On October 31, 2001, a 61-year-old female Vietnamese immigrant, Kathy Nguyen, died in Manhattan after developing inhalation anthrax—the only fatal New York City case during the 2001 anthrax attacks. She was admitted to Lenox Hill Hospital with rapidly worsening respiratory distress; clinicians initially suspected cardiac issues before imaging and lab results pointed to hemorrhagic mediastinitis consistent with inhalational anthrax. The 61-year-old female Vietnamese patient worked in sterile
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