While there is a general decrease in the number of anthrax outbreaks, and thus of human cases, worldwide this is still a disease that is extensively under-diagnosed and under-reported. However, it is now very infrequent to rare in Canada, the United States, and many countries in Europe. An increasing number of countries are now free. At the other extreme, it is a significant problem in West Africa, Spain, Greece, Turkey, Albania, Romania and in Central Asia. In spite of the textbooks, livestock and wildlife deaths do occur, sometimes commonly, without any 'diagnostic' extravasation of blood and, if not realised, infected carcasses get recycled into meat and bone meals for feed.