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Published in: BMC Infectious Diseases 1/2022

Open Access 01-12-2022 | Carbuncle | Research

Investigation on an outbreak of cutaneous anthrax in a county of Shandong Province, China, 2021

Authors: Xiaolin Yu, Ming Fang, Shuang Wang, Zhong Li, Lixiao Cheng, Zhaoshan Liu, Dandan Zhang, Dandan Dong, Zengqiang Kou

Published in: BMC Infectious Diseases | Issue 1/2022

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Abstract

Background

In order to verify the existence of an anthrax outbreak, determine its scope, grasp the epidemiological characteristics and find out the cause of the outbreak and recommend preventive and control measures.

Methods

Etiological hypothesis was developed through descriptive epidemiological methods. Hypotheses were tested by analyzing epidemiological methods by comparing the differences in the incidence of different exposure types. Nucleic acid detection and bacterial isolation and culture in the BSL-2 laboratories. SPSS 21 was used to conduct statistical analysis.

Results

A total of 126 family, workshop, shop environment samples and meat samples were collected, and 6 samples were collected from skin lesions of suspected cutaneous anthrax cases. 41 samples were positive by rPCR and 8 strains of Bacillus anthracis were cultivated. Participated in slaughtering, cutting beef of sick cattles was significantly associated with cutaneous anthrax (RR 3.75, 95% CI 1.08–13.07), this behavior is extremely dangerous.

