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International Conference on Emerging Infectious Diseases 2018 Poster and Oral Presentation Abstracts

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International Conference on Emerging Infectious Diseases 2018 Poster and Oral Presentation Abstracts International Conference on Emerging Infectious Diseases 2018 Poster and Oral Presentation Abstracts Emerging Infectious Diseases is providing access to these abstracts on behalf of the ICEID 2018 program committee (http://www.iceid.org), which performed peer review. ICEID is organized by the Centers for Disease Control and Prevention and Task Force for Global Health, Inc. Emerging Infectious Diseases has not edited or proofread these materials and is not responsible for inaccuracies or omissions. All information is subject to change. Comments and corrections should be brought to the attention of the authors. Suggested citation : Authors. Title [abstract]. International Conference on Emerging Infectious Diseases 2018 poster and oral presentation abstracts. Emerg Infect Dis. 2018 Sep [ date cited ]. http://www.cdc.gov/EID/pdfs/ICEID2018.pdf 1 Monday, August 27 Poster Abstracts Poster / Exhibit Hall One Health I Board 1 . Themes from One Health Zoonotic Disease Prioritization Workshops in 18 Countries, 2014–2017 C. Barton Behravesh, R. Ghai, V. Krishnasamy, G. Goryoka, K. Varela, N. Oussayef, S. Salyer Centers for Disease Control and Prevention, Atlanta, GA, USA Background: Zoonotic diseases continue to have adverse global impacts on both human and animal health. A One Health approach that recognizes the need for multisectoral collaboration can mitigate this impact, and is critical to advance global health security. CDC developed a One Health Zoonotic Disease Prioritization (OHZDP) process that uses a One Health approach to enhance multisectoral selection of priority zoonoses. During a multi-day workshop, representatives from human, animal, and environmental health sectors develop criteria and questions to rank zoonoses; the semi-quantitative methods allow for outcomes in the absence of complete country-level data. The typical workshop goal is to use a multi-sectoral, One Health approach to prioritize emerging and endemic zoonotic diseases that should be jointly addressed by human, animal, and environmental health ministries within a country. Methods: OHZDP data from workshops conducted globally from 2014–2017 were compiled and analyzed to identify themes in workshop disease criteria, prioritized zoonoses lists, and future actionable items discussed during the workshop. Results: From 2014 to 2017, CDC and partners facilitated OHZDP workshops in 18 countries in Africa (n=13), Asia (n = 4), and North America (n =1). All countries selected criteria that captured the epidemic or pandemic potential and the disease severity of each zoonosis. Other common criteria included ability to prevent or control the zoonosis (n = 17), economic impacts associated with losses in production, trade, or travel (n = 16), and the bioterrorism potential of the zoonosis (n = 6). Frequently prioritized zoonotic diseases were rabies (n=17); zoonotic influenza viruses (n=16); anthrax (n=12); brucellosis (n=12); and Ebola or Marburg (n=10). Finally, the most common future action noted was the need to strengthen multi-sectoral, One Health coordination (n =14; 78%). Conclusions: The CDC OHZDP process provides a method for prioritizing zoonotic diseases of national concern while fostering collaboration and developing One Health-based recommendations. Assessing workshop themes not only strengthens One Health at the national level but also supports the development of One Health guidance, tools, and resources to strengthen One Health at the regional and global levels. Board 2. Extending the Reach of Public Health: The Public Health Talk Expansion to Animal Care Providers D. Crosby Cobb & Douglas Public Health, Marietta, GA, USA Background: The Public Health Talk (PH Talk) initiative was initiated in 2014 to “bridge the gap” between Cobb & Douglas Public Health (CDPH), a local public health district agency, and the Cobb & Douglas counties’ health care community. A total of 31 PH Talks were conducted, including 2 at veterinarian offices. Due to rabies being a heightened concern, the initiative is being expanded to other animal care providers. Targeted animal care providers are projected to include, but not limited to, groomers, rescue organizations, animal daycares, and pet shops. Between 01/01/2012-12/31/16, 3,756 animal bite incidences were reported to Cobb & Douglas Public Health, with 28 specimens testing positive for rabies. This project is a continuation of a quality improvement project that was done in 2016 to address a gap in the audience to cover animal care providers. Methods: Using the general PH Talk format, a new survey was created to target animal care providers. This survey is used to assess the base knowledge