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Outbreak of Anthrax Associated with Handling and Eating Meat from a Cow,Uganda, 2018
Authors:Esther Kisaakye  Alex Riolexus Ario  Kenneth Bainomugisha  Caitlin M Cossaboom  David Lowe  Lilian Bulage  Daniel Kadobera  Musa Sekamatte  Bernard Lubwama  Dan Tumusiime  Patrick Tusiime  Robert Downing  Joshua Buule  Julius Lutwama  Johanna S Salzer  Eduard Matkovic  Jana Ritter  Joy Gary  Bao-Ping Zhu
Abstract: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.
Keywords:anthrax  Bacillus anthracis  bacteria  cutaneous anthrax  disease outbreaks  enteric infections  food-borne diseases  gastrointestinal anthrax  global health security  One Health  Uganda  zoonoses
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