OIE Collaborating Centre Reports Activities in 2013 Title of Collaborating Centre: Address of Collaborating Centre: Emerging and Re-emerging Zoonotic Diseases National Center for Emerging and Zoonotic Infectious Diseases (NCEZID) Centers for Disease Control and Prevention 1600 Clifton Road, MS D-76 Atlanta, Georgia 30333 Tel.: (1-404) 639.7378 Fax: (1-404) 639.7090 e-mail address: website: Name of Director of Institute (Responsible Official): chr1@cdc.gov http://www.cdc.gov/ncezid Beth Bell, MD, MPH Name (including Title and Position) of Head of the Collaborating Centre (formally OIE Contact Point): Carol Rubin, DVM, MPH Director, One Health Office Name (including Title and Position) of writer of this report (if different from above) Rebekah Kunkel, MS, MPH ORISE Fellow, One Health Office Annual reports of OIE Reference Centres, 2013 1 Emerging and Re-Emerging Zoonotic Diseases Summary of activities specifically related to the mandate of OIE Collaborating Centres ToR: To provide services to the OIE, in particular within the region, in the designated specialty, in support of the implementation of OIE policies and, where required, seek for collaboration with OIE Reference Laboratories ToR: To identify and maintain existing expertise, in particular within its region 1. Activities as a centre of research, expertise, standardisation and dissemination of techniques within the remit of the mandate given by the OIE Disease control Epidemiology, surveillance, risk assessment, modelling Training, capacity building Zoonoses Wildlife Avian diseases Aquatic animal diseases Animal welfare Diagnosis, biotechnology and laboratory Veterinary medicinal products Vaccines Food safety Feed safety Other (Name the category: ) DISEASE CONTROL 2 Title of activity Scope Rabies control Enhanced efforts to control global canine rabies through continued incountry consultations, diagnostic support, training, and health education to ministries of agriculture and health representatives. Sterilizing waste using solar power Partnered with CDC-Kenya and a non-governmental organization (Sanivation) to use concentrated solar energy to sterilize waste so it can be safely used for fertilizer or fuel. Identification of viral hemorrhagic fever outbreaks In conjunction with the Uganda Virus Research Institute, assisted in the testing and identification Ebola hemorrhagic fever infection (Luwero District of central Uganda) and Marburg virus infection (Kabale, Ibanda, Mbarara, and Kampala Districts of Uganda). Anthrax outbreak preparation and investigation in Azerbaijan and Georgia Temporary duty support and intensive planning for 2013 Anthrax Seasonal Outbreaks in Azerbaijan and Georgia, including enhanced surveillance and public awareness Multiagency task force for response to rabies outbreaks Worked with Nigeria’s Federal Ministry of Health, Ministry of Agriculture, the National Veterinary Research Institute to create protocols for response to rabies outbreaks; guidelines for post-exposure prophylaxis use Improving refugee health through treatment of parasitic infections Provide treatment for parasitic infections to US-bound refugees populations in Thailand, Malaysia, Nepal, Ethiopia, and Kenya. Annual reports of OIE Reference Centres, 2013 Emerging and Re-Emerging Zoonotic Diseases EPIDEMIOLOGY, SURVEILLANCE, RISK ASSESSMENT, MODELLING Title of activity Scope MicrobNet MicrobeNet, a reference database for infectious pathogens, was released on January 1, 2013. It enables multiple analyses of a new or rapidly emerging pathogen and reduces reporting time. Laboratory scientists throughout the world can run diagnostic tests and match results against unique or rare isolates in CDC’s reference collections. ArboNET ArboNET is a network for mosquito-borne disease detection, prevention, and control. ArboNET funding assists states, Puerto Rico, and six large municipalities to conduct case investigations, field collections, and analyses and submission of information to rapidly monitor and respond to potential epidemic conditions. TickNET TickNET works with state health departments to optimize surveillance and prevention activities for bacterial tick-borne diseases, such as Lyme disease and Rocky Mountain spotted fever. A study of the effectiveness of home pesticide use is under way through TickNET, addressing critical questions about the prevention of Lyme disease. CryptoNet Began pilot testing for CryptoNet, the first state-based molecular tracking system for a parasitic infection, cryptosporidiosis. CryptoNet will help us better understand the spread of cryptosporidiosis in the United States. Expand surveillance in-country for viral hemorrhagic fever Enabled the rapid diagnosis of Ebola hemorrhagic fever in Uganda by expanding surveillance in-country for viral hemorrhagic fever (VHF)— a group of diseases that include Ebola and