Conference Schedule

Day1: April 22, 2019

Keynote Forum

Biography

Narendra Kumar Chopra has completed his Doctor of Medicine from MS University, India in year 1986. Subsequently he has completed his Fellowship in Tropical Medicine from London and WHO Fellowship in Leprosy Control in countries of South East Asia and Africa. He was awarded Melville Christian Memorial Award and Gold Medal in year 1995 for outstanding research in field of Leprosy. He was also awarded Rashtriya Gaurav Award in field of infectious diseases at national level. He has published more than 18 papers in reputed journals. Presently he is working as a Clinical Professor at the Faculty of Medicine, SEGI University, Clinical Campus Hospital Sibu (Sarawk) Malaysia.


Abstract

The origin of human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS) has puzzled scientists ever since the illness first came to light in early 1980s. The first recognized case of AIDS occurred in USA in 1981. For over 25 years it has been the subject of fierce debate and cause of countless arguments. It is now generally accepted that HIV is a descendent of simian immunodeficiency virus and there are many theories about how these zoonosis originated and how SIV became HIV in human. Advances in anti retroviral treatment have steadily reduced the morbidity and mortality associated with HIV infection. However, in the low-income, high prevalence countries, antiretroviral medication has taken a long time to reach the people who actually need it. Access to medication must greatly improve if millions of deaths are to be avoided. HIV is preventable and controllable disease with integrated primary health care approach and with chain of strong effective surveillance system. Unless, great progress is made in prevention the number of people living with HIV will outstrip the resources available for treatment. As per data from UNAIDS summary of global epidemic 2017, total 36.9 million people are living with HIV 1.8 millions are newly HIV infected adults and 1.8 million are infected children less than 15 years. The impact control of HIV depends on vital epidemiological parameters like child prevalence and incidence and annual new cases of HIV in adults and children, deaths due to AIDS in adults and children. The latest data of HIV/AIDS in adults, children male female and deaths as per WHO/ UNAIDS will be presented and discussed. The search for effective vaccines and microbicides must therefore be one of the very highest priority. HIV is a global threat and action needs to be taken to prevent it by killing many more millions than those who already have died. This action not only needs to continue but also to be speeded up considerably.

Tracks

  • Respiratory and Pulmonary infectious diseases | Infectious Diseases Epidemiology | Infection and Immune System | Vaccine and Vaccination | Zika/Ebola viruses
Location: Olimpica 2-20 Theater

Zlata Rasulzade

Republican Anti-Plaque Station, Azerbaijan

Chair

Biography

Z Rasulzade obtained her PhD from Azerbaijan National Academy of Sciences in 2011. She is working as a Data Manager in Republican Anti-Plague Station since 2012 to date. Currently, she is a Member of Electronic Integrated Diseases Surveillance System (EIDSS) administrative working group at the Ministry of Health since 2011. She successfully graduated South Caucasus Field Epidemiology and Laboratory training two year program (SC/FELTP) in 2014. Since 2017, she is a Member of Azerbaijan Science Diplomacy Support Center’s Working Group. She has published more than 10 papers in reputed journals and 40 abstracts.


Abstract

Introduction: Electronic Integrated Disease Surveillance System (EIDSS) was adopted in Azerbaijan in 2010 by the Ministry of Health. EIDSS provides essential patient specific accumulation of information from the data sources throughout the country, real-time reporting of diseases, integrating with other electronic systems (health medical records, TB-manager, TIBCO, CISID, etc.) and it allows information exchange between different agencies. The main goal of the current assessment was to identify the public health benefits after implementation of the electronic reporting.
 
Methods: Assessment criteria included timeliness of the disease notifications and case investigation, data quality and completeness of laboratory data. Data was obtained from the EIDSS database. Paper forms on the case notifications were reviewed for 2010 by RAPS. Indicators of timeliness and records’ completeness were calculated analysis, visualization and reporting module (AVR) of the EIDSS.
 
