Detection and Response to Novel Influenza A (H7N9) virus: training has been organized in Umnugobi
Detection and Response to Novel Influenza A (H7N9) virus: The training has been successfully organized by specialists of the National Center for Communicable Diseases and Veterinary Institute with funding by the CDC, USA on 20, 21 March 2018 in Umnugovi province.
Translated training materials, which recommended and developed by the CDC, USA were used. Presented several presentations by the specialists on the A (H7N9) character and epidemiological surveillance, clinical management, infection control and risk communication and assessment in the training. As well as, in order to reinforce knowledge, table top exercise has been done.
Over 30 specialists were attended the training including the Governor's Office of Province, Border Professional Inspection Agency, Professional Inspection Agency, Zoonotic Center, Health Department, Regional Diagnostic and Treatment Center, Veterinary and Emergency Management Agency (Picture 2).
First day of the training, A. Ambaselmaa, Head of Division of Surveillance and Research of Infectious diseases, NCCD introduced the newly approved Regulation # 8 by the Vice Prime Minister on information exchange between multi-sectors.
Picture 1. Ts. Unurjargal Head of the Aimag Health Department (by left),
A. Ambaselmaa, Head of Division of Surveillance and Research of Infectious diseases, NCCD, Y. Enkhtsatsral Head of Social Policy Division, Governor's Office of the Province, B.Darmaa, Head of Virology Laboratory, NCCD
The Virology Laboratory, National Influenza Center, NCCD, Mongolia has tested 2236 specimens from the 40th week of 2017 to the 4rd week of 2018. 708(31.66%) specimens were positive for influenza and other respiratory viruses of these were 4(0.56%) influenza A(H1N1), 59(8.3%) influenza A(H3N2), 232(32.8%) influenza В-Yamagata lineage, 235(33.2%) RSV, 51(7.2%) Coronavirus OC43/NL63, 54(7.6%) Rhinovirus, 37(5.2%) Parainfluenza, 12(1.7%) Bocavirus, 11(1.55%) Adenovirus, 8(1.13%) Enterovirus and 5(0.71%) Human metapneumovirus (Figure1).
Figure1. Respiratory viruses detected by rt PCR from the 40th week of 2017 to 4rd week of 2018.
The Virology Laboratory, National Influenza Center, NCCD, Mongolia has tested more than 1630 specimens during the 40-52 week of 2017 . 446(27.4%) specimens were positive for influenza and other respiratory viruses of these were 49(11.0%) influenza A(H3N2), 95(21.3%) influenza В-Yamagata lineage, 143(32.1%) RSV, 47(10.5%) Coronavirus OC43/NL63, 46(10.3%) Rhinovirus, 35(7.8%) Parainfluenza, 12(2.7%) Bocavirus, 9(2.0%) Adenovirus, 7(1.5%) Enterovirus and 3(0.7%) Human metapneumovirus (Figure1).
Figure1. Respiratory viruses detected by rt PCR during 40-52 week of 2017.
The regional laboratories have improved diagnostic capacity for emerging and re-emerging diseases
The hand over meeting of laboratory equipment (PCR machines) was held at the Regional Diagnostic Treatment Center, Orkhon province on 19 January 2017. There were participated Head of Provincial Health Department and Governors of Orkhon and Darkhan Uul, Delegates from National Center for Communicable Diseases, Public Health Department of MoH, WHO Representative in Mongolia and Dr. Mina Nakauchi from National Institute of Infectious Diseases(NIID), Tokyo, Japan(Figure1).
The WHO Collaborating Center for Reference and Research on Influenza, NIID, Tokyo, Japan
has provided two Real time PCR machines,PC computers, reagents and supplies with financial
support of Japanese Government(AMED project) to Orkhon and Darkhan provinces. Dr. Mina Nakauchi has installed the PCR machines and conducted skill training on multiplex rt RT LAMP assay using new machines for laboratory local staff above mentioned provinces(Figure 2;3). The Regional Laboratories with molecular detection capacity are will help to provide the results promptly to healthcare workers and public for managing patients and infectious diseases outbreak response activities.
Figure1. Participants of the meeting for hand over the real time PCR machines to provincial Virology Laboratory at Orkhon and Darkhan Uul. From left hand Dr. O. Ariuntuya, National Program Officer for Emergency Surveillance and Response at WHO Representative in Mongolia, M.Battuvshin, Head of Health Department of Orkhon province, A. Tuvshinjargal, Deputy Provincial Governor of Orkhon, Dr. Batsukh, Director of Regional Diagnosis Treatment Center(RDTC) in Orkhon, D.Gantsetseg, Head, Public Health Department, MoH, B.Battsengel, Head of Health Department, Darkhan Uul province, Dr. Mina Nakauchi, NIID, Tokyo, Japan, B.Byambaerdene, laboratory specialist of Darkhan and Dr. B Darmaa, Head Virology Laboratory, National Influenza Center, NCCD, Ulaanbaatar.