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“Human cases of anthrax have continued to be reported, indicating ongoing outbreaks. Health workers noticed a large lesion on the man’s skin—a sign of anthrax.

Humans generally acquire the disease directly or indirectly from infected animals, or occupational exposure to infected or contaminated animal products. ... the military has an active vaccination program against anthrax for personnel going to specific arenas around the world. The Uganda National Task Force for public health emergencies set up a Rapid Response Team (RRT) under a One Health platform. Anthrax is primarily a disease of herbivorous mammals, although other mammals and some birds have been known to contract it. While progress is being made, Zhu stresses the importance of remaining vigilant. Recent global health security efforts have made Uganda better prepared to handle outbreaks like this one, as well as to prevent, detect, and respond to future emergencies.

Until the introduction and widespread use of effective veterinary vaccines, it was a major cause of fatal disease in cattle, sheep, goats, camels, horses, and pigs throughout the world. The combined effort marked the first full-fledged collaboration between the animal and human public health sectors to tackle outbreaks of a priority zoonotic disease in Uganda. Until the introduction and widespread use of effective veterinary vaccines, it was a major cause of fatal disease in cattle, sheep, goats, camels, horses, and pigs throughout the world. These global health security activities have resulted in better communication and information systems; more capable surveillance and laboratory networks; a workforce of trained disease detectives; and a functioning Public Health Emergency Operations Center (PHEOC), helping the country rapidly respond to outbreaks and other emergencies.Members of the RRT came from both animal and human health sectors, including the MOH, MAAIF, the Uganda Wildlife Authority, FETP, UVRI, Makerere University College of Veterinary Medicine, the Infectious Disease Institute, the Food and Agriculture Organization, and a field response team from CDC’s Bacterial Special Pathogens Branch in Atlanta.As the crisis spread, Uganda drew upon its improved capabilities to scale up the response. In August 2017, dozens of people became sick in the southwestern Isingiro District after eating infected meat. In total, 186 probable human cases of anthrax were identified across Uganda between January and June 2018. Anthrax continues to be reported from many countries in domesticated and wild herbivores, especially where livestock vaccination programmes are inadequate or have been disrupted. Anthrax is among Uganda’s seven priority zoonotic diseases, and stopping its transmission requires an all-hands-on-deck One Health approach that brings together experts in animal and human health.In May 2017, two children in Uganda’s northern Arua District fell ill after eating the meat of an animal that was found dead.Laboratory tests at the CDC-supported Uganda Virus Research Institute (UVRI) were able to quickly confirm the cause of the outbreak as anthrax.

In total, 186 probable human cases of anthrax were identified across Uganda between January and June 2018.“Human cases of anthrax have continued to be reported, indicating ongoing outbreaks. Photo: Bao-Ping Zhu.With Uganda’s history of high-profile disease outbreaks, CDC has been supporting Uganda’s government in strengthening its ability to respond to infectious disease threats.