Results: The EIDSS includes seven key modules: human cases module, vector surveillance module, laboratory module, outbreak module, etc. Interaction of these modules allows summarizing the data in whole across the different sectors. Visibility of veterinary and human data was not established to conduct collaborative investigation for zoonotic diseases. Data on 50 notifiable diseases including suspect and probable cases is entered into the EIDSS by all district centers of hygiene and epidemiology and medical facilities, except Nakhichevan (4.6% of population). Web-version of the EIDSS as open source allows inputting the data from any computer with internet connection. Timeliness of a notification of especially dangerous infections by paper forms was 37% in 2010 and 98% by electronic reporting in 2018. After simplification of the laboratory module in 2013 the completeness of laboratory data was improved (from 32% to 97%). Data quality was improved after training of users (reduction of number of missing values after next training was 14% in average). All tests results were entered in a timely manner.
 
Conclusion: EIDSS provides the simultaneous input, investigation and monitoring of the data about the infection diseases. Establishment of the connection between veterinary and human services for integrated surveillance and collaborative investigation of zoonotic infections is recommended. Validation of the data quality of the database is possible through AVR module and developed data quality indicators. Completeness of the laboratory data allows timely diagnostics. Timely notification and investigation make possible rapid identification of the outbreaks. It is recommended systematic assessment of the data quality and surveillance indicators. The implementation of the EIDSS in Azerbaijan significantly improves the diseases reporting and surveillance system in the country.

Biography

Serdal Arslan works as an Associate Professor at Department of Medical Biology, Faculty of Medicine, Sivas Cumhuriyet University (Turkey). He has a PhD Degree of Molecular Biology. His expertise is molecular medicine. He has been working on noncoding RNAs in different diseases especially infectious diseases. He has been conducting molecular genetic studies in Crimean–Congo Hemorrhagic Fever disease in recent years.


Abstract

Statement of the Problem: Crimean–Congo Hemorrhagic Fever (CCHF) is a fatal disease caused by the CCHF virus. Viral infections cause significant changes in cell transcriptomy including long non-coding RNA (lncRNA). Some lncRNAs expressed in infected cells are used to regulate the expression of viral and host genes. Expression of cellular lncRNAs can lead to altering the antiviral response. The aim of this study is to investigate of lncRNA gene expression profiles in CCHF patients at first time of the world.
 
Methodology & Theoretical Orientation: The lncRNAs expression levels were compared between case and control populations. Total RNA extraction from blood was performed according to protocol with PAX gene blood RNA kit. RIN values of samples were determined using 2100 Bioanalyzer (Agilent Technologies). For microarray, lncRNA gene expression was determined using Sure Print G3 Human gene expression v3 (Agilent Technologies). Results of lncRNAs expression were analyzed by GeneSpring (Ver 3.0) bioinformatics program. Microarray results of some important lncRNAs were validated using RT-PCR.
 
Findings: As a result of bioinformatics analysis of microarray data in CCHF patient and control group, 36 lncRNA was found statistically significant. Five of these LncRNAs were down-regulated, while 31 lncRNA were up-regulated according to the control group. Among the significant lncRNAs, the highest down regulation was lnc- SAMD11-2 (fold change: 40.37; p: 0.03); the highest up regulated FER1L4 (fold change: 17.67; p <0.01).
 
Conclusion & Significance: In this study, lncRNAs, which are important in the pathogenesis of CCHF, were first detected in the world. This results obtained from the study will contribute to explain the role of lncRNAs in pathogenesis of CCHF.
 

Biography

Ishag Adam a holder of MD in Obstetrics and Gynecology and PhD in Public Health, Division of Epidemiology and Biostatistics. Prof Ishag is a full Professor in 2009 at Faculty of medicine, University of Khartoum Sudan. Dr. Ishag has been author or co-author on over 300 articles and 6 chapters that have appeared in peer-reviewed journals, and is a reviewer for such journals as lancet, international Journal of Gynecology and Obstetrics, Malaria Journal and Journal of Obstetrics and Gynecology. He is on the editorial Board of BMC pregnancy and Child Birth. Prof Ishag and his collaborators succeeded to move Praziquantel during pregnancy from unsafe zoon (X) to be safely used during pregnancy as per WHO guidelines. He spent most of his carrier investigating malaria, anemia, preeclampsia and well known in the safety of artemisinins during pregnancy in RCOG guidelines.


