ArticlePLoS neglected tropical diseases2020
Outbreak of gastrointestinal anthrax following eating beef of suspicious origin: Isingiro District, Uganda, 2017.
Article in PLoS neglected tropical diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed, 33 citations in OpenAlex.
- Anthrax outbreak associated with the consumption and handling of carcasses of livestock that suddenly died, Kanungu District, Uganda, June-November 2024.PLoS neglected tropical diseases · 2026Article
- Addressing the anthrax threat: A synthesis of clinical management and public health priorities.Infectious diseases & immunity · 2026Article
- Novel insights regarding field investigations of anthrax outbreaks.The Canadian veterinary journal = La revue veterinaire canadienne · 2025Article
- Anthrax outbreak linked to consumption and handling of meat from unexpectedly deceased cattle, Kyotera district, Uganda, June-December 2023.One health outlook · 2025Article
- Cutaneous anthrax outbreak associated with use of cattle hides and handling carcasses, Amudat District, Uganda, 2023-2024.PloS one · 2025Article
- Time to control of anthrax outbreaks in Africa, 2014-2023: A systematic review and meta-analysis.PLOS global public health · 2025Article
- Are we ready for the next anthrax outbreak? Lessons from a simulation exercise in a rural-based district in Uganda.Epidemiology and infection · 2024Article
- Lysins as a powerful alternative to combat Bacillus anthracis.Applied microbiology and biotechnology · 2024Review
- One Health intervention for elimination of anthrax in an endemic district of Odisha: A baseline and endline study.One health (Amsterdam, Netherlands) · 2024Article
- Human Exposure to Naturally OccurringMicroorganisms · 2024Article
- Informing One Health Anthrax Surveillance and Vaccination Strategy from Spatial Analysis of Anthrax in Humans and Livestock in Ha Giang Province, Vietnam (1999-2020).The American journal of tropical medicine and hygiene · 2023Article
- Improving the effectiveness of Field Epidemiology Training Programs: characteristics that facilitated effective response to the COVID-19 pandemic in Uganda.BMC health services research · 2022Article
- Spatial analysis of human and livestock anthrax in Dien Bien province, Vietnam (2010-2019) and the significance of anthrax vaccination in livestock.PLoS neglected tropical diseases · 2022Article
- Outbreak of cutaneous anthrax associated with handling meat of dead cows in Southwestern Uganda, May 2018.Tropical medicine and health · 2022Article
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- Analysis of Food Safety Management Systems in the Beef Meat Processing and Distribution Chain in Uganda.Foods (Basel, Switzerland) · 2021Article
- Article
- A Review of Arguments for the Existence of Latent Infections ofMicroorganisms · 2020Review
- Investigating suspected gastrointestinal anthrax: a case-control study in Cayapa village, Abra province, Philippines, March 2017.Western Pacific surveillance and response journal : WPSARArticle
- Article
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Authors and funding
10 authors at 4 institutions in 2 countries.
Funding
Abstract
introductionGastrointestinal anthrax is a rare but serious disease. In August 2017, Isingiro District, Uganda reported a cluster of >40 persons with acute-onset gastroenteritis. Symptoms included bloody diarrhoea. We investigated to identify the etiology and exposures, and to inform control measures.
methodsWe defined a suspected case as acute-onset of diarrhoea or vomiting during 15-31 August 2017 in a resident (aged≥2 years) of Kabingo sub-county, Isingiro District; a confirmed case was a suspected case with a clinical sample positive for Bacillus anthracis by culture or PCR. We conducted descriptive epidemiology to generate hypotheses. In a case-control study, we compared exposures between case-patients and neighbourhood-matched controls. We used conditional logistic regression to compute matched odds ratios (MOR) for associations of illness with exposures.
resultsWe identified 61 cases (58 suspected and 3 confirmed; no deaths). In the case-control study, 82% of 50 case-patients and 12% of 100 controls ate beef purchased exclusively from butchery X during the week before illness onset (MOR = 46, 95%CI = 4.7-446); 8.0% of case-patients and 3.0% of controls ate beef purchased from butchery X and elsewhere (MOR = 19, 95%CI = 1.0-328), compared with 6.0% of case-patients and 30% of controls who did not eat beef. B. anthracis was identified in two vomitus and one stool sample. Butchery X slaughtered a sick cow and sold the beef during case-patients' incubation period.
conclusionThis gastrointestinal anthrax outbreak occurred due to eating beef from butchery X. We recommended health education, safe disposal of the carcasses of livestock or game animals, and anthrax vaccination for livestock.
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