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Anthrax

Known to be lethal since ancient times, anthrax is an airborne and cutaneous infectious disease, caused by the spores of the Bacillus anthracis. This entry examines the development and epidemiology of the disease and discusses anthrax as a biological weapon.

Background on the Disease

The microbe has a long relationship with laboratory science. Discovered by the German microbiologist Robert Koch in 1876, anthrax was the first pathogen observed by microbiologists and the first to be cultured. Transmitted through ingestion or open wound contact with the bacilli’s spores, anthrax spreads rapidly throughout the body, exploiting the host body’s lymphatic system. Mortality is caused by the microbe’s production of two exotoxins—edema toxin and lethal toxin—which cause general fluid retention in the lungs and shock in hosts. Death results within days or weeks at the most. The disease has a 90% mortality rate. Anthrax spores are remarkably resilient; capable of surviving extreme temperatures, they may lie dormant in the soil for years until activated on being consumed by grazing animals. Natural occurrences of anthrax in the industrialized world are quite rare, as infected animals are generally isolated and destroyed. More frequent (yet still rare) are cases caused by contact with infected animal products imported from areas (e.g., Africa, Central Asia) where the disease is more common and control mechanisms are lacking.

Treatment of anthrax rests on massive doses of intravenous and oral antibiotics, though the antibiotics are useless after exotoxins appear. Antitoxins are currently in development but as of now are not available to the general public.

Anthrax as a Biological Weapon

History

The first efforts to employ anthrax as a weapon were made by the Germans during the First World War. Several covert programs were initiated to infect Allied livestock supplies in Romania, Mesopotamia, and Argentina. The prospect of biological warfare was sufficient to cause it to be included with chemical weapons in the 1925 Geneva Protocol banning gas and germ warfare. Nevertheless, weaponized anthrax was tested by the British army over the summer of 1942–1943 at Gruinard Island, Scotland. Results indicated that both aerial bombs and artillery shells would suffice to spread the disease throughout swaths of pastureland or small cities, though postconflict decontamination would be virtually impossible, thus rendering the sites uninhabitable for decades. In China during 1941 and 1944, the Imperial Japanese Army’s Unit 731 also tested anthrax delivery systems, including the Uji bomb, a small aerial bomb using a porcelain case to hold its payload.

The combination of lethality and the durability of the microbial spores made anthrax a favored choice of biological weapons programs in the United States, the Soviet Union, and other countries in the Cold War. Centered at Fort Detrick, Maryland, the U.S. Army’s Biological Warfare Laboratory oversaw the testing and production of various agents and delivery systems, including anthrax. Various tests using live animals and human volunteers were conducted through the 1950s and 1960s, verifying the efficacy of anthrax as a multivector infectious agent, deliverable through aerosol or aerial bomb, contaminated food, and direct skin-to-skin contact. In 1969, President Richard M. Nixon declared a halt to all biological weapons programs in the United States and ordered Fort Detrick to complete its transition to peaceful biological research under the direction of the U.S. Army Medical Research Institute of Infectious Diseases (USAMRIID).

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