Abstract

Statement of the Problem: Both malaria and Helicobacter pylori infection can lead to maternal and perinatal adverse effects. There are few published data on interaction between malaria and H. pylori and their association with low birth weight (LBW). The purpose of this study was to investigate the association between malaria, H. pylori and LBW and to assess if there is any interaction betweenmalaria and H. pylori.
 
Methodology & Theoretical Orientation: A case control study was conducted at Medani Hospital, Sudan. The cases were women who delivered low birth weight (<2,500 g) and women who delivered normal weight (≥ 2,500 g) were the controls. Obstetric history was gathered using questionnaires. peripheral, placenta and umbilical cord malaria was investigated using blood film, placental histology and PCR. H. pylori IgG antibody was analysed using ELISA
 
Findings: There were no significant differences between the two groups (case or control, 87 in each arm) in their age, parity and body mass index. Significantly higher numbers of the cases than the controls had malaria infections (placental malaria infections on histology/ submicroscopic malaria infection); 46 (53.0%) vs., 24 (27.6%), P = 0.001. The rates of positivity for specific IgG formed against H. pylori in the maternal were 75.9% (66/87) vs 55.2% (48/87), P = 0.006 and 75.9% (66/87) vs., 34(39.1%), P < 0.001 in the cord in the cases (LBW) and in the controls, respectively. In multivariate analysis, submicroscopic malaria infections (OR=3.7, 95% CI=1.4–6.6; P= 0.007) and all P. falciparum infections (histological or submicroscopic) (OR=3.1, 95% CI=1.5–6.4; P = 0.002), H. pylori IgG seropositive maternal (OR=3.2, 95% CI=1.4–6.6; P= 0.007) and all P. falciparum infections (histological or submicroscopic) (OR=3.1, 95% CI=1.5–6.4; P = 0.002), H. pylori IgG seropositive maternal (OR=3.2, 95% CI=1.4– 7.2; P = 0.003), and cord (OR=2.4, 95% CI=2.1–10.2; P < 0.001), were significantly associated with LBW. In linear regression submicroscopic malaria infections (Coefficient = – 0.257 g; P= 0.019) and all P. falciparum infections (histological or submicroscopic) (Coefficient= –0.208g; P= 0.017), H. pylori IgG seropositivity in the maternal (Coefficient= – 0.384 g; P < 0.001), and in the cord sera (Coefficient= – 0.342 g; P < 0.001), were significantly associated with birth weight.
 
Conclusion & Significance: In this study both submicroscopic malaria and H. pylori were associated with LBW. Further research is needed to explore the
interaction between malaria and H. pylori .
 

Biography

Soukup J has completed his Master´s Degree in Food and Nutrition at the Czech University of Life Sciences (CULS) and now continue there in his PhD studies. His Bachelor’s thesis topic was “Natural compounds in foods with anticancer effects”. He works as a Nutritional Consultant and Strength Coach with a specialization in Prehabilitation. Now-a-days he conducts research in the area of the oil stability during heating and storing and the formation of toxic compounds.


Abstract

One of the most significant and widespread problems in infectious disease treatment is the development of resistance to chemotherapeutics. It is disturbing that bacteria resistant to important drugs appear. Typical example is methicillin resistant Staphylococcus aureus (MRSA) or vancomycin resistant Enterococcus faecalis that become common in hospitals, leading to very significant morbidity and mortality in previously curable bacterial infections. This situation is alarming and needs to be addressed. Considerable efforts are being made to discover new antibacterial agents against methicillin resistant Staphylococcus aureus (MRSA) strains that have developed resistance to most existing antibiotics. One of the options are medium-chained fatty acids (MCFA). Nothing is known, however, about their interactions with antibiotics in case of S. aureus. The objective of this diploma thesis was to evaluate the interactions between medium chain saturated fatty acids, which have antibacterial activity, and the standard antibiotic (oxacillin) against the reference strains of Staphylococcus aureus and one clinical isolate. The oils used were coconut (Cocos nucifera), palm kernel (Elaeis guineensis), tucuma (Astrocaryum vulgare) and muru-muru (Astrocaryum murumuru). Tested strains of Staphylococcus aureus were strains ATCC 29213 and ATCC 43300, which are representing methicillin sensitive and resistant strains, and one clinical isolate (SA1) provided by the Motol University Hospital (Prague, Czech Republic). The fatty acids profile of each oil was determined by the gas chromatography. Activation of antibacterial effects of oils required lipase cleavage. Minimum inhibitory concentrations (MIC) of individual oils were determined by microdilution assay in a 96 well microtiter plate. To evaluate the combinatory effect of selected cleaved vegetable oils, the fractional inhibitory concentration (FIC) value was used. All selected cleaved oils combined with oxacillin acted antagonistically at concentration 2048 mg/L for all chosen strains (sensitive and resistant to oxacillin). Some had the same results at concentration 1024 mg/L.

