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=== Injection === In December 2009, an outbreak of anthrax occurred among injecting heroin users in the [[Glasgow]] and [[Stirling]] areas of Scotland, resulting in 14 deaths.<ref name=":2" /> It was the first documented non-occupational human anthrax outbreak in the UK since 1960.<ref name=":2" /> The source of the anthrax is believed to have been dilution of the heroin with [[bone meal]] in Afghanistan.<ref name=":3" /> Injected anthrax may have symptoms similar to cutaneous anthrax, with the exception of black areas,<ref>{{Cite web |title=Anthrax β Symptoms and causes |url=https://www.mayoclinic.org/diseases-conditions/anthrax/symptoms-causes/syc-20356203 |access-date=2023-01-25 |website=Mayo Clinic |language=en |archive-date=25 January 2023 |archive-url=https://web.archive.org/web/20230125224358/https://www.mayoclinic.org/diseases-conditions/anthrax/symptoms-causes/syc-20356203 |url-status=live }}</ref> and may also cause infection deep into the muscle and spread faster.<ref>{{Cite web|date=2019-01-28|title=Injection Anthrax {{!}} Anthrax {{!}} CDC|url=https://www.cdc.gov/anthrax/basics/types/injection.html|access-date=2020-09-16|website=www.cdc.gov|language=en-us|archive-date=16 September 2020|archive-url=https://web.archive.org/web/20200916162345/https://www.cdc.gov/anthrax/basics/types/injection.html|url-status=live}}</ref> This can make it harder to recognise and treat.
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