Biosurveillance in Central Asia: Successes and Challenges of Tick-Borne Disease Research in Kazakhstan and Kyrgyzstan

Central Asia is a vast geographic region that includes five former Soviet Union republics: Kazakhstan, Kyrgyzstan, Tajikistan, Turkmenistan, and Uzbekistan. The region has a unique infectious disease burden, and a history that includes Silk Road trade routes and networks that were part of the anti-plague and biowarfare programs in the former Soviet Union. Post Soviet Union biosurveillance research in this unique area of the world has met with several challenges, including lack of funding and resources to independently conduct hypothesis driven, peer-review quality research. Strides have been made, however, to increase scientific engagement and capability. Kazakhstan and Kyrgyzstan are examples of countries where biosurveillance research has been successfully conducted, particularly with respect to especially dangerous pathogens. In this review we describe in detail the successes, challenges and opportunities of conducting biosurveillance in Central Asia as exemplified by our recent research activities on ticks and tick-borne diseases in Kazakhstan and Kyrgyzstan

Tick-Borne Encephalitis Virus, Coxiella burnetii & Brucella spp. in Milk, Kazakhstan

Raw milk was collected from cows in western Kazakhstan in winter 2014-2015. Samples were defatted and frozen at -20C, then tested as follows. For tick-borne encephalitis virus, 65 samples were tested using the VectorBest TBEV antigen capture kit, with 9% positive. For Coxiella burnetii, 50 samples were assayed using a species-specific qPCR assay and all were negative, though positive controls were consistently positive. For Brucella spp., PCR, ELISA and FPA testing is ongoing, with some positive results. These data suggest that consumption of raw cow's milk in western Kazakhstan is a risk factor for tick-borne encephalitis and brucellosis. The risk for Q fever appears to be small during winter, but may be present at other times of the year