Although anthrax is not a common disease in this country, it still occurs. Gold1 studied 117 cases of this disease occurring since 1933, almost all of which originated directly or indirectly from a mill where goat hair imported from China, India, Morocco, or Pakistan was used to make coat linings. Since these shipments complied with federal import regulations, it would appear that the regulations are grossly inadequate. One of Gold's patients had pulmonary anthrax, and all the rest had the cutaneous form. Although the cutaneous lesions usually develop in a minor cut or skin abrasion, such a predisposing cause could not be determined in all the patients. On the other hand, such lesions were prevalent among the employees of the mill, but anthrax developed in very few of them. In one patient Bacillus anthracis was recovered from a laceration of the hand but no anthrax lesion developed. In Gold's
ANTHRAX. JAMA. 1956;160(1):52. doi:10.1001/jama.1956.02960360054012
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