Abstract

Bacillus anthracis is an aerobic, Gram-positive and spore-forming bacterium, which causes anthrax in herbivores. Humans get infected after coming into contact with infected animals' products. An unmatched case–control study was conducted to identify the importance of demographic, biological and/or behavioural factors associated with human cutaneous anthrax outbreaks in the hotspot areas of Northern Tanzania. A semi-structured questionnaire was administered to both cases and controls. The age range of participants was 1–80 years with a median age of 32 years. In the younger group (1–20 years), the odds of being infected were 25 times higher in the exposed group compared to the unexposed group (OR= 25, 95% CI = 1.5–410). By contrast, the odds of exposure in the old group (≥20 years) were three times lower in the exposed group compared to the unexposed group (OR = 3.2, 95% CI = 1.28–8.00). Demographic characteristics, sleeping on animal's skins, contacting with infected carcasses through skinning and butchering, and not having formal education were linked to exposure for anthrax infection. Hence, a One Health approach is inevitable for the prevention and control of anthrax outbreaks in the hotspot areas of Northern Tanzania.

Highlights

  • Bacillus anthracis is an aerobic, Gram-positive and sporeforming bacterium, which causes anthrax in herbivores

  • An unmatched case –control study was conducted to identify the importance of demographic, biological and/or behavioural factors associated with human cutaneous anthrax outbreaks in the hotspot areas of Northern Tanzania

  • A One Health approach is inevitable for the prevention and control of anthrax outbreaks in the hotspot areas of Northern Tanzania

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Summary

Introduction

Bacillus anthracis is an aerobic, Gram-positive and sporeforming bacterium, which causes anthrax in herbivores. An unmatched case –control study was conducted to identify the importance of demographic, biological and/or behavioural factors associated with human cutaneous anthrax outbreaks in the hotspot areas of Northern Tanzania. Bacillus anthracis is an aerobic, gram-positive and spore-forming bacterium belonging to the family Bacillaceae [1]. The release of this bacterium (the causative agent for anthrax) from a dead infected host into the environment induces spore formation [2], enhancing the agent’s ability to survive in the soil for a long time [3]. It presents as a papular to a vesicular ulcer which forms a depressed black eschar which is accompanied by oedema [18]

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