Marburg hemorrhagic fevers. The expanded program included assigning a staff member to the Uganda Virus Research Institute (UVRI), providing training for case recognition and management for health professionals, providing reagents and training for diagnostic testing, and completing renovation of the VHF diagnostic laboratory at UVRI. Released the report, “Antibiotic Resistance Threats in the United States, 2013” The first comprehensive analysis of the 18 most serious drug resistant threats that each year sicken more than 2 million people and kill at least 23,000. The report ranks the threats in categories: urgent, serious, and concerning. Surveillance of emerging and re-emerging infectious diseases in agricultural communities in Chiang Mai and Nakorn Ratchasima provinces Specimens from hospitalized patients with fever of uncertain etiology are tested for endemic zoonoses. If the etiological agent is zoonotic, a veterinary team is sent to investigate the disease among animals around the participants’ farm or house. Epidemiology and etiology of flaccid paralysis of infectious origin in the Republic of Georgia A prospective hospital-based surveillance to identify cases of acute flaccid paralysis in adults and children, and characterize the clinical, laboratory, and electrodiagnostic features of the syndrome TRAINING, CAPACITY BUILDING Title of activity Scope Epidemiology and Laboratory Capacity Program Awarded funding to secure an excellent public health workforce, robust surveillance systems, and modern laboratory facilities and information networks and to support disease-specific infectious disease programs in states. The program supports 50 state health departments, 6 local health departments, and 8 territories or US affiliates. Emerging Infections Program Awarded funding to conduct gold standard surveillance and epidemiological research to evaluate the impact of prevention programs Annual reports of OIE Reference Centres, 2013 3 Emerging and Re-Emerging Zoonotic Diseases and policies. The program supports 10 state health departments and their partners. Electronic Laboratory Reporting Provided funding to advance electronic laboratory reporting from clinical and public health laboratories to public health agencies is helping to increase national implementation of this technology. Training for enhanced laboratory-based surveillance for monkeypox in the Democratic Republic of Congo Providing training for enhanced laboratory-based surveillance for monkeypox in the Democratic Republic of Congo (DRC). As a result, DRC has been sending monthly disease reports with laboratory samples for confirmation so that disease transmission dynamics can be better understood and to provide evidence for new disease control efforts. Rabies control in the Republic of Georgia Clearance and installation of Lab equipment; scheduling of lab training; shipment of samples Strengthening One Health collaboration in Thailand The goal of this project is to enable the Bureau of Epidemiology and collaborating partners to develop disease surveillance, prevention and control system in line with One Health concepts and to develop an integrated management system for emerging infectious disease preparedness and emergency response. Improving diagnostic capacity for Q fever and rickettsial diseases This study provides the necessary reagents and laboratory support to establish laboratory diagnostic capacity in Thailand through the Thai National Institute of Health, the National Institute of Animal Health, and selected clinical diagnostic laboratories. Building capacity for zoonotic endocarditis in Thailand In collaboration with Khon Kaen University Hospital, Pasteur Institute of Ho Chi Minh City in Vietnam, and with in-country public health scientists and clinicians in SE Asia, the project is establishing and improving diagnostic capacity for C. burnetii, Bartonella spp., and Streptococcus suis. Development of improved surveillance, laboratory capacity for the detection of zoonotic pathogens at the Human-Animal Interface in Thailand Providing laboratory diagnostic training, laboratory workgroup meetings and consultative meetings with Department of Livestock Development and other in-country partners for joint livestock, wildlife and public health surveillance and investigation of Q fever in Chiang Mai and Nakhon Ratchasima provinces. Anthrax surveillance and prevention measures in endemic areas in Bangladesh Refining, standardizing, and strengthening anthrax outbreak responses in both humans and animals; and building laboratory capacity to enhance laboratory confirmation of cases. Surveillance and outbreak response to Japanese encephalitis virus in India Improving capacity for Acute Encephalitis Syndrome surveillance and outbreak response. Technical assistance for rabies outbreaks in Guatemala Technical assistance to strengthen