Conclusions

Comprehensive analysis of laboratory results and epidemiological survey results and environmental assessments, we judge this epidemic to be an outbreak of cutaneous anthrax, associated with slaughtering and other processes from infected cattle imported from other province.
Literature
1.
go back to reference Heymann DL. Control of communicable diseases manual. 20th ed. Washington: American Public Health Association; 2014. Heymann DL. Control of communicable diseases manual. 20th ed. Washington: American Public Health Association; 2014.
2.
go back to reference Sumter JL, Goodrich-Doctor A, Roberts J, Mason TJ. Twenty-first century emergency response efforts of the Commissioned Corps of the US Public Health Service. J Emerg Manag. 2018;16(5):311–9.CrossRefPubMed Sumter JL, Goodrich-Doctor A, Roberts J, Mason TJ. Twenty-first century emergency response efforts of the Commissioned Corps of the US Public Health Service. J Emerg Manag. 2018;16(5):311–9.CrossRefPubMed
3.
go back to reference World Health Organization. Anthrax in humans and animals. 4th ed. Geneva: The Organization; 2008. World Health Organization. Anthrax in humans and animals. 4th ed. Geneva: The Organization; 2008.
4.
go back to reference Waits A, Emelyanova A, Oksanen A, Abass K, Rautio A. Human infectious diseases and the changing climate in the Arctic. Environ Int. 2018;121(Pt 1):703–13.CrossRefPubMed Waits A, Emelyanova A, Oksanen A, Abass K, Rautio A. Human infectious diseases and the changing climate in the Arctic. Environ Int. 2018;121(Pt 1):703–13.CrossRefPubMed
5.
6.
go back to reference Turner WC, Imologhome P, Havarua Z, Kaaya GP, Mfune JKE, Mpofu IDT, et al. Soil ingestion, nutrition and the seasonality of anthrax in herbivores of Etosha National Park. Ecosphere. 2013;4(1):1–19.CrossRef Turner WC, Imologhome P, Havarua Z, Kaaya GP, Mfune JKE, Mpofu IDT, et al. Soil ingestion, nutrition and the seasonality of anthrax in herbivores of Etosha National Park. Ecosphere. 2013;4(1):1–19.CrossRef
7.
go back to reference Nayak P, Sodha SV, Laserson KF, Padhi AK, Swain BK, Hossain SS, et al. A cutaneous Anthrax outbreak in Koraput District of Odisha-India 2015. BMC Public Health. 2019;19(Suppl 3):470.CrossRefPubMedPubMedCentral Nayak P, Sodha SV, Laserson KF, Padhi AK, Swain BK, Hossain SS, et al. A cutaneous Anthrax outbreak in Koraput District of Odisha-India 2015. BMC Public Health. 2019;19(Suppl 3):470.CrossRefPubMedPubMedCentral
8.
go back to reference Thapa NK, Tenzin, Wangdi K, Dorji T, Migma, Dorjee J, et al. Investigation and control of anthrax outbreak at the human-animal interface, Bhutan, 2010. Emerg Infect Dis. 2014;20(9):1524–6.CrossRefPubMedPubMedCentral Thapa NK, Tenzin, Wangdi K, Dorji T, Migma, Dorjee J, et al. Investigation and control of anthrax outbreak at the human-animal interface, Bhutan, 2010. Emerg Infect Dis. 2014;20(9):1524–6.CrossRefPubMedPubMedCentral
9.
go back to reference Carlson CJ, Kracalik IT, Ross N, Alexander KA, Blackburn JK. The global distribution of Bacillus anthracis and associated anthrax risk to humans, livestock and wildlife. Nat Microbiol. 2019;4(7):1337–43.CrossRefPubMed Carlson CJ, Kracalik IT, Ross N, Alexander KA, Blackburn JK. The global distribution of Bacillus anthracis and associated anthrax risk to humans, livestock and wildlife. Nat Microbiol. 2019;4(7):1337–43.CrossRefPubMed
10.
go back to reference Liu Y, Li Y, Wang Q, Fu J, Ji F. Sporadic human cutaneous anthrax outbreak in Shaanxi Province, China: report of two cases from 2018. Braz J Infect Dis. 2020;24(1):81–4.CrossRefPubMedPubMedCentral Liu Y, Li Y, Wang Q, Fu J, Ji F. Sporadic human cutaneous anthrax outbreak in Shaanxi Province, China: report of two cases from 2018. Braz J Infect Dis. 2020;24(1):81–4.CrossRefPubMedPubMedCentral
11.
go back to reference Hu JL, Cui LL, Bao CJ, Tan ZM, Rutherford S, Ying L, et al. Source and risk factors of a cutaneous anthrax outbreak, Jiangsu, Eastern China, 2012. Epidemiol Infect. 2016;144:2672–8.CrossRefPubMed Hu JL, Cui LL, Bao CJ, Tan ZM, Rutherford S, Ying L, et al. Source and risk factors of a cutaneous anthrax outbreak, Jiangsu, Eastern China, 2012. Epidemiol Infect. 2016;144:2672–8.CrossRefPubMed
12.
go back to reference Yu D, He J, Zhang E, Wang P, Liu DP, Hou YD, et al. Investigation and source-tracing of an anthrax outbreak in Gansu Province, China. PLoS ONE. 2018;13(8):e0203267.CrossRefPubMedPubMedCentral Yu D, He J, Zhang E, Wang P, Liu DP, Hou YD, et al. Investigation and source-tracing of an anthrax outbreak in Gansu Province, China. PLoS ONE. 2018;13(8):e0203267.CrossRefPubMedPubMedCentral
13.
go back to reference Kasradze A, Echeverria D, Zakhashvili K, Bautista C, Heyer N, Imnadze P, et al. Correction: Rates and risk factors for human cutaneous anthrax in the country of Georgia: National surveillance data, 2008–2015. PLoS ONE. 2018;13(5):e0196958.CrossRefPubMedPubMedCentral Kasradze A, Echeverria D, Zakhashvili K, Bautista C, Heyer N, Imnadze P, et al. Correction: Rates and risk factors for human cutaneous anthrax in the country of Georgia: National surveillance data, 2008–2015. PLoS ONE. 2018;13(5):e0196958.CrossRefPubMedPubMedCentral
14.
go back to reference Oyas H, Bett B, Gakuya F, Osoro E, Gachohi J, Thumbi MS, et al. Recurrent anthrax outbreaks in humans, livestock, and wildlife in the same locality, Kenya, 2014–2017. Am J Trop Med Hygiene. 2018;99(4):833.CrossRef Oyas H, Bett B, Gakuya F, Osoro E, Gachohi J, Thumbi MS, et al. Recurrent anthrax outbreaks in humans, livestock, and wildlife in the same locality, Kenya, 2014–2017. Am J Trop Med Hygiene. 2018;99(4):833.CrossRef
15.
go back to reference Aceng FL, Ario AR, Alitubeera PH, Kadobera D, Sekamatte M, Okethwangu D, et al. Cutaneous anthrax associated with handling carcasses of animals that died suddenly of unknown cause: Arua District, Uganda, January 2015–August 2017. PLoS Negl Trop Dis. 2021;15:e0009645.CrossRefPubMedPubMedCentral Aceng FL, Ario AR, Alitubeera PH, Kadobera D, Sekamatte M, Okethwangu D, et al. Cutaneous anthrax associated with handling carcasses of animals that died suddenly of unknown cause: Arua District, Uganda, January 2015–August 2017. PLoS Negl Trop Dis. 2021;15:e0009645.CrossRefPubMedPubMedCentral
16.
Metadata
Title
Investigation on an outbreak of cutaneous anthrax in a county of Shandong Province, China, 2021
Authors
Xiaolin Yu
Ming Fang
Shuang Wang
Zhong Li
Lixiao Cheng
Zhaoshan Liu
Dandan Zhang
Dandan Dong
Zengqiang Kou
Publication date
01-12-2022
Publisher
BioMed Central
Keyword
Carbuncle
Published in
BMC Infectious Diseases / Issue 1/2022
Electronic ISSN: 1471-2334
DOI
https://doi.org/10.1186/s12879-022-07802-8

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