Isolated case of bioterrorism-related inhalational anthrax, New York City, 2001

Timothy H. Holtz; Joel Ackelsberg; Jacob L. Kool; Richard Rosselli; Anthony Marfin; Thomas Matte; Sara T. Beatrice; Michael B. Heller; Dan Hewett; Linda C. Moskin; Michel L. Bunning; Marcelle Layton; Sharon Balter; Katie Bornschlegel; Darcy Carr; Neal Cohen; Debjani Das; Annie Fine; Jane Greenko; Laura Mascuch; Benjamin Mojica; Farzad Mostashari; Denis Nash; Beth Nivin; Sheila Palevsky; Sarah Perl; Michael Phillips; Jeanine Prud'homme; Barbara N. Samuels; Karen Schlanger; Polly Thomas; Isaac Weisfuse; Don Weiss; Alice Agasan; Joselito Amurao; Josephine Atamian; Debra Cook; Erica DeBernardo; Philomena Fleckenstein; Anne Marie Incalicchlo; Ed Lee; William Oleszko; Lynn Paynter; Chiminyan Sathyakumar; George Williams; Marie T. Wong; Ben Yang Zhao; Dilcia Ortega; Sarah Petrello; Michael Tapper; May Chu; David Dennis; Kathleen Julian; Lyle R. Petersen; Josh Harney; Robert McCleery; Ken Martinez; McKenzie Andre; Mick Ballesteros; Mary Brandt; Shadi Chamany; Daniel Feikin; Collette Fitzgerald; Jessica Gardom; Alex Hoffmaster; Kristy Kubota; Richard Leman; Naile Malakmadze; Els Mathieu; Leonard Mayer; Shawn McMahon; Juliette Morgan; Tim Naimi; Steve Ostroff; John Painter; Harald Pietz; Tanya Popovic; Joe Posid; Efrain Ribot; Dejana Selenic; Tanya Sharpe; Montserrat Soriano-Gabarro; Allison Stock; Phil Talboy; Sara Whitehead; William Wong; Weigong Zhou; Manoj Menon; Francis S. Baluyot; Marcelo V. Bayquen; Monicka J. Boyd; Lisa A. De Los Santos; Martin E. France; Lora L. Galloway; Theron J. Hudson; Angel Lorenzo; Ludwig Mantay; Patrick H. Murray; Debra M. Niemeyer

doi:10.3201/eid0906.020668

Isolated case of bioterrorism-related inhalational anthrax, New York City, 2001

Timothy H. Holtz, Joel Ackelsberg, Jacob L. Kool, Richard Rosselli, Anthony Marfin, Thomas Matte, Sara T. Beatrice, Michael B. Heller, Dan Hewett, Linda C. Moskin, Michel L. Bunning, Marcelle Layton, Sharon Balter, Katie Bornschlegel, Darcy Carr, Neal Cohen, Debjani Das, Annie Fine, Jane Greenko, Laura MascuchBenjamin Mojica, Farzad Mostashari, Denis Nash, Beth Nivin, Sheila Palevsky, Sarah Perl, Michael Phillips, Jeanine Prud'homme, Barbara N. Samuels, Karen Schlanger, Polly Thomas, Isaac Weisfuse, Don Weiss, Alice Agasan, Joselito Amurao, Josephine Atamian, Debra Cook, Erica DeBernardo, Philomena Fleckenstein, Anne Marie Incalicchlo, Ed Lee, William Oleszko, Lynn Paynter, Chiminyan Sathyakumar, George Williams, Marie T. Wong, Ben Yang Zhao, Dilcia Ortega, Sarah Petrello, Michael Tapper, May Chu, David Dennis, Kathleen Julian, Lyle R. Petersen, Josh Harney, Robert McCleery, Ken Martinez, McKenzie Andre, Mick Ballesteros, Mary Brandt, Shadi Chamany, Daniel Feikin, Collette Fitzgerald, Jessica Gardom, Alex Hoffmaster, Kristy Kubota, Richard Leman, Naile Malakmadze, Els Mathieu, Leonard Mayer, Shawn McMahon, Juliette Morgan, Tim Naimi, Steve Ostroff, John Painter, Harald Pietz, Tanya Popovic, Joe Posid, Efrain Ribot, Dejana Selenic, Tanya Sharpe, Montserrat Soriano-Gabarro, Allison Stock, Phil Talboy, Sara Whitehead, William Wong, Weigong Zhou, Manoj Menon, Francis S. Baluyot, Marcelo V. Bayquen, Monicka J. Boyd, Lisa A. De Los Santos, Martin E. France, Lora L. Galloway, Theron J. Hudson, Angel Lorenzo, Ludwig Mantay, Patrick H. Murray, Debra M. Niemeyer

