Brucella include arthritis or epididymo-orchitis, spondylitis, neurobrucellosis, liver abscess formation, and endocarditis, the latter potentially fatal. Human brucellosis is usually not transmitted from human to human; people become infected by contact with fluids from infected animals (sheep, cattle, or pigs) or derived food products, such as unpasteurized milk and cheese. Brucellosis is also considered an occupational disease because of a higher incidence in people working with animals (slaughterhouse cases). People may also be infected by inhalation of contaminated dust or aerosols, and as such, the CDC has labeled "Brucella" species as highly weaponizable. Human and animal brucellosis share the persistence of
Brucellosis "reliably" safe as the alternative. In the decades after Evans's work, it was worked out that this genus, which received the name "Brucella" in honor of Bruce, contained several species with varying virulence. The name "brucellosis" gradually replaced the 19th-century names Mediterranean fever and Malta fever. In 1989, neurologists in Saudi Arabia discovered "neurobrucellosis", a neurological involvement in brucellosis. These obsolete names have previously been applied to brucellosis: "Brucella" species were weaponized by several advanced countries by the mid-20th century. In 1954, "B. suis" became the first agent weaponized by the United States at its Pine Bluff Arsenal near Pine