Anthrax is a serious disease caused by Bacillus anthracis, a bacterium that forms spores. A bacterium is a very small organism made up of one cell. Many bacteria can cause disease. A spore is a cell that is dormant (asleep) but may come to life with the right conditions.
There are three types of anthrax:
Anthrax is not known to spread from one person to another.
Anthrax from animals. Humans can become infected with anthrax by handling products from infected animals or by breathing in anthrax spores from infected animal products (like wool, for example). People also can become infected with gastrointestinal anthrax by eating undercooked meat from infected animals.
Anthrax as a weapon. Anthrax also can be used as a weapon. This happened in the United States in 2001. Anthrax was deliberately spread through the postal system by sending letters with powder containing anthrax. This caused 22 cases of anthrax infection.
The Centers for Disease Control and Prevention classifi es agents with recognized bioterrorism potential into three priority areas (A, B and C). Anthrax is classifi ed as a Category A agent. Category A agents are those that:
In most cases, early treatment with antibiotics can cure cutaneous anthrax. Even if untreated, 80 percent of people who become infected with cutaneous anthrax do not die. Gastrointestinal anthrax is more serious be- cause between one-fourth and more than half of cases lead to death. Inhalation anthrax is much more severe. In 2001, about half of the cases of inhalation anthrax ended in death.
The symptoms (warning signs) of anthrax are different depending on the type of the disease:
Symptoms can appear within 7 days of coming in contact with the bacterium for all three types of anthrax. For inhalation anthrax, symptoms can appear within a week or can take up to 42 days to appear.
Antibiotics are used to treat all three types of anthrax. Early identifi cation and treatment are important.
Prevention after exposure. Treatment is different for a person who is exposed to anthrax, but is not yet sick. Health-care providers will use antibiotics (such as ciprofl oxacin, levofl oxacin, doxycycline, or penicillin) combined with the anthrax vaccine to prevent anthrax infection.
Treatment after infection. Treatment is usually a 60-day course of antibiotics. Success depends on the type of anthrax and how soon treatment begins.
Vaccination. There is a vaccine to prevent anthrax, but it is not yet available for the general public. Anyone who may be exposed to anthrax, including certain members of the U.S. armed forces, laboratory workers, and workers who may enter or re-enter contaminated areas, may get the vaccine. Also, in the event of an attack using anthrax as a weapon, people exposed would get the vaccine.
If you are showing symptoms of anthrax infection, call your health-care provider right away.
Contact local law enforcement immediately if you think that you may have been exposed to anthrax. This includes being exposed to a suspicious package or envelope that contains powder.
CDC is working with state and local health authorities to prepare for an anthrax attack. Activities include:
For more information, visit www.bt.cdc.gov/agent/anthrax, or call CDC at 800-CDC-INFO