is an infectious bacterial disease. Spread by breathing weapon-dispersed anthrax spores or contact with infected animals, handling infected products, eating infected meat.

What it is:
Anthrax is produced by the bacteria Bacillus anthracis.
A tough protective coat allows the bacteria to survive for decades as spores.

Anthrax is dangerous because:
1. Highly lethal, One of the easiest biological agents to manufacture.
2. Relatively easy to develop as a weapon.
3. Easily spread in the air over a large area.
4. Easily stored and dangerous for a long period.

Three types of Anthrax infection:

1. Cutaneous Anthrax - primarily involving the skin,caused by contact with infected animals or contaminated animal products.

2. Gastrointestinal Anthrax - caused by eating of contaminated meat.

3. Inhalation Anthrax - caused by inhaling anthrax spores. This is the **MOST DEADLY - BIGGEST THREAT**

Incubation period:1 to 6 days between exposure and symptoms.

Symptoms:
of inhalation include Viral-like aches & pains, Fever, malaise, fatigue, cough and mild chest discomfort followed by severe difficulty breathing.

Diagnosed by:
Isolating the bacteria from blood, other body fluids or skin lesions. Blood culture Measuring specific antibodies late in the course of the disease.

Treatment:
Treatment is usually not effective after symptoms are present.High dose antibiotic treatment after symptoms appear can lower the death rate from 99% to about 80%.

What these bacteria do:
The disease occurs when spores enter lungs, migrate to the lymph nodes, change to the bacterial form, multiply, and produce toxins. These toxins cause bleeding and destruction of structures in the middle of the chest (medical term: hemorrhagic necrotizing mediastinitis).

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Data Sources: Chin J, ed. Control of Communicable iseases Manual, 17th ed. Washington, DC: American Public Health Association, 2000 Brachman PS, Friedlander AM. Anthrax. In: Plotkin SA, Orenstein WA, ed. Vaccines, 3rd ed. Philadelphia: W. B. Saunders, 1999 (not available online) Inglesby TV, Henderson DA, Bartlett JG, Ascher MS, Eitzen E, Friedlander AM, Hauer J, McDade J, Osterholm MT, O'Toole T, Parker G, Perl TM, PK, Tonat K, Working Group on Civilian Biodefense. Anthrax as a biological weapon: Medical and public health management. Journal of the American Medical Association 1999;281:1735-45

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