ArticleThe American journal of tropical medicine and hygiene2015
Human Anthrax Transmission at the Urban-Rural Interface, Georgia.
Article in The American journal of tropical medicine and hygiene, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- The global distribution of Bacillus anthracis and associated anthrax risk to humans, livestock and wildlife.Nature microbiology · 2019Article
- Modeling the environmental suitability of anthrax in Ghana and estimating populations at risk: Implications for vaccination and control.PLoS neglected tropical diseases · 2017Article
- The epidemiological investigation and control of an anthrax outbreak in a village in Central Anatolia, Turkey.Pathogens and global health · 2017Article
- Managing the Transition to Widespread Metagenomic Monitoring: Policy Considerations for Future Biosurveillance.Health securityArticle
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Human anthrax has increased dramatically in Georgia and was recently linked to the sale of meat in an urban market. We assessed epidemiological trends and risk factors for human anthrax at the urban-rural interface. We reviewed epidemiologic records (2000-2012) that included the place of residence (classified as urban, peri-urban, or rural), age, gender, and self-reported source of infection (handling or processing animal by-products and slaughtering or butchering livestock). To estimate risk, we used a negative binomial regression. The average incidence per 1 million population in peri-urban areas (24.5 cases) was > 2-fold higher compared with rural areas and > 3-fold higher compared with urban area. Risk from handling or purchasing meat was nearly 2-fold higher in urban areas and > 4-fold higher in peri-urban areas compared with rural area. Our findings suggest a high risk of anthrax in urban and peri-urban areas likely as a result of spillover from contaminated meat and animal by-products. Consumers should be warned to purchase meat only from licensed merchants.
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