Biography

Adriana Calderaro has a Degree in Medicine and Surgery at the Faculty Medicine and Surgery, University of Parma; license to medical practice in Medicine and Surgery awarded by the Faculty of Medicine and Surgery of the University of Parma; Member of the Medical Practitioners National Register; PhD in Basic and Applied Microbiology; Post-Degree at the Medical School of Microbiology and Virology at the Faculty Medicine and Surgery of the University of Parma. She is currently MD, PhD, Associate Professor of Microbiology and Clinical Microbiology at the Faculty of Medicine and Surgery at the University of Parma.  Her research activity covers the fields of bacteriology (Micobacteria, Spirochaetes); parasitology (Plasmodia, Toxoplasma Gondii, Intestinal Protozoa), virology (hepatitis viruses; gastroenteric viruses). She is the author of more than 400 papers and 4 books and chapters of books.


Abstract

Traditionally, diagnosis of parasitosis is performed by the microscopic examination of the sample. However, this approach is affected by several factors, such as the sensitivity of the microscopic examination positively influenced by the examination of multiple samples, the use of suitable staining techniques and/or culture and by the expertise of the parasitologist. Because of the cited difficulties, few laboratories routinely perform amplification assays (such as real-time PCR) targeting the genes encoding for ribosomal RNA that allow a more rapid and sensitive laboratory diagnosis, despite higher costs. At present, MALDI-TOF MS is being used increasingly for clinical microbiological diagnosis however, the diagnostic applications cover mainly bacteria and fungi and it is poorly described in diagnostic parasitology. In this study, we report the application developed in this field. In a first approach, the commercial database of the spectrometer used in our laboratory was supplemented with the spectrum of T. vaginalis reference strain; after implementation, the protein spectra of 21 T. vaginalis clinical isolates were correctly identified. In a second approach, protein biomarkers were picked out to identify and differentiate 6 E. histolytica and 8 E. dispar and to identify 13 D. fragilis. For each parasite, specific biomarkers were found that allowed to properly identify clinical strains. The versatility of the system was demonstrated, allowing us to identify different parasites using different approaches such as the creation of a specific database modifying the parameter setting and by biomarkers detection. The use of conventional methods and molecular assays is combined for the diagnosis of malaria: microscopic examination of blood smears remains the gold standard, even if it presents limitations in sensitivity and/or specificity in cases of low parasitaemia and mixed infections and molecular assays allow the correct diagnosis of malaria, particularly in cases of infections by species other than Plasmodium falciparum and mixed infections.

Biography

Ishag Adam a holder of MD in Obstetrics and Gynecology and PhD in Public Health, Division of Epidemiology and Biostatistics. Prof Ishag is a full Professor in 2009 at Faculty of medicine, University of Khartoum Sudan. Dr. Ishag has been author or co-author on over 300 articles and 6 chapters that have appeared in peer-reviewed journals, and is a reviewer for such journals as lancet, international Journal of Gynecology and Obstetrics, Malaria Journal and Journal of Obstetrics and Gynecology. He is on the editorial Board of BMC pregnancy and Child Birth. Prof Ishag and his collaborators succeeded to move Praziquantel during pregnancy from unsafe zoon (X) to be safely used during pregnancy as per WHO guidelines. He spent most of his carrier investigating malaria, anemia, preeclampsia and well known in the safety of artemisinins during pregnancy in RCOG guidelines.


