Anthrax is spread by contact with the bacterium's spores, which often appear in infectious animal

products.[10] Contact is by breathing, eating, or through an area of broken skin.[10] It does not typically
spread directly between people.[10] Risk factors include people who work with animals or animal
products, travelers, postal workers, and military personnel. [3] Diagnosis can be confirmed by finding
antibodies or the toxin in the blood or by culture of a sample from the infected site.[4]
Anthrax vaccination is recommended for people who are at high risk of infection. [3] Immunizing
animals against anthrax is recommended in areas where previous infections have occurred. [10] A two-
months' course of antibiotics such as ciprofloxacin, levofloxacin, and doxycycline after exposure can
also prevent infection.[5] If infection occurs, treatment is with antibiotics and possibly antitoxin.[6] The
type and number of antibiotics used depends on the type of infection. [5] Antitoxin is recommended for
those with widespread infection.