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

Research output: Contribution to journalArticlepeer-review

25 Scopus citations


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 languageEnglish (US)
Pages (from-to)689-696
Number of pages8
JournalEmerging infectious diseases
Issue number6
StatePublished - Jun 1 2003

All Science Journal Classification (ASJC) codes

  • Epidemiology
  • Microbiology (medical)
  • Infectious Diseases


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