Fig. 2

Anthrax broke out in animals in Port Loko District and spread across the country to humans. A The head of a diseased cow at site of death with postmortem hemorrhage from the oral and nasal cavities. B Gram staining of a culture taken from the liver of a sheep deceased during the outbreak (magnification 400 ×). C The geographical locations of the outbreak and cases. The red star marks the location of the initial animal outbreaks. The circles represent the locations of the Freetown case (left), the Karene cases (middle), and the Kailahun case (right). D, E Cases of human anthrax infections from Karene (red arrow)