This document provides guidance on the public health management of illnesses caused by spore-forming bacteria (SFB) among people who inject drugs (PWID).
The guidance focuses on the three infections that are considered to be a continuing, significant risk to public health and that are commonly encountered
in an outbreak context, namely tetanus, botulism and anthrax (hereafter referred to as SFB).
The principles of the approach can, however, also be applied to incidents of severe illness among PWID caused by other pathogenic SFB which may have a significant health impact (e.g. Clostridium histolyticum, Clostridium perfringens, Clostridium sordellii and Clostridium novyi).