Large Anthrax Outbreak in a New Locality in Croatia, 2022

Author:

Žmak Ljiljana12,Bošnjak Selma1,Pem Novosel Iva3,Juzbašić Tajana1ORCID,Vilibić-Čavlek Tatjana12ORCID,Tabain Irena1ORCID,Miškić Tihana4,Lohman Janković Ivana4,Brkić Inoslav5,Gverić Grginić Ana1

Affiliation:

1. Department of Microbiology, Croatian Institute of Public Health, 10000 Zagreb, Croatia

2. Department of Microbiology, School of Medicine, University of Zagreb, 10000 Zagreb, Croatia

3. Department of Communicable Diseases Epidemiology, Croatian Institute of Public Health, 10000 Zagreb, Croatia

4. Veterinary and Food Safety Directorate, Ministry of Agriculture, 10000 Zagreb, Croatia

5. Public Health Institute of Sisak-Moslavina County, Kralja Tomislava 1, 44000 Sisak, Croatia

Abstract

Bacillus anthracis is a well-known zoonotic pathogen that can cause disease in both animals and humans. Moreover, it has a high bioterrorism potential as its lethal spores are resistant to inactivation, are easy to produce in large quantities, and are easily spread over large areas. Anthrax cases occur in different parts of the world, including most European countries. Specific areas of Croatia are long known as anthrax districts, but with sporadically reported cases over the years. Here, we present a major outbreak of animal and human anthrax in the region of Lonjsko Polje in Croatia, a region not known to have anthrax cases in the past. The outbreak started in July 2022 and lasted several months, but most human and animal cases were reported in the first month. During the outbreak, there were 17 reported human cases of cutaneous anthrax and 29 laboratory-confirmed animal cases. However, due to issues in reporting in animals and the late finding of the carcasses, which made laboratory diagnostics challenging, the actual number of animal cases was probably significantly higher.

Publisher

MDPI AG

Reference21 articles.

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2. Bakhteeva, I., and Timofeev, V. (2022). Some Peculiarities of Anthrax Epidemiology in Herbivorous and Carnivorous Animals. Life, 12.

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4. Cutaneous Anthrax Due to Penicillin-Resistant Bacillus Anthracis Transmitted by an Insect Bite;Lancet,1992

5. Anthrax;Dixon;N. Engl. J. Med.,1999

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