Abstract

Hormonal e.g. cortisol and prolactin, Pregnant women are more attractive to the mosquitoes (vector, Immunological factor and Immune system is modulated (suppression of pro-inflammatory responses from T helper 1(Th1) cells to prevent fetal rejection increase the susceptibility of pregnant women to malaria infection. In areas with low transmission/little or no immunity malaria during pregnancy may be symptomatic or can develop severe malaria, anaemia or adverse birth outcomes Blood films and rapid diagnostics tests are the main diagnostic tools for malaria during pregnancy. Effective case management, insecticide treated bednets (ITNs), vector control, chemoprevention are the main pillars to control malaria.The treatment for uncomplicated malaria is artemisinin based combination therapy (ACT) according to WHO guidelines. Sulfadoxine and Pyrimethamine is the current drug of choice of malaria chemoprophylaxis during pregnancy, however new drugs are being tested.

Biography

M Papaianni received her Bachelor’s Degree from Biology at the University of Naples “Federico II” and Master Degree from Biology at the University of Benevento “Università del Sannio” her study experiences continued thanks to PhD student in Biotechnology  of the XXXII cycle. Her scientific curiosity and the strong attitude for research have always allowed me to distinguish myself in my projects.


Abstract

Bacteria are under constant attack by bacteriophages (phages), the most abundant life forms in the biosphere. This work describes how the phage therapy is an efficient way to contrast the bacterial infection regardless the host. Here, we describe the activity of phage in both plant and chicken meat. All the experiment carried out are with phage complex with the hydroxyapatite, since many years, hydroxyapatite is being explored as vehicle for drug targeting, transfection, bone scaffolds and implant coating materials and for these reasons we evaluated the effect of this mineral for the bacteriophage therapy. At first, we validated the antimicrobial activity of the phage and its possible direct administration into the plant xylem. We next performed both in vivo and in vitro experiments to assess the activity of the bacteriophage in association with hydroxyapatite, secondly, we demonstrate that the hydroxyapatite/ bacteriophage complex was able to reduce the bacterial load of Salmonella Rissen in previously infected minced meat, respective to bacteriophage or hydroxyapatite alone 
 

 

Biography

Kundu J has completed her PhD at Post Graduate Institute of Medical Education and Research, Chandigarh, India.


Abstract

Diabetes affects the presentation of tuberculosis including delayed clearance of the bacteria from the host cells, however, the molecular changes which help survival of phagocytosed mycobacterium in the diabetic host are still not clear. The effect of in vitro high glucose concentrations on the proteome of the phagocytosed mycobacterium isolated from the human monocytic THP1 cell line derived macrophages has been investigated in the present study. Concurrent tuberculosis and hyperglycemia conditions were mimicked by growing M. tuberculosis infected THP1 cells under high glucose conditions. Phagocytosed bacilli were isolated 5 days post infection. Proteomics analysis of the isolated bacilli was done by two-dimensional gel electrophoresis followed by mass spectrometry. A total of 224±18 protein spots were obtained out of which 10 were found to be differentially expressed under high glucose concentrations in comparison to normal glucose concentration. Further, identity of all the ten proteins namely Tgs3, Rv0547c, AcrA1, EsxU, Rv2219, Mpa, Rv2308, ORN, LucA, and Rv1414 was elucidated by peptide mass fingerprinting using Matrix-assisted laser desorption and ionization-mass spectrometry (MALDI/MS) assisted with MASCOT software. Though Tgs3,Rv0547c, AcrA1 and Mpaproteins have been demonstrated to play a major role in lipid metabolism and fatty acid accumulation under nitric oxide stress conditions, the functional role of rest of the differentially expressed proteins remains to be elucidated. Under hyperglycemic conditions in the host cells, differential expression of these proteins might help in the better survival of mycobacteria and can further act as suitable targets to design novel drugs for more effective therapy for comorbid tuberculosis and diabetes.

Day2: April 23, 2019

Keynote Forum

Tracks

  • Poster presentations
Location: Foyer

Zlata Rasulzade

Republican Anti-Plaque Station, Azerbaijan

Chair

Biography

Sabina Ibrahimova has been completed her Phd in Azerbaijan, Now she is working in a Republican Anti-Plaque Station, Azerbaijan.


