Oct 5 – 7, 2026
Hotel Berlin, Berlin
Europe/Berlin timezone
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Assessment of Timeliness of Detection, Notification, and Response to a Human Anthrax Outbreak in Kazo District, Uganda, December 2025–March 2026

Oct 5, 2026, 7:14 PM
1m
Area C

Area C

Both options possible Pandemic Preparedness & Prevention Snacks & Poster Viewing I

Speaker

Pauline Achom (Uganda National Institute of Public Health)

Description

Background: Anthrax is endemic in Uganda’s cattle corridor. During December 2025–March 2026, Kazo District reported 135 human anthrax cases, including 14 PCR-confirmed cases and two deaths, following repeated sudden livestock deaths. We assessed the timeliness of outbreak detection, notification, and early response using the 7-1-7 framework.

Methods: We reviewed records and interviewed district health, veterinary, and surveillance officials. We assessed detection within 7 days of outbreak emergence, notification within 1 day of detection, and completion of key response actions within 7 days of notification.

Results: The first human case developed symptoms on 10 December 2025. Detection occurred 35 days later, missing the target. Notification occurred within 1 day, meeting the target. Key response actions were completed 10 days after notification. Delays were due to poor reporting of livestock deaths, delayed care-seeking, low anthrax suspicion among health workers, weak human-animal surveillance linkages, resource constraints, and slow coordination. Existing reporting systems enabled timely notification, while district response capacity and deployment of the national rapid response team supported outbreak control.

Conclusion: Delayed recognition of livestock and human health signals slowed detection and response. Strengthening integrated surveillance, community reporting, health-worker awareness, and access to response resources could reduce delays in future outbreaks.

Keywords

7-1-7 framework, Anthrax, outbreak investigation, one health, Uganda

Registration ID OHS26-136
Professional Status of the Speaker Graduate Student
Junior Scientist Status Yes, I am a Junior Scientist.

Authors

Pauline Achom (Uganda National Institute of Public Health) Dr Richard Migisha (Uganda National Institute of Public Health) Prof. Riolexus Alex Ario (Uganda National Institute of Public Health) Ms Sharon Namasambi (Uganda National Institute of Public Health)

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