national laboratory capacity for Rabies surveillance and outbreak investigation. One Health curriculum recommendations Developed recommendations and training materials for One Health curriculum as a template for use by for applied epidemiology training programs Promotion of Lassa fever prevention and control Trained residents in the Nigeria Field Epidemiology and Laboratory Training Program in the prevention and control of Lassa fever ZOONOSES 4 Title of activity Scope Identification of a novel poxvirus in the Republic of Georgia Collaborated with public health officials in the Republic of Georgia to investigate the discovery of a new poxvirus that caused infection in shepherds in Akhmeta, Georgia. Testing by NCEZID’s Poxvirus Laboratory Annual reports of OIE Reference Centres, 2013 Emerging and Re-Emerging Zoonotic Diseases found a new poxvirus belonging to the same genus (Orthopoxvirus) as smallpox. Maintains a bat breeding colony Maintains a breeding colony of wild-caught fruit bats from Uganda that is a resource to understand reservoir host and virus dynamics, including viral shedding, mechanisms or virus transmission, and host immune response to Marburg virus Pathogen discovery Tested for viruses in over 700 bat and rodent samples collected from multiple international study sites. Circulation of Crimean-Congo hemorrhagic fever virus among humans, animals, and vectors at a camel market in Egypt Assessing the prevalence of Crimean-Congo hemorrhagic fever virus among high-risk camel owners, domestic and imported camels, and specific variants of Crimean-Congo hemorrhagic fever virus among ticks collected from domestic and imported camels. Bartonella prevalence in cats and humans in Guatemala Study to determine the prevalence of Bartonella spp. circulating in cats and persons at risk (veterinarians, vet technicians, caretakers, etc.) in Guatemala. Brucellosis incidence in Kenya Examining brucellosis incidence in Kajiado, Kenya which is a high risk county Assessment of novel and existing diseases in bats in Nigeria Identified novel flaviviruses and pegiviruses in bats Human and domestic animal exposure to zoonotic diseases in bats during the Idanre bat festival Assessed human knowledge, attitudes, and behaviors of rabies and other bat diseases; assessed human and domestic animal illness pre- and postparticipation in the bat festival; performed serological testing of acute and convalescent specimens in humans and domestic animals DIAGNOSIS, BIOTECHNOLOGY, AND LABORATORY Title of activity Scope Biotechnology Core Facility Uses state-of-the-art methods to help CDC researchers study infectious agents Plague Rapid Test Developed a rapid, inexpensive, point-of-care bedside diagnostic ‘dipstick’ test for plague Rabies direct rapid immunohistochemical test Developed a new diagnostic test for rabies that requires no specialized equipment or refrigeration, and allows a diagnosis to be made in less than 1 hour. The test is as reliable as the gold standard test and only requires a light microscope. Cryptococcus screening test Using a new point-of-care dipstick screening test to detect the presence of cryptococcal antigen and provide treatment before meningitis develops. New assay that rapidly detects fungal DNA in patients Developed a new diagnostic assay for identifying fungal DNA in patients in 2 days. Laboratory Response Network The Laboratory Response Network links 160 highly specialized laboratories, including health department laboratories, federal and military laboratories, environmental testing and diagnostic veterinary laboratories, as well as international laboratories. This unique network of laboratories is designed to respond to bioterrorism, chemical terrorism, and other public health emergencies. Point-of-care assay to diagnose monkeypox and orthopoxviruses The poxvirus team has developed an assay for monkeypox virus and orthopoxviruses. The assay performs clinical sample nucleic acid extraction and quantitative analysis within an hour. Annual reports of OIE Reference Centres, 2013 5 Emerging and Re-Emerging Zoonotic Diseases Division of Scientific Resources consultation The Division of Scientific Resources provides expertise to develop and apply modern technologies (such as genomic sequencing) that result in faster identification of bacteria, viruses, fungi, and other pathogens. VACCINES Title of activity Scope Livestock vaccine against Rift Valley Fever Developed a recombinant vaccine against Rift Valley fever virus for use in livestock Dengue candidate vaccine that targets all four dengue viruses Developed a dengue candidate vaccine that targets all four dengue viruses. The vaccine candidate that is being evaluated in Puerto Rico, Singapore, Thailand, and Colombia for safety and immunogenicity. FOOD SAFETY Title of activity Scope Estimates of food sources associated