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High Case-Fatality Rate for Human Anthrax,Northern Ghana, 2005–2016
Authors:Jason K Blackburn  Ernest Kenu  Franklin Asiedu-Bekoe  Badu Sarkodie  Ian T Kracalik  William A Bower  Robyn A Stoddard  Rita M Traxler
Institution:University of Florida, Gainesville, Florida, USA (J.K. Blackburn, I.T. Kracalik);University of Ghana, Accra, Ghana (E. Kenu);Ghana Health Service, Accra (F. Asiedu-Bekoe, B. Sarkodie);Centers for Disease Control and Prevention, Atlanta, Georgia, USA (W.A. Bower, R.A. Stoddard, R.M. Traxler)
Abstract:The human cutaneous anthrax case-fatality rate is ≈1% when treated, 5%–20% when untreated. We report high case-fatality rates (median 35.0%; 95% CI 21.1%–66.7%) during 2005–2016 linked to livestock handling in northern Ghana, where veterinary resources are limited. Livestock vaccination and access to human treatment should be evaluated.
Keywords:Africa  Bacillus anthracis  bacteria  case-fatality rate  cutaneous anthrax  enteric infections  food safety  gastrointestinal anthrax  Ghana  human anthrax  livestock  livestock vaccination  mortality  surveillance
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