On October 2, the Palm Beach County Health Department (PBCHD) and the Florida Department of Health (FDOH) were notified of a 63 year old patient who sought medical care at a local hospital with fever and altered mental status, despite antibiotic therapy, the patient died. The gram stain of the cerebrospinal fluid (CSF) revealed gram positive Spore forming rods which was confirmed later by CDC. On October 1, a second patient, a coworker of the above case was admitted to the local hospital for pneumonia. Nasal swabs were obtained from the patient grew gram positive spore forming rod. The patient was treated with ciproflaxin. Environmental sampling revealed contamination of work site specifically implicating mail or package delivery. Q.1 Name two organisms that could be implicated in the above cases? Q2 What is the most likely organism of this infection? Q3 What are the three ways of transmission of this infection? Q4 What is the likely source of transmission in this infection?