with foodborne illness In January 2013, published the first-ever estimates of food sources associated with foodborne illnesses in the United States. Produce, including leafy green and vine-stalk vegetables as well as fruits and nuts, accounts for about half of all foodborne illness, with norovirus being the most common cause. The analysis also showed that meat and poultry are the food sources most often linked to deaths caused by food poisoning, mostly due to Salmonella and Listeria. The Global Foodborne Infections Network Enhancing foodborne illness surveillance and outbreak response in conjunction with the World Health Organization ToR: To propose or develop methods and procedures that facilitate harmonisation of international standards and guidelines applicable to the designated specialty 2. Proposal or development of any procedure that will facilitate harmonisation of international regulations applicable to the surveillance and control of animal diseases, food safety or animal welfare Proposal title Scope/Content Applicable area Collaborating for the Implementation of the Revised International Health Regulations National Surveillance and Response Capacity NCEZID works with CDC’s Division of Global Disease Detection and Emergency Response to assure that the IHR process will be accommodated during all investigations, surveillance activities, and research when appropriate. Whenever possible, animal and human components are sharing biologic isolates and epidemiologic data to facilitate the control and containment of disease. Surveillance and control of animal diseases The network is a collaboration between WHO, CDC, and other international public health organizations which promotes integrated, laboratory-based surveillance and fosters Surveillance and control of animal diseases Global Foodborne Infections Network 6 Food safety Animal welfare Food safety Animal welfare Annual reports of OIE Reference Centres, 2013 Emerging and Re-Emerging Zoonotic Diseases Proposal title Scope/Content Applicable area intersectoral collaboration among human health, veterinary and foodrelated disciplines to enhance the capacity of countries to detect, respond to and prevent foodborne diseases. ToR: To establish and maintain a network with other OIE Collaborating Centres designated for the same specialty, and should the need arise, with Collaborating Centres in other disciplines ToR: To carry out and/or coordinate scientific and technical studies in collaboration with other centres, laboratories or organisations 3. Did your Collaborating Centre maintain a network with other OIE Collaborating Centres (CC), Reference Laboratories (RL), or organisations designated for the same specialty, to coordinate scientific and technical studies? Yes Name of OIE CC/RL/other organisation(s) No Location Region of networking Centre Purpose The United States Agency for International Development’s Emerging Pandemic Threats Program Uganda Africa Americas Asia and Pacific Europe Middle East To assess the risk from emerging zoonotic pathogens through: 1) Surveillance for acute febrile illness, especially in high risk locations; 2) development of affordable point-of-care tests and local lab capacity to rule-out endemic diseases; 3) training of national and local staff in laboratory testing; and 4) identifying newly emerged pathogens. The United States Agency for International Development’s Emerging Pandemic Threats Program Uganda Africa Americas Asia and Pacific Europe Middle East To build capacity for national viral hemorrhagic fever surveillance through ultiple activities to determine the distribution of viral hemorrhagic fever viruses and the risks they pose to the human population. Also working to build viral hemorrhagic fever laboratory capacity at the Uganda Virus Research Institute The United States Agency for International Development’s Emerging Pandemic Threats Program Uganda Africa Americas Asia and Pacific Europe Middle East To detect lyssaviruses in wildlife and determine the environmental, socioeconomical, and medical factors that may be significantly associated with zoonotic disease transmission, outbreaks, and human fatalities. To develop community-appropriate strategies for reducing human/domestic animal/ wildlife exposure risks from zoonotic agents and to enhancement of laboratory diagnostic capacity Annual reports of OIE Reference Centres, 2013 7 Emerging and Re-Emerging Zoonotic Diseases Name of OIE CC/RL/other organisation(s) 4. Location Purpose The United States Agency for International Development’s Emerging Pandemic Threats Program Democratic Republic of Congo Africa Americas Asia and Pacific Europe Middle East To identify potential modes of transmission between animals and humans, identification of potential host species, and determination of the baseline prevalence of orthopoxviruses in native mammals