of the attendees and the knowledge that is gained upon completion. The presentation given to animal care staff was modified to include detailed information concerning reporting notifiable zoonotic diseases and to provide updated data for animal bite incidences at the national and local level. The presentation was also updated to detail the process for reporting animal bite incidences to Public Health and/or Animal Control due to the risk of rabies exposure and follow up procedures by CDPH Epidemiology. Results: Local animal care providers will be educated by Public Health and knowledge of animal care providers will be increased (anticipated). Conclusions: The knowledge of attendees at PH Talks will be increased concerning public health practices with regards to reducing the incidence of rabies exposure in the community and advising post-exposure prophylaxis to those who are at risk in Cobb & Douglas counties in the state of Georgia. 2 Board 3. Prevalence of Zoonotic Enteropathogens in Domestic Animals and Associated Household Risk Factors in Kisumu, Kenya A. Barnes 1, J. Mumma 2, F. Ade 3, O. Cumming 4 1Duke University, Durham, NC, USA, 2Great Lakes University Kisumu, Kisumu, Kenya, 3KEMRI, Kisumu, Kenya, 4London School of Hygiene and Tropical Medicine, London, United Kingdom Background: The presence of domestic animals and animal waste at a household can expose residents to zoonotic enteropathogens through contact with an infected animal or their feces. Within peri-urban communities of Kisumu, Kenya, free-roaming domestic animals present a zoonotic risk for households that is exacerbated by a lack of improved water, sanitation, and hygiene (WASH). The purpose of this study was to detect zoonotic enteropathogens in animal waste from the household living space and to identify WASH risk factors that could contribute to disease exposure for household members. Methods: Multiplex PCR was used to detect the presence of zoonotic enteropathogens from composite animal waste samples collected from household compounds. The results were compared to household survey data on WASH factors. Results: Household surveys were conducted in Nyalenda A, Nyalenda B, and Kanyakwar communities (n=800). When present, animal waste was collected from inside the compound boundaries of each household and tested for zoonotic enteropathogens (n=320). Over forty percent (n=97) were positive for at least one of the following pathogens: enterotoxigenic Escherichia coli [ETEC] n= 67, enteropathogenic E. coli [EPEC] n= 81, enteroaggregative E. coli [EAEC] n=20, Shiga-toxigenic E. coli [STEC] n=18, enteroinvasive E. coli [EIEC] n=2 , Cryptosporidium spp. n= 3, and Giardia spp. n=5. Of the households with contaminated animal waste in their compound, 32% reported animal ownership (n=31), 47% sometimes or frequently treat their drinking water before use (n=46), 63% reported washing their hands before cooking (n=61), and a single household reported washing their hands after animal contact. Conclusions: Zoonotic enteric pathogens are present in the living space of many peri-urban households due to indiscriminate animal waste. Household WASH risk factors put residents at risk for exposure to zoonotic disease through contact with infected animal waste. More research is needed on the contribution of proximal animal waste to diarrheal disease. Board 4. Surveillance for Respiratory and Diarrheal Pathogens at the Human-Pig Interface in Sarawak, Malaysia L. Borkenhagen 1, K. Mallinson 1, R. Tsao 1, S. Ha 2, W. Lim 2, T. Toh 2, B. Anderson 1, J. Fieldhouse 1, S. Philo 1, K. Chong 3, A. Ramirez 4, J. Lowe 5, K. Coleman 6, G. Gray 1 1Duke University, Durham, NC, USA, 2Sibu Hospital, Sibu, Malaysia, 3Divisional Health Office, Sibu, Malaysia, 4Iowa State University, Ames, IA, USA, 5University of Illinois at Urbana-Champaign, Champaign, IL, USA, 6Duke-NUS Medical School, Singapore, Singapore Background: The large livestock operations and dense human population of Southeast Asia are considered a hot-spot for emerging viruses. The primary objective of this study was to determine if a panel of pathogens with known or suspected transmission between pigs and humans, including adenovirus (ADV), coronavirus (CoV), encephalomyocarditis virus (EMCV), enterovirus (EV), influenza A-D (IAV, IBV, ICV, and IDV), porcine circovirus 2 (PVC2), and porcine rotaviruses A and C (RVA and RVC), are aerosolized at the animal-interface, and if humans working in these environments are carrying these viruses in their nasal airways. Methods: This cross-sectional study took place in Sarawak, Malaysia among 11 pig farms, 2 abattoirs, and 3 animal markets in June and July of 2017. Pig feces, pig oral secretions, bioaerosols, and worker nasal wash samples were collected and analyzed via rPCR and rRT-PCR for respiratory and diarrheal viruses. Results: In all, 55 pig fecal, 49 pig oral or water, 45 bioaerosol, and 78 worker
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