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A Triage Algorithm for Inhalational Anthrax

Harold C. Sox, MD, Editor
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Requests for Single Reprints: Customer Service, American College of Physicians, 190 N. Independence Mall West, Philadelphia, PA 19106.

Acknowledgments: I thank Carol Hill Sox for her assistance and Stephen G. Pauker, MD, who first told me about the restricted meaning of the likelihood ratio and also reviewed this appendix.

Ann Intern Med. 2003;139(5_Part_1):379-381. doi:10.7326/0003-4819-139-5_Part_1-200309020-00014
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This issue contains a thoughtful effort to make the most of limited data on a subject of intense public concern: the diagnosis of inhalational anthrax. Soon after September 11, 2001, the United States had its first experience with bioterrorism. The attack was limited but deeply troubling because the perpetrators used the U.S. Postal Service, an accurate and reasonably quick delivery system, to disseminate anthrax spores. It is all too easy to imagine a more determined effort to spread anthrax: emergency departments filled with frightened people, some in the early stages of a deadly disease.

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Grahic Jump Location
Proposed three-tier screening protocol to identify potential early inhalational anthrax cases in the setting of a large-scale anthrax attack.
Grahic Jump Location




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