West Virginia
Infectious Disease Epidemiology Program

West Virginia Department of Health and Human Resources Information for the Public - Anthrax

What is anthrax?

Anthrax is a rare infectious disease caused by the bacterium Bacillus anthracis. It can occur in wild and domestic hoofed animals, such as cattle, sheep, goats, etc. It can also occur in humans when they are exposed to the bacterium. There are 3 forms: cutaneous (skin), inhalation (lungs), and gastrointestinal (stomach and intestines). With intentional exposure, as in a bioterrorist release, breathing in the spores or contact with openings in the skin (cuts, scratches, abrasions, etc.) are the most likely routes of entry into the body. Gastrointestinal anthrax occurs when people eat meat from anthrax-infected animals.

What are the symptoms of anthrax?

• Cutaneous (skin): exposed skin itches; large boil-like sore appears; sore becomes a black scab. If not treated, the infection can spread to the lymph nodes and bloodstream.
  
  
• Inhalation (lungs): cold or flu-like symptoms; symptoms become severe with serious breathing problems.
  
  
• Gastrointestinal (stomach and intestines): fever; abdominal pain; loose, watery bowel movements; vomiting with blood in vomitus.

How soon after exposure would symptoms begin?

Symptoms generally develop between 1 and 7 days after exposure, but prolonged periods up to 60 days after exposure are possible.

Can anthrax be spread person to person?

• Inhalation (lung) anthrax: not spread from person to person.
  
  
• Cutaneous (skin) anthrax: drainage from an open sore presents a low risk of infection to others, and this must be direct contact.
  
  
• Gastrointestinal (stomach and intestine) anthrax: not spread person to person.

How likely is it that I will be exposed to anthrax, other biological or chemical agents?

To date, all exposure incidents in West Virginia have been hoaxes. Nevertheless, each incident is evaluated individually to assess the level of risk to the public. Historically, the last reported cases of anthrax in humans in West Virginia occurred in 1947.

What will be done to evaluate an incident?

State and local public health, emergency, and law enforcement agencies will work together to evaluate all incidents. Examining the circumstances of the incident, the suspect material, and the type of exposure is required to determine if the incident represents a public health risk.

State of West Virginia (WV)
West Virginia Department of Health and Human Resources (DHHR)
Bureau for Public Health (BPH)
Office of Epidemiology and Health Promotion (OEHP)
Division of Surveillance and Disease Control (DSDC)
Infectious Disease Epidemiology Program (IDEP)

A-Z Listing of West Virginia's Reportable Diseases

This FAQ was last updated October 2001.
If you have questions or comments about the West Virginia Division of Surveillance and Disease Control, please direct them to Loretta Haddy at Loretta.E.Haddy@wv.gov.  If you have questions or comments about this Web page, please direct them to Betty Jo Tyler at Betty.J.Tyler@wv.gov.

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