TY - JOUR AU - Kisaakye, Esther AU - Ario, Alex Riolexus AU - Bainomugisha, Kenneth AU - Cossaboom, Caitlin AU - Lowe, David AU - Bulage, Lilian AU - Kadobera, Daniel AU - Sekamatte, Musa AU - Lubwama, Bernard AU - Tumusiime, Dan AU - Tusiime, Patrick AU - Downing, Robert AU - Buule, Joshua AU - Lutwama, Julius AU - Salzer, Johanna AU - Matkovic, Eduard AU - Ritter, Jana AU - Gary, Joy AU - Zhu, Bao-Ping T1 - Outbreak of Anthrax Associated with Handling and Eating Meat from a Cow, Uganda, 2018 T2 - Emerging Infectious Disease journal PY - 2020 VL - 26 IS - 12 SP - 2799 SN - 1080-6059 AB - On April 20, 2018, the Kween District Health Office in Kween District, Uganda reported 7 suspected cases of human anthrax. A team from the Uganda Ministry of Health and partners investigated and identified 49 cases, 3 confirmed and 46 suspected; no deaths were reported. Multiple exposures from handling the carcass of a cow that had died suddenly were significantly associated with cutaneous anthrax, whereas eating meat from that cow was associated with gastrointestinal anthrax. Eating undercooked meat was significantly associated with gastrointestinal anthrax, but boiling the meat for >60 minutes was protective. We recommended providing postexposure antimicrobial prophylaxis for all exposed persons, vaccinating healthy livestock in the area, educating farmers to safely dispose of animal carcasses, and avoiding handling or eating meat from livestock that died of unknown causes. KW - anthrax KW - Bacillus anthracis KW - bacteria KW - cutaneous anthrax KW - disease outbreaks KW - enteric infections KW - food-borne diseases KW - gastrointestinal anthrax KW - global health security KW - One Health KW - Uganda KW - zoonoses DO - 10.3201/eid2612.191373 UR - https://wwwnc.cdc.gov/eid/article/26/12/19-1373_article ER - End of Reference