in the region. The United States Agency for International Development’s Emerging Pandemic Threats Program Democratic Republic of Congo Africa Americas Asia and Pacific Europe Middle East To detect lyssaviruses in wildlife and determine the environmental, socioeconomical, and medical factors that may be significantly associated with zoonotic disease transmission, outbreaks, and human fatalities. To develop community-appropriate strategies for reducing human/domestic animal/ wildlife exposure risks from zoonotic agents and to enhancement of laboratory diagnostic capacity The United States Agency for International Development’s Emerging Pandemic Threats Program Indonesia Food and Agriculture Organization of the United Nations Kenya CDC’s Rabies Laboratory, which is an OIE Reference Laboratory for rabies Multiple Africa Americas Asia and Pacific Europe Middle East To establish a national reference lab for the identification of endemic and novel vectorborne viruses Africa Americas Asia and Pacific Europe Middle East Africa Americas Asia and Pacific Europe Middle East To initiate a national canine rabies elimination program modeled after the progressive control program used in other livestock diseases Provides a variety of laboratory services related to rabies, including diagnostic and reference services; lab training for health departments, domestic/international organizations; collaboration with the private sector to develop and evaluate diagnostic assays and vaccines; and microbiology, molecular biology, and pathogenesis research Did your Collaborating Centre maintain a network with other OIE Collaborating Centres, Reference laboratories, or organisations in other disciplines, to coordinate scientific and technical studies? Yes Name of OIE CC/RL/other organisation(s) United States Department of Agriculture’s Centers for Epidemiology and Animal Health 8 Region of networking Centre No Location United States Region of networking Centre Africa Americas Asia and Pacific Europe Middle East Purpose Participates in the U.S. Federal Interagency One Health Workgroup to coordinate projects related to One Health Annual reports of OIE Reference Centres, 2013 Emerging and Re-Emerging Zoonotic Diseases ToR: To place expert consultants at the disposal of the OIE. 5. Did your Collaborating Centre place expert consultants at the disposal of the OIE? Yes No Name of expert Kind of consultancy Subject Aron Hall Scientific expert MERS-CoV Ruben Donis Scientific expert Influenza Darin Carroll Scientific expert Rabies Many other experts available at OIE’s request for consultation, including (but not limited to) epidemiologists, laboratorians, ecologists, veterinarians, microbiologists, and virologists ToR: To provide, within the designated specialty, scientific and technical training to personnel from OIE Member Countries 6. Did your Collaborating Centre provide scientific and technical training, within the remit of the mandate given by the OIE, to personnel from OIE Member Countries? Yes No If the answer is yes, please provide the total number of trained persons for each of the following categories: a) Technical visits: ................................................................ >10 b) Seminars: ......................................................................... >10 c) Hands-on training courses: .............................................. >10 d) Internships (>1 month): ................................................... >10 Type of technical training provided (a, b, c or d) Content Country of origin of the expert(s) provided with training No. participants from the corresponding country c Scientists from Thailand National Institute of Animal Health and National Institute of Health travelled to Atlanta for training on the analysis of human, animal and environmental samples for C. burnetii. CDC scientists also visited Thailand for additional on-site training. Thailand 3 c Participants from the ministries of health, animal health and private universities (University del Valle de Guatemala and Universidad de San Carlos de Guatemala, Facultad de Medicina Veterinaria y Zootecnia) were provided hands-on experience in DRIT and DFA testing techniques. Jan 28th-Feb 1st, 2013. Guatemala >10 Annual reports of OIE Reference Centres, 2013 9 Emerging and Re-Emerging Zoonotic Diseases Type of technical training provided (a, b, c or d) b Content Country of origin of the expert(s) provided with training No. participants from the corresponding country Guatemala >10 A workshop on interagency coordination for rabies surveillance outbreak support, conducted in collaboration with Vets Without Borders CDC provides a variety of scientific and technical training to both member and non-member countries. ToR: To organise and participate in scientific meetings and other activities on behalf of the OIE 7. Did your