National Center for Disease Control & Public Health www.ncdc.ge

Anthrax Environmental

Decontamination Network

Lile Malania, MD PhD

National Center for Disease Control and Public Health

29 September, 2015

National Center for Disease Control & Public Health www.ncdc.ge

NCDC - established in 1995; It is a central public health and

research institution under the authority of MoLHSA

1937 Establishment of the Anti-Plague Station in Georgia

1992 Research Center of Especially Dangerous Pathogens (EDPs)

1995 National Center for Disease Control

2004- As a result of large-scale reorganization: Integration of

2007 Medical Statistics Center and Public Health Department into the NCDC

2013 Integration of R. Lugar Center for Public Health Research (CPHR) into the NCDC

History

National Center for Disease Control & Public Health www.ncdc.ge

NCDC (High-level Biomedical Research Center - Center of Excellence)

Lab Part

Richard G. Lugar Center

“One World – One Health”

Non-Lab/Office

Part of NCDC&PH

Immunization

Cold Chain Infrastructure

R.Lugar Center for Public Health

Research

Bio-safety and EDP Department

Biology Safety Division

National Repository

EDP Lab

Zoo Anthology Lab

General Bacteriology Lab

Vivarium

Lab tests reception desk

Virology, Molecular Biology and Genomic Department

Molecular Epidemiology Lab

Influenza and Respiratory Viruses Lab

Polio and other entero-viruses lab

Cell Cultures Lab

Serology Lab

R. Lugar Center for Public Health Research

National Center for Disease Control & Public Health www.ncdc.ge

National Center for Disease Control & Public Health www.ncdc.ge

Non-Laboratory Part of NCDC

Training Center

State Public

Health Programs:

- Immunization

- Blood Safety

- TB

- HIV/AIDS

- Screening

- Surveillance

- MCH

- Occupational

diseases

Epid-surveillance of

Infectious Diseases:

- VPD

- Diarrheal

- Vector borne

- Air borne

- EDP - Zoonoses

- STI/HIV/TB

Surveillance of NCD:

- CVD

- Cancer

- Diabetes

- COPD

- Risk factors

- Health promotion

- Behavioral Health

Environmental

Health

Medical

Statistics

NCDC Local Cooperation

• National Food Agency /

Laboratory of the MoA

(NFA/LMA)

• G. Eliava Bacteriophage,

Microbiology and

Virusology Research

Institutre

• Public and Private

Laboratories and Clinics

• Tbilisi State

University

• Tbilisi State Medical

University

• Georgian Agrarian

University

• Ilia State University

• University of Georgia

National Center for Disease Control & Public Health www.ncdc.ge

National Center for Disease Control & Public Health www.ncdc.ge

WB

DTRA

WHO

EU

Universities & Research Centers:

University of Florida, University of Maryland,

Emory University, Johns Hopkins University, Arizona University,

Bundeswehr Institute of Microbiology, University of Oslo, etc.

WRAIR

FOA / OIE

NCDC

UNFPA

UNICEF

USAID

CDC / Atlanta

Principal Recipient of

GFTAM Grants

NIH

GAVI

• Anthrax cases are registered among animals and humans every year

• Mostly sporadic cases occur but outbreaks are registered as well

• Currently we are seeing an increasing trend in morbidity

• Since 1881 up today more than 2000 affected points are registered

• Increasing number of affected areas is acute problems for country

• Since 90s up today more than 300 of B. anthracis strains have been isolated

Anthrax in Georgia

National Center for Disease Control & Public Health www.ncdc.ge

Cutaneous Anthrax

National Center for Disease Control & Public Health www.ncdc.ge

Distribution of Anthrax Cases by Years (2000-2015)

National Center for Disease Control & Public Health www.ncdc.ge

Distribution of Anthrax Cases by Sex (2000-2015)

Female

30,59%

Male

69,41%

National Center for Disease Control & Public Health www.ncdc.ge

Source of Anthrax Infection (2000-2015)

infected live-stock

65,34%

contaminated soil -

11,22%

Purchased meat-

16,83%Unknown - 6,6%

National Center for Disease Control & Public Health www.ncdc.ge

Anthrax Foci

Before After

Human Cutaneous Anthrax Outbreak Locations

2000-2012

Providing trainings on:

Basic Biosafety/Biosecurity

BSL3 procedures

Molecular Characterization of B. anthracis

Sequencing of B. anthracis

Soil Sampling from Anthrax foci

NCDC’s Contribution to AEDnet

National Center for Disease Control & Public Health www.ncdc.ge

• Host Countries: Cardiff, UK; Turkey; Poland; Italy; Germany;

• Visitor Countries: Cardiff, UK; Turkey; Italy; Germany;

• Performed work:

2014 – 4 Secondments in Cardiff, UK

3 Secondments from Kars, Turkey

2015 – 2 Secondments in Kars, Turkey

3 Secondments in Poland

1 Secodnment in Cardiff, UK

1 Secodnment from Cardiff, UK

• Have been prepared one abstract and poster presentation

NCDC’s Secondments

National Center for Disease Control & Public Health www.ncdc.ge

Secondment in Cardiff, UK

A true collaboration: from Working to Entertaining

Secondment in Kars, Turkey

A true collaboration: from Working to Entertaining

Thank you!

National Center for Disease Control & Public Health www.ncdc.ge