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Abstract

On October 31, 2001, in New York City, a 61-year-old female hospital employee who had acquired inhalational anthrax died after a 6-day illness. To determine sources of exposure and identify additional persons at risk, the New York City Department of Health, Centers for Disease Control and Prevention, and law enforcement authorities conducted an extensive investigation, which included interviewing contacts, examining personal effects, summarizing patient's use of mass transit, conducting active case finding and surveillance near her residence and at her workplace, and collecting samples from co-workers and the environment. We cultured all specimens for Bacillus anthracis. We found no additional cases of cutaneous or inhalational anthrax. The route of exposure remains unknown. All environmental samples were negative for B. anthracis. This first case of inhalational anthrax during the 2001 outbreak with no apparent direct link to contaminated mail emphasizes the need for close coordination between public health and law enforcement agencies during bioterrorism-related investigations.

Original language	English (US)
Pages (from-to)	689-696
Number of pages	8
Journal	Emerging infectious diseases
Volume	9
Issue number	6
DOIs	https://doi.org/10.3201/eid0906.020668
State	Published - Jun 1 2003

All Science Journal Classification (ASJC) codes

Epidemiology
Microbiology (medical)
Infectious Diseases

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10.3201/eid0906.020668

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Holtz, T. H., Ackelsberg, J., Kool, J. L., Rosselli, R., Marfin, A., Matte, T., Beatrice, S. T., Heller, M. B., Hewett, D., Moskin, L. C., Bunning, M. L., Layton, M., Balter, S., Bornschlegel, K., Carr, D., Cohen, N., Das, D., Fine, A., Greenko, J., ... Niemeyer, D. M. (2003). Isolated case of bioterrorism-related inhalational anthrax, New York City, 2001. Emerging infectious diseases, 9(6), 689-696. https://doi.org/10.3201/eid0906.020668

@article{0d5010f2037543e396b919eea8d84ca4,

title = "Isolated case of bioterrorism-related inhalational anthrax, New York City, 2001",

abstract = "On October 31, 2001, in New York City, a 61-year-old female hospital employee who had acquired inhalational anthrax died after a 6-day illness. To determine sources of exposure and identify additional persons at risk, the New York City Department of Health, Centers for Disease Control and Prevention, and law enforcement authorities conducted an extensive investigation, which included interviewing contacts, examining personal effects, summarizing patient's use of mass transit, conducting active case finding and surveillance near her residence and at her workplace, and collecting samples from co-workers and the environment. We cultured all specimens for Bacillus anthracis. We found no additional cases of cutaneous or inhalational anthrax. The route of exposure remains unknown. All environmental samples were negative for B. anthracis. This first case of inhalational anthrax during the 2001 outbreak with no apparent direct link to contaminated mail emphasizes the need for close coordination between public health and law enforcement agencies during bioterrorism-related investigations.",

author = "Holtz, {Timothy H.} and Joel Ackelsberg and Kool, {Jacob L.} and Richard Rosselli and Anthony Marfin and Thomas Matte and Beatrice, {Sara T.} and Heller, {Michael B.} and Dan Hewett and Moskin, {Linda C.} and Bunning, {Michel L.} and Marcelle Layton and Sharon Balter and Katie Bornschlegel and Darcy Carr and Neal Cohen and Debjani Das and Annie Fine and Jane Greenko and Laura Mascuch and Benjamin Mojica and Farzad Mostashari and Denis Nash and Beth Nivin and Sheila Palevsky and Sarah Perl and Michael Phillips and Jeanine Prud'homme and Samuels, {Barbara N.} and Karen Schlanger and Polly Thomas and Isaac Weisfuse and Don Weiss and Alice Agasan and Joselito Amurao and Josephine Atamian and Debra Cook and Erica DeBernardo and Philomena Fleckenstein and Incalicchlo, {Anne Marie} and Ed Lee and William Oleszko and Lynn Paynter and Chiminyan Sathyakumar and George Williams and Wong, {Marie T.} and Zhao, {Ben Yang} and Dilcia Ortega and Sarah Petrello and Michael Tapper and May Chu and David Dennis and Kathleen Julian and Petersen, {Lyle R.} and Josh Harney and Robert McCleery and Ken Martinez and McKenzie Andre and Mick Ballesteros and Mary Brandt and Shadi Chamany and Daniel Feikin and Collette Fitzgerald and Jessica Gardom and Alex Hoffmaster and Kristy Kubota and Richard Leman and Naile Malakmadze and Els Mathieu and Leonard Mayer and Shawn McMahon and Juliette Morgan and Tim Naimi and Steve Ostroff and John Painter and Harald Pietz and Tanya Popovic and Joe Posid and Efrain Ribot and Dejana Selenic and Tanya Sharpe and Montserrat Soriano-Gabarro and Allison Stock and Phil Talboy and Sara Whitehead and William Wong and Weigong Zhou and Manoj Menon and Baluyot, {Francis S.} and Bayquen, {Marcelo V.} and Boyd, {Monicka J.} and {De Los Santos}, {Lisa A.} and France, {Martin E.} and Galloway, {Lora L.} and Hudson, {Theron J.} and Angel Lorenzo and Ludwig Mantay and Murray, {Patrick H.} and Niemeyer, {Debra M.}",

