in Europe from 2009–2010 Outbreak Case Studies, London, UK

Outbreaks of serious infections associated with heroin use in persons who inject drugs (PWIDs) occur intermittent-ly and require vigilance and rapid reporting of individual cas-es. Here, we give a firsthand account of the cases in Lon-don during an outbreak of heroin-associated anthrax during 2009–2010 in the United Kingdom. This new manifestation Medscape, LLC is pleased to provide online continuing medical education (CME) for this journal article, allowing clinicians the opportunity to earn CME credit. This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint providership of Medscape, LLC and Emerging Infectious Diseases. Medscape, LLC is accredited by the ACCME to provide continuing medical education for physicians. Medscape, LLC designates this Journal-based CME activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. All other clinicians completing this activity will be issued a certificate of participation. To participate in this journal CME activity: (1) review the learning objectives and author disclosures; (2) study the education content; (3) take the post-test with a 75 % minimum passing score and complete the evaluation a