After a Shower of Anthrax, an Illness and a Mystery
By SCOTT SHANE
Published: June 7, 2005
ANNAPOLIS, Md. - During the anthrax mail attacks in 2001, Bill Paliscak, a gung-ho, hockey-playing postal investigator who had missed 3 days of work in 11 years, removed a filthy filter above a mail-sorting machine to preserve it as evidence. Anthrax-laden dust showered down on him.
Four days later he began to feel feverish. Soon he was in intensive care. After spending the next three years in and out of the hospital, Mr. Paliscak, 41, now needs a wheelchair to move about, sleeps with a breathing device to get enough oxygen and takes dozens of pills a day.
His medical bills total more than $800,000, and he has been living in a motel here for more than a year because he cannot reach the shower on the second floor of his home.
Yet Mr. Paliscak (pronounced PAL-uh-sack) remains a medical puzzle. Blood tests never detected the bacteria that cause anthrax or the antibodies the immune system should produce in response. As a result, the federal Centers for Disease Control and Prevention never classified his disease with the 11 confirmed cases of inhalational anthrax, 5 of them fatal.
Mr. Paliscak's nondiagnosis ultimately has had little practical effect, because the Department of Labor agreed in 2002 that his illness was work-related, permitting workers' compensation to cover his medical bills and provide support of about $1,000 a week.....One key to the mystery may be the paucity of data on the inhalational form of anthrax. "Historically, there haven't been a lot of survivors to study," said Dr. Philip S. Brachman, who studied five cases at a New Hampshire mill in 1957....(I)n the first days after the letter to Senator Tom Daschle was discovered in October 2001, the drive to act outpaced officials' understanding of the exotic bug. As Mr. Paliscak gathered evidence around Delivery Bar Code Sorter No. 17, an anthrax hot spot, he wore only a hardware-store dust mask for protection....
http://www.nytimes.com/2005/06/07/health/07anth.html?pagewanted=all