Collaborating Centre organise or participate in the organisation of scientific meetings on behalf of the OIE? Yes National/ International International No Title of event Co-organiser Date (mm/yy) Location No. Participants OFFLU Swine Influenza Virus Group Meeting OIE, FAO 04/13 Rome 1 ToR: To collect, process, analyse, publish and disseminate data and information relevant to the designated specialty 8. Publication and dissemination of any information within the remit of the mandate given by the OIE that may be useful to Member Countries of the OIE (Indicate in the appropriate box the number by category) a) Articles published in peer-reviewed journals: ................. Select examples: Rubin C, Myers T, Stokes W, Dunham B, Harris S, Lautner B, et al. Review of Institute of Medicine and National Research Council recommendations for One Health initiative. Emerg Infect Dis. 2013 Dec. http://dx.doi.org/10.3201/eid1912.121659 Rubin CS and the Stone Mountain Planning Committee. Operationalizing One Health: Stone Mountain and beyond. In One Health: The Human-Animal-Environment Interfaces in Emerging Infectious Diseases. ed. by Mackenzie, Jeggo, Daszak and Richt. December 2013 CTMI;366: 173185. Algren DA, Monteilh CP, Punja M, Schier JG, Martin Belson M, Hepler BR, Schmidt CJ, Miller CE, Patel M, Paulozzi LJ, Straetemans M, Rubin C. Fentanyl-associated Fatalities Among Illicit Drug Users in Wayne County, Michigan (July 2005–May 2006). Journal of Medical Toxicology; 2013 Mar;9(1):106-15. Gargano LM, Engel J, Gray GC, Howell K, Jones TF, Milhous WK, Rubin C et al. Arbovirus diseases, southeastern United States. Emerg Infect Dis [Internet]. 2013 Nov. http://dx.doi.org/10.3201/eid1911.130650 10 Annual reports of OIE Reference Centres, 2013 Emerging and Re-Emerging Zoonotic Diseases Rabinowitz PM, Kock R, Kachani M, Kunkel R, Thomas J, Gilbert J, Rubin C. Toward proof of concept of a One Health approach to disease prediction and control. Emerg Infect Dis [Internet]. 2013 Dec. http://dx.doi.org/10.3201/eid1912.130265 Islam A, Mikolon A, Mikoleit M, Dilruba A, Khan SA, Sharker MA, Hossain JM, Islam A, Epstein J, Zeidner N, Luby SP. Isolation of Salmonella virchow from a fruit bat (Pteropus giganteus). Ecohealth. 2013 Oct 18. [Epub ahead of print]. Nahar N, Uddin M, Sarkar RA, Gurley ES, Uddin Khan MS, Hossain MJ, Sultana R, Luby SP. Exploring pig raising in Bangladesh: implications for public health interventions. Vet Ital 2013;49(1):7-17. Sazzad HM, Hossain MJ, Gurley ES, Ameen KM, Parveen S, Islam MS, Faruque LI, Podder G, Banu SS, Lo MK, et al. Nipah virus infection outbreak with nosocomial and corpse-to-human transmission, Bangladesh. Emerg Infect Dis 2013;19(2):210-7. Haider N, Khan SU, Sarkar S, Poh M, Wilson A, Beckwith N, Azad AK, Paul SK, Rahman MZ, Balish A, et al. Unusual waterfowl mortality due to highly pathogenic avian influenza A/H5N1 in Bangladesh. Health and Science Bulletin (icddr,b) 2013;11(1):15-20. Nakazawa, Y, Lash RR, Carroll DS, Damon IK, Karem KL, Reynolds MG, Osorio JE, Rocke TE, Malekani JM, Muyembe J-J, et al. Mapping monkeypox transmission risk in the Congo Basin. PLoS One; 2013; 8(9). Quan PL, Firth C, Conte JM, Williams SH, Zambrana-Torrelio CM, Anthony SJ, Ellison JA, Gilbert AT, Kuzmin IV, Niezgoda M, et al. Bats are a major natural reservoir for hepaciviruses and pegiviruses. Proc Natl Acad Sci U S A. 2013 Apr 22. [Epub ahead of print] Morales-Betoulle ME, Komar N, Panella, NA, Alvarez D, López MR, Betoulle JL, Sosa SM, Müller ML, Kilpatrick AM, Lanciotti RS, et al. West Nile virus ecology in a tropical ecosystem in Guatemala. Am J Trop Med Hyg 2013; 88(1):116-26. Quan PL, Firth C, Conte JM, Williams SH, Zambrana-Torrelio CM, Anthony SJ, Ellison JA, Gilbert AT, Kuzmin IV, Niezgoda M, et al. Bats are a major natural reservoir for hepaciviruses and pegiviruses. Proc Natl Acad Sci USA 2013 Apr 22 [Epub ahead of print, doi:10.1073/pnas.1303037110]. Tao Y, Shi M, Conrardy C, Kuzmin IV, Recuenco S, Agwanda B, Alvarez DA, Ellison JA, Gilbert AT, Moran D, et al. Discovery of diverse polyomaviruses in bats and the evolutionary history of the Polyomaviridae. J Gen Virol 2013 Apr; 94(Pt 4):738-48. Feikin DR, Njenga MK, Bigogo G, Aura B, Gikunju S, Balish A, Katz MA, Erdman D, Breiman RF. Additional diagnostic yield of adding serology to PCR in diagnosing viral acute respiratory infections in Kenyan patients 5 years of age and older. Clin Vaccine Immunol. 