Abstract

Naturally occurring anthrax disproportionately affects the health and economic welfare of poor, rural communities in anthrax-endemic countries. However, many of these countries have limited anthrax prevention and control programs. Effective prevention of anthrax outbreaks among humans is accomplished through routine livestock vaccination programs and prompt response to animal outbreaks. The Centers for Disease Control and Prevention uses a 2-phase framework when providing technical assistance to partners in anthrax-endemic countries. The first phase assesses and identifies areas for improvement in existing human and animal surveillance, laboratory diagnostics, and outbreak response. The second phase provides steps to implement improvements to these areas. We describe examples of implementing this framework in anthrax-endemic countries. These activities are at varying stages of completion; however, the public health impact of these initiatives has been encouraging. The anthrax framework can be extended to other zoonotic diseases to build on these efforts, improve human and animal health, and enhance global health security.

Highlights

  • Occurring anthrax disproportionately affects the health and economic welfare of poor, rural communities in anthrax-endemic countries

  • In addition to the naturally acquired forms of anthrax, B. anthracis is designated as a potential bioweapon, and the risk of acquiring anthrax from laboratoryproduced B. anthracis spores emphasizes the importance of anthrax surveillance, prevention, and control in anthraxendemic countries [5,6]

  • B. anthracis spores can survive in the soil for many years and are distributed worldwide, the disease is endemic to Africa, Central Asia, the Middle East, and South America [7,8]

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Summary

Introduction

Occurring anthrax disproportionately affects the health and economic welfare of poor, rural communities in anthrax-endemic countries. Framework for Enhancing Anthrax Prevention and Control CDC’s Bacterial Special Pathogens Branch, part of the Division of High-Consequence Pathogens and Pathology in the National Center for Emerging and Zoonotic Infectious Diseases, works with governments and other international partners to support activities in anthrax-endemic countries that strengthen human and animal anthrax surveillance, enhance laboratory capacity, develop control strategies, and foster collaborative outbreak investigations. Establishment of Partnerships CDC collaborates with anthrax-endemic countries that request assistance to improve surveillance and diagnostic capacity.

Results
Conclusion
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