National surveillance of cutaneous anthrax cases in Georgia (EIDSS 2008-2013) appears secondary to epizoonotic events that are more likely to occur in populations that work with unvaccinated sheep and cattle. Six-year mean incidence rates per 100,000 were 1.32 for Georgian nationals and 9.31 for Azerbaijani nationals. The contrast between groups was pronounced in Kvemo Kartli and Kakheti where a large proportion of Azeris pastoralists live and migrate along animal corridors. One Heath recommendations include promotion of anthrax awareness campaigns, the destruction of carcasses, mapping and disinfect infected soils, and introduce a participatory health education anthrax tool.
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