Figure S.1. Photograph showing the Maasai people risking for anthrax infection by – (A) skinning a carcass suspected to die from anthrax, (B) Poor cooking condition of anthrax infected carcass (C) Gangrene of a finger due to anthrax, and (D) Anthrax skin lesions from Risk factors for human cutaneous anthrax outbreaks in the hotspot districts of Northern Tanzania: an unmatched case–control study

Transmission routes for human cutaneous anthrax outbreaks in the hotspot areas of northern Tanzania. The cutaneous anthrax outbreaks are exacerbated by the increased contact with the infected animals and animal by-products, poor farming practices and mismanaged movement of animals in the disease hotspot areas of northern Tanzania. Moreover, the human behavior of consuming raw or undercooked carcasses from sick or dead animals, poverty and lack of a formal education especially in the Maasai community of Tanzania are the main contributing factors for frequent outbreaks in these areas. Therefore, strategies for prevention and control of this should involve human, livestock, and wildlife sectors in a One Health approac