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Frantic Lab Work To Find Anthrax
Source Of Florida Man's Infection
By Debora MacKenzie
The New Scientist
10-5-1

Frantic laboratory work is underway in the US this weekend, as scientists try to find out how a 63-year-old man developed a rare form of anthrax. The tests should reveal whether the bacteria were left by a dead animal half a century ago, escaped from a laboratory - or even formed part of a terrorist attack that might claim more victims.
 
The anthrax genome is among the least variable known. Only a few US labs can tease apart subtle genetic variants, compare them to strains from around the world, and say whether it is a strain common in US livestock, used in US labs, or suspected of use in weapons development.
 
A 63-year-old resident of Lantana, Florida, developed headache and fever on Sunday while visiting Duke University in North Carolina. Doctors testing for meningitis in Florida found anthrax bacilli in his spinal fluid.
 
An X-ray revealed an enlarged space under the breastbone. This is unique to the pneumonic form of anthrax, which is almost invariably fatal if antibiotic treatment begins after symptoms start. The US Centers for Disease Control confirmed the diagnosis on Thursday.
 
"No one has any idea where this came from," says Martin Hugh-Jones of Louisiana State University at Baton Rouge, head of the World Health Organisation's working group on anthrax.
 
Lurking Spores
 
Anthrax is primarily a disease of animals. Humans get it mainly from infected meat or wool. Bacteria from animal carcasses can also lurk as spores in the soil for decades.
 
But animal anthrax has been eradicated east of the Mississippi River in the US. The last cases in Florida were in 1956. The Florida man may have inhaled dust harbouring spores from a long-dead animal - or spores that strayed accidentally from anthrax research labs at Duke. He could also have inhaled them from imported wool.
 
But he is extremely unlucky. Most human anthrax cases are skin infections. Of the 234 human cases in the US between 1955 and 1991, only eleven were pneumonic.
 
The fear is that the bacteria were deliberately released. US health secretary Tommy Thompson said there was no evidence that such an isolated case resulted from terrorism. But health authorities in the US are on heightened alert in case there are more.
 
The Al-Qaeda group suspected of the 11 September terrorist attacks is allied to Iraq, and to Chechen rebels in the former Soviet Union. Iraq and the Soviet Union both developed anthrax weapons consisting of aerosolised spores that would cause pneumonic disease. The group is also known to be interested in bioweapons.
 
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