2013 Jan;20(1):113-4. doi: 10.1128/CVI.00325-12. Epub 2012 Oct 31. Fuller JA, Njenga MK, Bigogo G, Aura B, Ope MO, Nderitu L, Wakhule L, Erdmann DD, Breiman RF, Feikin DR. Association of the CT values of the real time PCR of viral upper respiratory tract infection with clinical severity, Kenya. J Med Virol 2013;85(5):924-32. Knobel DL, Maina AN, Cutler SJ, Ogola E, Feikin DR, Junghae M, Halliday JEB, Richards AL, Breiman RF, Cleaveland S, et al. Coxiella burnetii in humans, domestic ruminants, and ticks in rural Western Kenya. Amer J Trop Med Hyg 2013 Mar;88(3):513-8. PMID 23382156 Murray EL, Khagayi S, Ope M, Bigogo G, Ochola R, Muthoka P, Njenga MK, Odhiambo F, Burton D, Laserson KF, et al. What are the most sensitive and specific sign and symptom combinations for influenza in patients hospitalized with acute respiratory illness? Results from western Kenya, January 2007-July 2010. Epidemiol Infect 2013 Jan;141(1):212-22. doi: 10.1017/S095026881200043X. Epub 2012 Mar 15. Annual reports of OIE Reference Centres, 2013 11 Emerging and Re-Emerging Zoonotic Diseases Quan PL, Firth C, Conte JM, Williams SH, Zambrana-Torrelio CM, Anthony SJ, Ellison JA, Gilbert AT, Kuzmin IV, Niezgoda M, et al. Bats are a major natural reservoir for hepaciviruses and pegiviruses. Proc Natl Acad Sci 2013 May 14;110(20):8194-9. doi: 10.1073/pnas.1303037110. Epub 2013 Apr 22. Carroll SA, Towner JS, Sealy TK, McMullan LK, Khristova ML, Burt FJ, Swanepoel R, Rollin PE, Nichol ST. Molecular evolution of viruses of the family Filoviridae based on 97 whole genome sequences. J Virol 2013;87:2608-2616. Crabtree, M, Kading, RC, Mutebi J-P, Lutwama, J, Miller, BR. Identification of host blood from engorged mosquitoes collected in western Uganda using cytochrome oxidase I gene sequences. J Wildlife Dis 2013 Jul;49(3):611-26. Graham CB, Borchert JN, Black WC, Atiku LA, Mpanga JT, Boegler KA, Moore SM, Gage KL, Eisen RJ. Blood meal identification in off-host cat fleas (Ctenocephalides felis) from a plague-endemic region of Uganda. Am J Trop Med Hyg 2013 Feb;88(2):381-9. Kading RC, Borland E, Cranfield M, Powers A. Seroprevalence of alphaviruses and flavivirues in freeranging game animals and non-human primates in the Congo Basin. Manuscript in press, J Wildlife Dis 2013 Jul;49(3):587-99. b) International conference presentations: ......................... >30 Select examples: Title: Human monkeypox in a conflict region of the Democratic Republic of the Congo Speaker: Andrea McCollum, PhD, CDC/NCEZID/DHCPP Conference: ASTMH 62nd Annual Meeting Title: Effective control of Aedes aegypti using CDC autocidal gravid ovitraps Speaker: Roberto Barrera, CDC/NCEZID/DVBD Conference: ASTMH 62nd Annual Meeting Title: Epidemiology of Q fever in Thailand Speaker: Pawin Padungtod, CDC Conference: ASTMH 62nd Annual Meeting Title: Enhancing health care worker capabilities to detect and care for patients with monkeypox Speaker: Jennifer Bass, CDC/NCEZID/DHCPP Conference: ASTMH 62nd Annual Meeting Title: A filovirus marathon: epidemiological and laboratory responses to two outbreaks of Marburg and Ebola hemorrhagic fever, Uganda, October-November 2012 Speaker: Barbara Knust, CDC/NCEZID/DHCPP Conference: ASTMH 62nd Annual Meeting Title: Cluster investigation of melioidosis cases reveals evidence of endemicity in Puerto Rico Speaker: Thomas Doker, CDC/NCEZID/DHCPP Conference: ASTMH 62nd Annual Meeting Title: Establishment and successes of the Uganda National Viral Hemorrhagic Fever Surveillance Program and High-Containment Laboratory, 2010-2013 Speaker: Trevor Shoemaker, CDC Conference: ASTMH 62nd Annual Meeting Title: Re-emergence of Bundibugyo virus after a five year hiatus—Isiro, the Democratic Republic of the Congo, 2012 12 Annual reports of OIE Reference Centres, 2013 Emerging and Re-Emerging Zoonotic Diseases Speaker: Ilana Schafer, CDC/NCEZID/DHCPP Conference: ASTMH 62nd Annual Meeting Title: Culture-Independent Diagnostics Testing: The End of Surveillance for Foodborne Infections? Speaker: John Besser, PhD, Deputy Chief, Enteric Diseases Laboratory Branch CDC/NCEZID/DFBMD Conference: International Association for Food Protection (IFAP) Annual Meeting, Charlotte, North Carolina 7/29/2013 Title: Pilot protocol for assessment of health needs and evaluation of public health interventions for U.S.-bound refugees from Burma (Myanmar): Early data Speakers: Tarissa Mitchell, Centers for Disease Control and Prevention, NCEZID/DGMQ/IRMHB Conference: North American Refugee Health Conference, June 6, 2013, Toronto, Canada. Title: Estimating the Public Health Burden of Lyme Disease in the United States Speaker: Paul Mead, CDC/NCEZID/DVBD Conference: 13th International Conference on Lyme Borreliosis and Other Tick-Borne Diseases Title: Metabolic Biomarkers and Biosignatures for Improved Diagnosis of Lyme Disease Speaker: Claudia Molins, CDC/NCEZID/DVBD Conference: 13th International Conference on Lyme Borreliosis and Other Tick-Borne Diseases Title: Efficacy of a Single Peridomestic Application of Acaricide To Prevent Lyme and Other Tickborne Diseases Speaker: Alison Hinckley, CDC/NCEZID/DVBD Conference: 13th International Conference on Lyme Borreliosis and Other Tick-Borne Diseases Title: Update on Emerging Vector-Borne Diseases in the United States Speaker: Lyle Petersen, MD, MPH, CDC/NCEZID/DVBD Conference: IDWeek 2013 Title: The whole yellow fever iceberg: Estimating the incidence of infection from the number of severe cases Speaker: Michael Johansson Conference: Fourth International Conference on Infectious Disease Dynamics c) National conference presentations: ................................ >50 Select examples: Title: Foodcore: Foodborne Diseases Centers for Outbreak Response Enhancement - Improving Foodborne Disease Outbreak Response Capacity in State and Local Health Departments Speaker: Jennifer Mitchell, CDC/NCEZID/DFWED Conference: 2013 Annual CSTE Conference Title: Food Safety Centers of Excellence: Building State and Local Capacity for Foodborne Illness Surveillance and Outbreak Response Speaker: Dale Morse, CDC/NCEZID/DFWED Conference: 2013 Annual CSTE Conference Title: Epidemiology of Rare But Life-Threatening Diseases: How to Improve Surveillance and Support for Free-Living Ameba Infections Speaker: Jennifer Cope, CDC/NCEZID/DFWED Conference: 2013 Annual CSTE Conference Title: Turtlepocalypse: Seven Overlapping Multistate Outbreaks of Human Salmonella Infections Associated With Small Pet Turtles — U.S.A., 2012 Speaker: Maroya Walters, CDC/NCEZID/DFWED Conference: 2013 Annual CSTE Conference Annual reports of OIE Reference Centres, 2013 13 Emerging and Re-Emerging Zoonotic Diseases Title: Mass Human Exposure to Bats at a Volunteer Lodging Facility in Kentucky Speaker: Ryan Wallace, CDC/NCEZID/DHCPP Conference: 2013 Annual CSTE Conference Title: An International Outbreak of Tetracycline-Resistant Salmonella I 4,[5],12:I:- Infections Associated With Frozen Feeder Rodents Used as Reptile Feed —2008-2012 Speaker: Jennifer Wright, CDC/NCEZID Conference: 2013 Annual CSTE Conference Title: Global Foodborne Infections Network (GFN): An opportunity for capacity-building in enteric diseases in India Speaker: Nirali Desai, MPH , CDC/NCEZID/DFWED Conference: 141st APHA Annual Meeting and Exposition Title: Epidemiology, Sampling and Traceback Working Synergistically Speaker: Karen Neil, Medical Epidemiologist CDC/NCEZID Conference: National Environmental Health Association, Annual Educational Conference & Exhibition (July 10, 2013), Washington, DC. Title: The trouble with Turtles: Public Health and Regulatory Challenges with Recent Multistate Outbreaks Speaker: Stacey Bosch, DVM, MPH, DACVPM Commander, United States Public Health Service Epidemiologist, Outbreak Response and Prevention Branch CDC/NCEZID/DFWED Conference: Association of Public Health Laboratories InFORM 2013 Conference, San Antonio, Texas. November 19, 2013 Title: Backyard Flocks and Salmonellosis: A Growing Public Health Concern Speaker: Casey Barton Behravesh MS, DVM, DrPH, DACVPM, Deputy Branch Chief, Outbreak Response and Prevention Branch, DFWED Coordinator for Enteric Zoonoses and One Health Division of Foodborne, Waterborne and Environmental Diseases, CDC/NCEZID/DFWED Conference: Association of Public Health Laboratories InFORM 2013 Conference, San Antonio, Texas. November 19, 2013 Title: CDC Activities on Lyme and other Tick-Borne Diseases Speaker: C. Ben Beard, Ph.D. Chief, Bacterial Diseases Branch CDC – Division of Vector Borne Disease, NCEZID, Associate Director for Climate Change Conference: Report on Tick-Borne Disease and Integrated Pest Management Conference 2013 Arlington, VA March 5-6, 2013 Title: Identification and Promotion of Effective IPM Tools to Reduce Tick-borne Diseases Speaker: Joe Piesman, Ph.D., CDC Chief of Tick-Borne Disease Activity Bacterial Diseases Branch CDC – Division of Vector Borne Disease, NCEZID, Associate Director for Climate Change Conference: Report on Tick-Borne Disease and Integrated Pest Management Conference 2013 Arlington, VA March 5-6, 2013 Title: Evaluating National Estimates of Access to Improved Water Sources and Basic Sanitation as a Predictor of Epidemic and Endemic Cholera, 1991 to 2010 Speaker: Bejamin Nygren, Epidemiologist CDC/DHHS/CDC/OID/NCEZID/DFWED/WDPB Conference 2013 Water and Health Conference: Where Science Meets Policy October 14-18 University of North Carolina at Chapel Hill (October 16th) Title: Access to water, sanitation and hygiene in Artibonite, Haiti: results from an assessment of rural households and water sources 16- months after the onset of cholera Speaker: Katharine Schilling, Health Scientist Epidemiologist CDC/DHHS/CDC/OID/NCEZID/DFWED/WDPB Conference 2013 Water and Health Conference: Where Science Meets Policy October 14-18 14 Annual reports of OIE Reference Centres, 2013 Emerging and Re-Emerging Zoonotic Diseases University of North Carolina at Chapel Hill (October 16th) d) Other: ............................................................................... (Provide website address or link to appropriate information) _______________ Annual reports of OIE Reference Centres, 2013 15