year = "2003",

month = jun,

day = "1",

doi = "10.3201/eid0906.020668",

language = "English (US)",

volume = "9",

pages = "689--696",

journal = "Emerging infectious diseases",

issn = "1080-6040",

publisher = "Centers for Disease Control and Prevention (CDC)",

number = "6",

}

Holtz, TH, Ackelsberg, J, Kool, JL, Rosselli, R, Marfin, A, Matte, T, Beatrice, ST, Heller, MB, Hewett, D, Moskin, LC, Bunning, ML, Layton, M, Balter, S, Bornschlegel, K, Carr, D, Cohen, N, Das, D, Fine, A, Greenko, J, Mascuch, L, Mojica, B, Mostashari, F, Nash, D, Nivin, B, Palevsky, S, Perl, S, Phillips, M, Prud'homme, J, Samuels, BN, Schlanger, K, Thomas, P, Weisfuse, I, Weiss, D, Agasan, A, Amurao, J, Atamian, J, Cook, D, DeBernardo, E, Fleckenstein, P, Incalicchlo, AM, Lee, E, Oleszko, W, Paynter, L, Sathyakumar, C, Williams, G, Wong, MT, Zhao, BY, Ortega, D, Petrello, S, Tapper, M, Chu, M, Dennis, D, Julian, K, Petersen, LR, Harney, J, McCleery, R, Martinez, K, Andre, M, Ballesteros, M, Brandt, M, Chamany, S, Feikin, D, Fitzgerald, C, Gardom, J, Hoffmaster, A, Kubota, K, Leman, R, Malakmadze, N, Mathieu, E, Mayer, L, McMahon, S, Morgan, J, Naimi, T, Ostroff, S, Painter, J, Pietz, H, Popovic, T, Posid, J, Ribot, E, Selenic, D, Sharpe, T, Soriano-Gabarro, M, Stock, A, Talboy, P, Whitehead, S, Wong, W, Zhou, W, Menon, M, Baluyot, FS, Bayquen, MV, Boyd, MJ, De Los Santos, LA, France, ME, Galloway, LL, Hudson, TJ, Lorenzo, A, Mantay, L, Murray, PH & Niemeyer, DM 2003, 'Isolated case of bioterrorism-related inhalational anthrax, New York City, 2001', Emerging infectious diseases, vol. 9, no. 6, pp. 689-696. https://doi.org/10.3201/eid0906.020668

TY - JOUR

T1 - Isolated case of bioterrorism-related inhalational anthrax, New York City, 2001

AU - Holtz, Timothy H.

AU - Ackelsberg, Joel

AU - Kool, Jacob L.

AU - Rosselli, Richard

AU - Marfin, Anthony

AU - Matte, Thomas

AU - Beatrice, Sara T.

AU - Heller, Michael B.

AU - Hewett, Dan

AU - Moskin, Linda C.

AU - Bunning, Michel L.

AU - Layton, Marcelle

AU - Balter, Sharon

AU - Bornschlegel, Katie

AU - Carr, Darcy

AU - Cohen, Neal

AU - Das, Debjani

AU - Fine, Annie

AU - Greenko, Jane

AU - Mascuch, Laura

AU - Mojica, Benjamin

AU - Mostashari, Farzad

AU - Nash, Denis

AU - Nivin, Beth

AU - Palevsky, Sheila

AU - Perl, Sarah

AU - Phillips, Michael

AU - Prud'homme, Jeanine

AU - Samuels, Barbara N.

