Abstract:Anthrax is an especially dangerous zooanthroponosis caused by the Gram-positive spore-forming bacterium Bacillus anthracis. A notable feature of this disease is the difference in susceptibility to it among different groups of animals. Anthrax primarily affects herbivorous ungulate mammals; they are easily infected, and their disease often leads to rapid, even sudden, death. However, predators and scavengers are extremely resistant to anthrax, and if they become infected, they usually become mildly ill. As the … Show more
“…and wildlife (elephant, bison, buffalo, zebras, etc.) with occasional outbreaks in humans, with recent cases being reported from most areas of the world excluding northern and central Europe [ 1 , 2 , 5 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 ]. Industrial anthrax is the result of occupational exposure to spore-contaminated animal products such as wool and hair, which accounted for 50% or more of human cases until late in the 20th century [ 18 ] ( Table 1 ).…”
Section: Epidemiologymentioning
confidence: 99%
“…Anthrax is an ancient zoonotic disease which primarily infects herbivores with humans occasionally being infected. While naturally occurring, it remains a health problem in low- and middle-income countries; its potential misuse as a biological weapon puts all communities at risk [ 1 , 2 , 3 , 4 , 5 ]. Although the human form of the disease is rarely seen in western countries, human cases have been reported.…”
Anthrax is one of the most important zoonotic diseases which primarily infects herbivores and occasionally humans. The etiological agent is Bacillus anthracis which is a Gram-positive, aerobic, spore-forming, nonmotile, rod-shaped bacillus. The spores are resistant to environmental conditions and remain viable for a long time in contaminated soil, which is the main reservoir for wild and domestic mammals. Infections still occur in low-income countries where they cause suffering and economic hardship. Humans are infected by contact with ill or dead animals, contaminated animal products, directly exposed to the spores in the environment or spores released as a consequence of a bioterrorist event. Three classical clinical forms of the disease, cutaneous, gastrointestinal and inhalation, are seen, all of which can potentially lead to sepsis or meningitis. A new clinical form in drug users has been described recently and named “injectional anthrax” with high mortality (>33%). The symptoms of anthrax in the early stage mimics many diseases and as a consequence it is important to confirm the diagnosis using a bacterial culture or a molecular test. With regards to treatment, human isolates are generally susceptible to most antibiotics with penicillin G and amoxicillin as the first choice, and ciprofloxacin and doxycycline serving as alternatives. A combination of one or more antibiotics is suggested in systemic anthrax. Controlling anthrax in humans depends primarily on effective control of the disease in animals. Spore vaccines are used in veterinary service, and an acellular vaccine is available for humans but its use is limited.
“…and wildlife (elephant, bison, buffalo, zebras, etc.) with occasional outbreaks in humans, with recent cases being reported from most areas of the world excluding northern and central Europe [ 1 , 2 , 5 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 ]. Industrial anthrax is the result of occupational exposure to spore-contaminated animal products such as wool and hair, which accounted for 50% or more of human cases until late in the 20th century [ 18 ] ( Table 1 ).…”
Section: Epidemiologymentioning
confidence: 99%
“…Anthrax is an ancient zoonotic disease which primarily infects herbivores with humans occasionally being infected. While naturally occurring, it remains a health problem in low- and middle-income countries; its potential misuse as a biological weapon puts all communities at risk [ 1 , 2 , 3 , 4 , 5 ]. Although the human form of the disease is rarely seen in western countries, human cases have been reported.…”
Anthrax is one of the most important zoonotic diseases which primarily infects herbivores and occasionally humans. The etiological agent is Bacillus anthracis which is a Gram-positive, aerobic, spore-forming, nonmotile, rod-shaped bacillus. The spores are resistant to environmental conditions and remain viable for a long time in contaminated soil, which is the main reservoir for wild and domestic mammals. Infections still occur in low-income countries where they cause suffering and economic hardship. Humans are infected by contact with ill or dead animals, contaminated animal products, directly exposed to the spores in the environment or spores released as a consequence of a bioterrorist event. Three classical clinical forms of the disease, cutaneous, gastrointestinal and inhalation, are seen, all of which can potentially lead to sepsis or meningitis. A new clinical form in drug users has been described recently and named “injectional anthrax” with high mortality (>33%). The symptoms of anthrax in the early stage mimics many diseases and as a consequence it is important to confirm the diagnosis using a bacterial culture or a molecular test. With regards to treatment, human isolates are generally susceptible to most antibiotics with penicillin G and amoxicillin as the first choice, and ciprofloxacin and doxycycline serving as alternatives. A combination of one or more antibiotics is suggested in systemic anthrax. Controlling anthrax in humans depends primarily on effective control of the disease in animals. Spore vaccines are used in veterinary service, and an acellular vaccine is available for humans but its use is limited.
“…Relevant factors may include host stress, dry vegetation causing alimentary microtrauma, surface water concentrating spores, a growth of contaminated vegetation, and animals congregating near water and carcasses [25,43,55]. Mammalian and avian scavengers will open carcasses (promoting sporulation) and, along with blowflies, can disperse high concentrations of spores [16,25,36,43]. Animal outbreaks probably reflect these factors, plus in some cases biting fly transmission [1,18,43,56].…”
Section: Epidemiology Prevention and Risk Groups Epidemiologymentioning
Graphical abstract
Principal routes of
Bacillus anthracis
infection and stages of anthrax pathogenesis, consistent with current understandings. Depending on the route of infection, germination of spores may happen in extracellular tissue fluid, or following phagocytosis (a). Successful infection of host cells leads to toxin-associated cell death and release of vegetative cells and toxin (b). Toxin binds and enters other host cells (c), including those of the immune system, disrupting function. In some cases this leads to systemic disease, which typically is fatal.
“…This has resulted in under-reporting of the disease and, in some cases, neglected; thus, anthrax endemism and outbreak intensity has been characterized at extremely coarse scales. In animals and humans, the bacterium is often found in the vegetative form, but on exposure to air, it forms highly resistant spores that can remain viable for many years in some soils and therefore serves as a source of infection to grazing herbivores (Bakhteeva and Timofeev, 2022;Finke et al, 2020;Turner et al, 2014;Valseth et al, 2017). Thus, the ability of B. anthracis to form long-lasting, highly resistant spores is central to the persistence of anthrax in an area.…”
Anthrax is a worldwide environmentally transmitted fatal zoonotic disease with socioeconomic and public health impacts. It frequently occurs among livestock and wildlife in North Kivu province, Democratic Republic of the Congo. However, due to a poor animal health control system, it is poorly understood and managed and often underreported. Therefore, to understand, document, and report the epidemiology of anthrax in this province, a cross-sectional survey was conducted in 2015 involving arbitrarily selected 120 farmers to access their knowledge on clinical manifestations, transmission, prevention, attitudes, and practices concerning anthrax. Subsequently, a field investigation was conducted in 2021 during an anthrax outbreak to investigate the disease trend and routine practices. We established that most farmers know and can identify anthrax; they greatly fear and try to prevent it despite some unhealthy practices associated with handling and eating anthrax-contaminated meat. Extensive transhumance livestock management systems, anthropogenic activities, and the lack of a surveillance program have primarily contributed to anthrax outbreaks in North Kivu province. The presence of anthrax in this region was confirmed by detecting Bacillus anthracis, the etiological agent, during an outbreak investigation. Hence, the need for collaborative efforts for continued surveillance effectively manage anthrax outbreaks to reduce this serious threat to health and livelihood in this area.
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