / 210
页数:10
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