The anthrax outbreak among IV heroin users in Scotland continues to expand. There have now been 19 cases in Scotland, of whom 9 have died. There have also been two fatal cases outside of Scotland, one in Germany and the other in London. At least 14 of the Scottish cases and the German case have been proven to be caused by the same anthrax strain. Prior to this outbreak the only other reported case of anthrax in an IV drug user occurred in Norway in 2000.
Meanwhile, unrelated to the European outbreak, the woman with gastrointestinal anthrax in New Hampshire, who became infected from a djembe drum, remains hospitalized but continues to improve.
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