On October 4, 2001, it was announced that a 63-year-old man had been
hospitalized in Palm Beach County, Florida, with inhalational anthrax.1 This was the first recognized case of inhalational
anthrax in the United States since 1976, and the first in US history to result
from an intentional human act. As such, it ushered in a new era for the United
States, one in which the hypothetical threat of lethal bioterrorism has become
a stark reality. Importantly, the juxtaposition of this event with the vicious
terrorist attacks on the World Trade Center and the Pentagon, despite no proven
connection at this time, has resulted in a heightened state of concern in
the United States and in other countries.
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