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This is an official
CDC HEALTH UPDATE

Distributed via Health Alert Network
Wednesday, November 21, 2001, 21:05  EST (9:05  PM EST)
CDCHAN-00058-2001-11-21-UPD-N

Connecticut Inhalation Anthrax Case Confirmed

CDC has confirmed a case of inhalational anthrax in Connecticut. Yesterday CDC was contacted by the Connecticut Department of Public Health about a respiratory illness in a 94-year-old female whose blood cultures grew organisms identified as Bacillus anthracis. The isolates arrived at CDC last night and were confirmed to be B. anthracis early this morning. The patient required intensive care and died this morning.

The investigation in Connecticut is in progress but no source or mechanism of exposure has been identified. Persons in the local post office as well as the Wallingford mail processing facility have been advised to initiate prophylactic antimicrobial treatment. Additional persons who have visited the patient's home in the past 30 days also have been advised to initiate treatment. As the epidemiologic and environmental investigation proceeds, updated treatment recommendations will be made.

The Connecticut Department of Public Health is conducting active surveillance to identify additional cases suspicious for anthrax. Environmental assessment of the Seymour Post Office and the Wallingford Post Office is in progress. In addition, thorough environmental assessments of her home and places she might have visited are underway. CDC, FBI, and US Postal Service personnel are collaborating with the Connecticut Department of Health in these investigations.

Persons who identify cases of illness suspicious for anthrax are reminded to contact their local health department. The CDC Emergency Operations Response Center can be reached at 770 488 7100.

Summary of Local, State, and Federal Confirmed Human Anthrax Cases and Exposures

Case Status

Florida

New York City

New Jersey

Washington, DC

Connecticut

Total

Confirmed

2

5

5

5

1

18

Cutaneous

0

4

3

0

0

Inhalational

2

1

2

5

1

Suspect

0

3

2

0

5

Cutaneous

0

3

2

0

Inhalational

0

0

0

0

As a reminder, CDC confirmed cases are based on a rigorous case definition which was published in CDC's Morbidity and Mortality Weekly Report (MMWR) on October 19, 2001. The MMWR is available on-line at: http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5041a1.htm.

CDC defines a confirmed case of anthrax as 1) a clinically compatible case of cutaneous, inhalational, or gastrointestinal illness that is laboratory confirmed by isolation of B. anthracis from an affected tissue or site or 2) other laboratory evidence of B. anthracis infection based on at least two supportive laboratory tests. CDC defines a suspect case as 1) a clinically compatible case of illness without isolation of B. anthracis and no alternative diagnosis, but with laboratory evidence of B. anthracis by one supportive laboratory test or 2) a clinically compatible case of anthrax epidemiologically linked to a confirmed environmental exposure, but without corroborative laboratory evidence of B. anthracis infection.

For the latest update on CDC activities and on-going anthrax investigations visit

www.bt.cdc.gov or www.cdc.gov/od/oc/media

The Centers for Disease Control and Prevention (CDC) protects people's health and safety by preventing and controlling diseases and injuries; enhances health decisions by providing credible information on critical health issues; and promotes healthy living through strong partnerships with local, national and international organizations.

DEPARTMENT OF HEALTH AND HUMAN SERVICES


HAN Message Types
  • Health Alert: Conveys the highest level of importance; warrants immediate action or attention. Example: HAN00001
  • Health Advisory: Provides important information for a specific incident or situation; may not require immediate action. Example: HAN00316
  • Health Update: Provides updated information regarding an incident or situation; unlikely to require immediate action. Example: HAN00309
  • Info Service: Provides general information that is not necessarily considered to be of an emergent nature. Example: HAN00319

 

## This Message was distributed to State and Local Health Officers, Public Information Officers, Epidemiologists and HAN Coordinators as well as Clinician organizations ##

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