Abstract

Crimean-Congo Hemorrhagic Fever is a tick-borne zoonotic disease caused by single strained RNA virus belonging to the ecological group of arboviruses (the genus Nairovirus of the family Bunyaviridae) carriedvby Ixodes ticks. The virus is highly pathogenic in nature, easily transmissible and has a high case fatality rate of 10-40%. Knowledge for the prevalence of Crimean-Congo Hemorrhagic Fever virus (CCHFV), especially its seasonal and ecological changes is fragmentary in Azerbaijan. The urgency of the problem is also related to the sporadic or outbreak character of the epidemic of the CCHF disease in neighboring countries (Iran, Turkey, Georgia), which determines the need to study the epidemiological aspect of the CCHFV in Azerbaijan. The aim of this study was to give a description of the circulation of the CCHFV in Azerbaijan and to identify the possibility of CCHF virusspecific antibodies among patients with unexplained etiology and with the following clinical symptoms: temperature, nausea, headache, myalgia, etc. During the ELISA training carried out by the Public Health of England (PHE) in RAPS, Baku, Azerbaijan in August 2017, the researchers from UK PHE and RAPS screened 400 human serum samples that had been collected previously for testing against Brucella spp. antibodies in the frame of the Brucella active surveillance program in Azerbaijan in 2016-2017. Collected serum samples were stored at -20°C. The vector-best CCHF IgG ELISA kits were used for testing of samples on a Thermo Scientific Multiskan FC microbiological analyzer. The antibodies against CCHFV were detected in 100 samples (25%) and the interesting fact that 21 out of 100 samples were from the people that have been diagnosed with brucellosis. We recommend testing all samples received in the frame of the Brucella active surveillance program using two complementary methods like determination of antibodies against the CCHFV by ELISA and detection of RNA of the CCHFV by PCR. Application of the PCR assay shows no cross reactivity and does not detect other viruses from within the same genus. Usage of the molecular based assays is necessary for the definition of the CCHFV strain circulating in Azerbaijan.

Biography

Chichak Suleymanova completed Master Degree at the age of 23 from Azerbaijan State Agrarian University.Now she is working as a Junior researcher at Veterinary Scientific Research Institute

 


Abstract

Rabies is estimated to cause at least 55,000 deaths per year worldwide. Azerbaijan is located in the South Caucasus, a region of geopolitical importance located at the gateway between Europe and Asia. This geographical location makes the region of central importance to epidemiological study and the control of transboundary infectious diseases such as rabies. According to reports from the Azerbaijan State Veterinary Control Service, rabies cases are observed among animals and fatal cases occur sporadically among people in Azerbaijan annually. However, despite all the research conducted, there is still a lack of information regarding the circulation of rabies in Azerbaijan. Therefore, the goal of this study is the continuing study of rabies positive samples for further identification of the circulation of the virus in Azerbaijan in order to plan a vaccination program. The statistical information regarding rabies cases in animals 2016 – 2017 was collected from the Azerbaijan State Veterinary Control Service. The National Reference Laboratoryunder the Food Safety Institute (FSI) tested the collected samples. A total of 48 animals tested positive for rabies (18 domestic and 3 stray dogs, 17 cattle, 1 donkey, 5 catsand 3 jackals) from 26 villages in Azerbaijan in 2016. In 2017, 73 animals (17 domestic and 14 stray dogs, 32 cattle, 2 small ruminants, 1 horse, 1 donkey, 2 cats, 1 wolf and 3 jackals) tested positive from 33 villages in Azerbaijan. The results were mapped to identify the rabies foci. The samples confirmed as positive were officially transferred to the FSI in triple packages following BS&S guidance. These strains were stored in a BSL-2 laboratory freezer at -80ºC at the Azerbaijan FSI. The work on the stored samples will commence in November 2018. A PCR analysis will be conducted on the 12 stored positive samples. Afterwards, samples confirmed as positive will be sequenced with the help of the OIE Veterinary Control Central Research Institute in Ankara in 2019. This laboratory provided training on rabies diagnosis to the research team participants in 2017.