-----Original Message-----
From: Dr. Venessa Holland [mailto:vah@flash.net]
Sent: Wednesday, October 31, 2001 10:37 PM
To: Cooney, Carolyn; Robertson, Linda; Donnie Willman
Cc: Barrow, Cynthia; Brindle, John; Maryann Roman de Meza
Subject: Enron Washington D.C. office


The CDC has provided new updated guidelines for facilities receiving mail from the Brentwood facility since October 11th. Individuals in private facilities receiving incoming mail from the Brentwood facility are recommended to receive a 10 day course for prophylaxis with doxycycline.  This should include all permanent employees in the Enron Washington office and other visiting Enron employees to the Washington office who have had possible contact with mail coming from the Brentwood facility.  The final recommendations regarding the completion of the full 60 day prophylaxis wil be based on  further information from the CDC.  
 
The CDC has recommended doxycycline for use for prophylaxis.  Presently, there is no indication that the Anthrax is resistant to any antibiotics.  Doxycycline is just as effective as Ciprofloxacin for prophylaxis.  Doxycycline is a tetracycline drug and should not be used in anyone who is allergic to tetracycline.  Use of tetracycline in children has adverse effects and the risk should outweigh the benefit.  Women who are pregnant should check with their Ob-Gyn physician prior to taking tetracycline.  
 
All ENRON EMPLOYEES are encouraged to take the flu shot this year.  SInce it is difficult to distinguish the symptoms of Anthrax from the flu, the CDC has recommended that everyone have a flu shot.   All Enron employees from the Washington D.C. office and those who have visited the Washington D.C. office since 9/11 should see their personal physician, if they develop any symptoms such as mild fever, muscle aches, malaise, shortness of breath and headaches.  These can be symptoms of the flu.  However, they also can be symptoms of Inhalation anthrax.  If any such symptoms should occur, the employees should see their personal physician right away.   The employees should inform the physician where they work and what their exposure could possibly be from mail coming from the Brentwood Station.
 
Dr. Venessa Holland