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dc.contributor.authorHu, JL
dc.contributor.authorCui, LL
dc.contributor.authorBao, CJ
dc.contributor.authorTan, ZM
dc.contributor.authorRutherford, S
dc.contributor.authorYing, L
dc.contributor.authorZhang, ML
dc.contributor.authorZhu, FC
dc.date.accessioned2018-11-27T02:18:34Z
dc.date.available2018-11-27T02:18:34Z
dc.date.issued2016
dc.identifier.issn0950-2688
dc.identifier.doi10.1017/S0950268816001205
dc.identifier.urihttp://hdl.handle.net/10072/123801
dc.description.abstractAnthrax is still a severe public health problem and threat to human health. A cutaneous anthrax outbreak occurred in Jiangsu Province, a non-endemic anthrax region of eastern China, from July to August 2012. Epidemiological and laboratory investigation were initiated to trace the source of infection and identify the risk factors of the outbreak. On 25 July 2012, 17 persons were exposed to a sick cow, which had been imported from northeast China a few days previously. Of the 17 exposed, eight developed symptoms between 1 and 8 days and were diagnosed as cutaneous anthrax cases. Three main genes of Bacillus anthracis were detected from both human and cow meat samples, indicating that the outbreak was associated with this infected cow. A retrospective cohort study showed that contact with blood and presence of skin damage contributed to the case infection with B. anthracis. The outbreak highlights the need to enhance quarantine for imported livestock, which should have been vaccinated prior to importation, the significance of education for high-risk individuals, and training for primary healthcare workers even in anthrax-free areas.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherCambridge University Press
dc.relation.ispartofpagefrom2672
dc.relation.ispartofpageto2678
dc.relation.ispartofissue12
dc.relation.ispartofjournalEpidemiology and Infection
dc.relation.ispartofvolume144
dc.subject.fieldofresearchHealth services and systems
dc.subject.fieldofresearchPublic health
dc.subject.fieldofresearchcode4203
dc.subject.fieldofresearchcode4206
dc.titleSource and risk factors of a cutaneous anthrax outbreak, Jiangsu, Eastern China, 2012
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
dc.description.versionAccepted Manuscript (AM)
gro.rights.copyright© 2016 Cambridge University Press. This is the author-manuscript version of this paper. Reproduced in accordance with the copyright policy of the publisher. Please refer to the journal's website for access to the definitive, published version.
gro.hasfulltextFull Text
gro.griffith.authorRutherford, Shannon


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