Death of Injecting Drug User in Leicestershire

31 August 2010

The Health Protection Agency (HPA) and NHS Leicestershire County and Rutland can confirm that they are investigating the death of a drug injecting heroin user in Leicestershire. Testing of samples from the patient has confirmed the presence of anthrax.

This is the fourth case of anthrax seen in an injecting drug user in England, the first being announced in London on 5 February 2010. Similar cases have been seen in Scotland since December 2009 with forty seven cases having been confirmed and one in Germany. Similarities to the cases in Scotland suggest that the heroin, or a contaminated cutting agent mixed with the heroin, is the likely source of infection.

Dr Philip Monk, Consultant in Communicable Disease at HPA East Midlands South Unit said: "We are working closely with NHS Leicestershire County and Rutland to monitor the situation. I'd like to reassure people that there is no risk to the general population, including close family members of the deceased. It is extremely unlikely that this form of anthrax can spread from person to person."

Tim Davies, Deputy Director of Public Health from NHS Leicestershire County and Rutland, said: "While public health investigations are ongoing, it must be assumed that all heroin in Leicestershire carries the risk of anthrax contamination. I urge all heroin users to be extremely alert to the risks and to seek urgent medical advice if they experience signs of infection such as redness or excessive swelling at or near an injection site, or other symptoms of general illness such a high temperature, chills or a severe headache or breathing difficulties, as early antibiotic treatment can be lifesaving.

"Heroin users are strongly advised to cease taking heroin by any route, if at all possible, and to seek help from their local drug treatment services. This is a very serious infection for drug users and prompt treatment is crucial."

He added: "If friends and family are concerned about a family member or friend and their drug use there are a number of services, including their GP, Social Services and local drug teams who can help advise about where the most appropriate help can be found."

ENDS

Notes to Editors

Heroin users in Leicestershire are strongly encouraged to find out more about the support services in their area. They can find drug services or seek advice from Talk to Frank: 24-hour helpline: 0800 77 66 00 / website: www.talktofrank.com
For local drug treatment services visit DAAT website local services section at www.drugs.org.uk
The Health Protection Agency has produced advice for injecting drug users and guidelines on the clinical evaluation and management of people with possible anthrax in England. These are available at: http://www.hpa.org.uk/HPA/Topics/InfectiousDiseases/InfectionsAZ/1191942145749/

For further information regarding this press release please contact Kate Bunting on 0115 9627062 or email kate.bunting@hpa.org.uk

Last reviewed: 31 August 2010