Evaluation of the Epidemic Situation of Anthrax in Armenia Over the Last Decade.

INTRODUCTION

Anthrax is a World Organisation for Animal Health (WOAH)-listed disease that must be reported upon confirmation based on the Terrestrial Animal Health Code. Anthrax poses a serious health issue for unvaccinated livestock, is a threat to humans through interaction with contaminated livestock and animal products and is endemic in many areas throughout the world, including the Transcaucasian Region. Despite several control and eradication efforts that have been implemented by the government of the Republic of Armenia (RA), sporadic cases of anthrax are still reported. We sought to understand the epidemic situation of anthrax in RA during the last 10 years (2012-2023) based on analysis of outbreaks and reported cases in cattle and humans.

METHODS

We collected and evaluated officially reported data from human and animal cases, such as time, location, animal species, disease intensity and spread radius. The data and various parameters were mapped using ArcGIS to prepare a viable risk assessment.

RESULTS

Based on the officially available data and reports, there have been 80 human cases and 55 animal cases of anthrax confirmed in RA from 2012 to 2023. We also identified the presence of anthrax spores in soil and environmental samples near animal burial sites in RA in 2015-2017 through polymerase chain reaction (PCR) testing. Upon comparing the human and animal cases by frequency and intensity, the human cases are directly proportional to the animal husbandry practices performed in RA.

CONCLUSION

The detection of the anthrax pathogen at the burial sites highlights the continued threat in these areas. Thus, it is imperative to secure and monitor any areas that have been used for anthrax burial and limit the movement of animals in these areas. In the future, legislation should be updated to prioritise incineration of anthrax-infected carcasses instead of burial to limit further exposure to animals and humans.