AU - Schlanger, Karen

AU - Thomas, Polly

AU - Weisfuse, Isaac

AU - Weiss, Don

AU - Agasan, Alice

AU - Amurao, Joselito

AU - Atamian, Josephine

AU - Cook, Debra

AU - DeBernardo, Erica

AU - Fleckenstein, Philomena

AU - Incalicchlo, Anne Marie

AU - Lee, Ed

AU - Oleszko, William

AU - Paynter, Lynn

AU - Sathyakumar, Chiminyan

AU - Williams, George

AU - Wong, Marie T.

AU - Zhao, Ben Yang

AU - Ortega, Dilcia

AU - Petrello, Sarah

AU - Tapper, Michael

AU - Chu, May

AU - Dennis, David

AU - Julian, Kathleen

AU - Petersen, Lyle R.

AU - Harney, Josh

AU - McCleery, Robert

AU - Martinez, Ken

AU - Andre, McKenzie

AU - Ballesteros, Mick

AU - Brandt, Mary

AU - Chamany, Shadi

AU - Feikin, Daniel

AU - Fitzgerald, Collette

AU - Gardom, Jessica

AU - Hoffmaster, Alex

AU - Kubota, Kristy

AU - Leman, Richard

AU - Malakmadze, Naile

AU - Mathieu, Els

AU - Mayer, Leonard

AU - McMahon, Shawn

AU - Morgan, Juliette

AU - Naimi, Tim

AU - Ostroff, Steve

AU - Painter, John

AU - Pietz, Harald

AU - Popovic, Tanya

AU - Posid, Joe

AU - Ribot, Efrain

AU - Selenic, Dejana

AU - Sharpe, Tanya

AU - Soriano-Gabarro, Montserrat

AU - Stock, Allison

AU - Talboy, Phil

AU - Whitehead, Sara

AU - Wong, William

AU - Zhou, Weigong

AU - Menon, Manoj

AU - Baluyot, Francis S.

AU - Bayquen, Marcelo V.

AU - Boyd, Monicka J.

AU - De Los Santos, Lisa A.

AU - France, Martin E.

AU - Galloway, Lora L.

AU - Hudson, Theron J.

AU - Lorenzo, Angel

AU - Mantay, Ludwig

AU - Murray, Patrick H.

AU - Niemeyer, Debra M.

PY - 2003/6/1

Y1 - 2003/6/1

N2 - On October 31, 2001, in New York City, a 61-year-old female hospital employee who had acquired inhalational anthrax died after a 6-day illness. To determine sources of exposure and identify additional persons at risk, the New York City Department of Health, Centers for Disease Control and Prevention, and law enforcement authorities conducted an extensive investigation, which included interviewing contacts, examining personal effects, summarizing patient's use of mass transit, conducting active case finding and surveillance near her residence and at her workplace, and collecting samples from co-workers and the environment. We cultured all specimens for Bacillus anthracis. We found no additional cases of cutaneous or inhalational anthrax. The route of exposure remains unknown. All environmental samples were negative for B. anthracis. This first case of inhalational anthrax during the 2001 outbreak with no apparent direct link to contaminated mail emphasizes the need for close coordination between public health and law enforcement agencies during bioterrorism-related investigations.

AB - On October 31, 2001, in New York City, a 61-year-old female hospital employee who had acquired inhalational anthrax died after a 6-day illness. To determine sources of exposure and identify additional persons at risk, the New York City Department of Health, Centers for Disease Control and Prevention, and law enforcement authorities conducted an extensive investigation, which included interviewing contacts, examining personal effects, summarizing patient's use of mass transit, conducting active case finding and surveillance near her residence and at her workplace, and collecting samples from co-workers and the environment. We cultured all specimens for Bacillus anthracis. We found no additional cases of cutaneous or inhalational anthrax. The route of exposure remains unknown. All environmental samples were negative for B. anthracis. This first case of inhalational anthrax during the 2001 outbreak with no apparent direct link to contaminated mail emphasizes the need for close coordination between public health and law enforcement agencies during bioterrorism-related investigations.

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UR - http://www.scopus.com/inward/citedby.url?scp=0037905784&partnerID=8YFLogxK

U2 - 10.3201/eid0906.020668

DO - 10.3201/eid0906.020668

M3 - Article

C2 - 12781008

AN - SCOPUS:0037905784

SN - 1080-6040

VL - 9

SP - 689

EP - 696

JO - Emerging infectious diseases

JF - Emerging infectious diseases

IS - 6

ER -

Isolated case of bioterrorism-related inhalational anthrax, New York City, 2001

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