Some More Bio Agents...

• Q Fever

• Tularemia

• Brucellosis

• Viral Hemorrhagic Fevers

• Viral Encephalitis

• Staphylococcal enterotoxin B (SEB)

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Example: Tularemia

First recognized in Japan in the early 1800’s and again in Russia in 1926. Showed up in the U.S. in 1900’s in California (Tulare County.) If delivery by a mosquito or tick bite, the common presentation of Tularemia is ulceroglandular type (75-80% of cases.) Not usually spread person to person, the inhalational type = severe pneumonia, fever, body aches. In late summer of 1999 there was an outbreak of Tularemia (10 cases) in Martha’s Vineyard. Suspicious in that the last case (singular) was in 1996. One death did occur with this outbreak.