What Is Anthrax?


Anthrax is a disease caused by a type of bacteria called Bacillus anthracis. Here's what you should know about the different forms of this disease.

 

By Liza Jane Maltin
WebMD Medical News

Anthrax is a disease caused by a type of bacteria called Bacillus anthracis. The germ produces infectious spores that, when buried in the ground, can live for years. Anthrax is most often seen in wild and domesticated cattle, but it also can sicken humans who touch or inhale any spores from a live or dead infected animal, or eat undercooked meat from an infected animal.

According to the CDC, anthrax is a likely candidate for use as a weapon of biological terrorism, or bioterror. The antibiotic Cipro is the only drug currently FDA-approved for preventing the development of anthrax after exposure, or the worsening of symptoms after the disease has taken hold. Anthrax is curable if it is recognized and treated early enough in the development of the infection.

The disease takes three distinct forms depending on how the germ enters the body: cutaneous (through a cut or scrape on the skin), inhalation (breathed in), and gastrointestinal (eaten). All forms of anthrax are quite rare in the U.S. But when one does occur, symptoms usually show up a day to a week after exposure. Here is a list of what these symptoms look like:

Cutaneous: Starts out with a bump like a mosquito bite, usually on the hand, but within a few days, it turns into a painless, open sore with a tell-tale black center of dead tissue. This form of anthrax is highly treatable, and about 20% of untreated victims die.

Inhalation: At first, it feels like the common cold, but it can rapidly progress to severe pneumonia with difficulty breathing and shock. This form is usually fatal without treatment, but it is not contagious.

Gastrointestinal: Begins with loss of appetite, nausea, vomiting, and fever, and it progresses to vomiting of blood and severe diarrhea. This form is deadly in 25% to 60% of cases but is extremely rare in humans and almost unknown in the U.S.

Farm animals are regularly vaccinated against anthrax, but formulas prepared for livestock should never be used in people. A human anthrax vaccine does exist, which is used to boost the immune system. The vaccine for people is about 93% effective, but for now, it's available only to military personnel deployed to areas with a high threat of biological warfare and to people who work closely with the bacteria, potentially-infectious animals, or animal by-products. The only other way to develop immunity to the disease is to have survived a previous anthrax infection. The body then recognizes the dangerous type of bacteria again and knows how to fight it.

Immunization isn't a quick fix, anyway. It requires three shots given two weeks apart, three more shots given six, 12, and 18 months later, then annual booster shots after that. There are no live or dead anthrax bacteria in the vaccine, and the serious adverse reactions are rare (about 0.2%).

You can reach the Anthrax Vaccine Immunization Program in the U.S. Army Surgeon General's Office at 1-877-GETVACC.



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