Over the past 15 years, well-known American donors (CBR/DTRA, BTEP, CRDF, CDC, WRAIR) with the support of the Lugar Center Dozens of supervisory and scientific institutions in the field of public health Research projects, of which the most important are: 1. “Development of a surveillance System and Strategy to combat Leishmaniasis in Georgia through epidemiology and laboratory capacity building”, BTEP Identifier No. 89/ISTC No. G-1081; 2005- 2015 ; 2. Project - “Creation of a national sentinel laboratory surveillance system for salmonella and the capacity to respond to outbreaks of foodborne diseases in the Republic of Georgia”, BTEP ID # 119/ISTC # G-1462., 2007-2015; 3. “Epidemiology and ecology of tularemia in Georgia "GG-19, DTRA.; 2013 -2016; 4. "Creating a sustainable immunodiagnostics", GG-23 CBR/DTRA.; 2014 -2015; 5. "Epidemiology of human diseases and surveillance of especially dangerous pathogens in Georgia”, GG-21.; 2014 -2016; 6. “Atypical Y. pestis strains isolated from natural foci in Georgia, from proteome to virulence and Gene Expression“, TAP 6, DIRA. 2014 – 2015 7. “Regional ecological study of anthrax foci in Georgia and Azerbaijan". GG 27, DTRA; 01/11/15 - 31/10/17 8. "Decoding of the entire genome of strains isolated in Georgia by the bacterium Ralstonia Solanacearum , a quarantine pathogenic plant.“ CRDF-Global; 05/03/2015 – 05/03/2017 9. “Study of seroprevalence of zoonotic diseases in veterinarians, farmers and animals for comparison Data on Georgia and Jordan”, CRDF-Global; 08/10/2015 - 05/31/2017 10. “Strengthening the capacity to identify cases and diagnose febrile skin lesions associated with zoonoses , in Georgia” (dietary supplement). DTRA, 2015-2018 11. Cooperation Agreement “Surveillance and response to avian and pandemic influenza by national Health Authorities Outside the United States” (CDC), 2006-2011 12. Cooperation Agreement “Maintenance of Influenza Surveillance Networks and Response to Seasonal and Pandemic Influenza by National Health Authorities outside the United States” (CDC), 2011 – 2016 13. Cooperation Agreement “Maintaining the National Health Care capacity in the field of influenza surveillance Authorities Outside the United States,” (CDC) 2016 to present Since 2013, the CDC Global Disease Detection (GDD) Center with DCJEC Enhanced collaboration with other disease surveillance systems For strengthening, such as: respiratory and intestinal diseases, sexually transmitted diseases, immunization, etc. Later CDC/ GDD It started with the support and is still supported by the Micronutrient Foundations of Deficiency Research, which focuses on the contingent Pregnant women, 5 years old and children aged 12-14 years in 4 regions of Georgia. In 2015, with the support of the CDC, hepatitis C and B were carried out throughout Georgia. An epidemiological study, the main purpose of which was to study the hepatitis C population. To determine the prevalence. Laboratory part of the study (detection of antibodies Diagnosis and genotyping) was carried out at the Lugar Center. According to research results, about 150,000 people in the country have active infections, which has created “ The basis for planning strategic activities of the hepatitis C elimination program was initiated by the Government of Georgia and has been in operation for 3 years. Georgia has been successfully supported by the CDC and Gilead Sciences. c. Hepatitis has become an exemplary country in the world with an elimination program. Currently, the Lugar Center operates National Hepatitis C Laboratory for Hepatitis C. Monitoring of laboratories involved in diagnosis and treatment Performs external control. DCJEC's partner organization, the Walter Reed Military Research Institute, makes a special contribution to strengthening the field of biomedicine. (WRAIR) and its structural component is the US Army Medical Research Unit (USAMRMC). WRAIR's mandate will be Promotes the dissemination of knowledge about biomedical research in partner countries; Through technological and material support. WRAIR has been working at the Lugar Center since 2011 and collaborates with DCJEC to conduct joint research with scientists. Among the implemented scientific projects it is worth noting: 1. Acute febrile disease and vector-borne disease with a component of Congo-Congo hemorrhagic fever involving NCDC 2. Antimicrobial resistance (AMR), which includes joint training and collection of samples from NCDC Zonal Diagnostic Laboratories The following studies are planned in collaboration with WRAIR: 1. Next-generation Sequencing: This project will involve collaboration with NCDC scientists to enhance USAMRD-G sequencing capabilities. 2. Molecular enterosorption-which will include the analysis of culture-negative stool samples. It was signed in 2014 and ratified by the Parliament of Georgia. The Agreement between the Governments of the United States and Georgia "Identification of especially dangerous Pathogens, Epidemiological Surveillance and a Unified Laboratory Response System" and Richard Lugar from Georgia With the provision of a public health research center, Appropriate transfers of costs and responsibilities ” In 2014-2018, during the transition period, the Lugar Center and the issue of financing the entire laboratory network were assigned to DTRA, With which, on the basis of intensive coordination, the Government of Georgia has provided gradual coverage of the costs of the transition period starting in 2018. A single laboratory system for downloading and full storage of the Commitment has been fully translated. The CEO of DCJEC explains in an interview with VOA: “Lugar's laboratory is open both locally and internationally. For researchers, for students, for the diplomatic corps, for the media For representatives. Numerous research projects have been conducted at the Lugar Center in the USA, Germany, Norway and other European countries. See also post-Soviet countries (Russia, Armenia, Azerbaijan, Kazakhstan, Kyrgyzstan, Moldova) researchers had the opportunity to invite Laboratories and participate in research." It was noted in 2006 in connection with diseases within the framework of the CBEP/DTRA program Development and implementation of the unified electronic surveillance System (EIDSS) In the country, which has been recognized by the Ministry of Health since 2012, it is the only official instrument of supervision and monitoring. Presents. There are 192 points in the EIDSS network in the country, 90 of which belong to the Ministry of Labor, Health and Social Affairs. Services, while the remaining 102 relate to the environment and agriculture of the Ministry and its institutions. Available via EIDSS in real time Especially Dangerous (EDP) and registered diseases are monitored, which, in turn, complies with International Health Regulations (IHR) needs. National Center for Disease Control and Public Health. In accordance with the strategic priorities, it is planned in the following areas: Support: A Board of Governors is planned between the government agencies of Georgia and the United States An institution (Board of Governors) that is a partnership between the two countries Strengthening ties to meet Georgia's needs and set priorities Directed Development (DTRA/CBEP); . The American side will continue to increase the capabilities of the Lugar Center Development assistance (DTRA, CDC, WRAIR); Will support laboratories International accreditation in the field of biosafety and biosecurity Creation of a regional training center for applied biological sciences Creation of innovative products through projects; human genome Further development of the center; Strengthening Scientific diplomacy (DTRA) CBEP, CDC, WRAIR); Preparing for and responding to public health risks Establishment and equipping of the Emergency Operations Center (DTRA/CDC); The field of activity of Georgian Public Health Centers Basic Courses in the Epidemiology Program (CDC/DTRA) As part of the development of electronic information technologies, Unified Electronic Disease Surveillance (EIDSS) and Maintenance of Laboratory Information Management Systems (LIMS) and improvement (DTRA/CBEP); Expansion of cross-border cooperation "One Health Care" Principle (DTRA/CBEP); Introduced for clinical medicine specialists throughout Georgia Based on the international, in particular, the British Medical Journal (BMJ) Maintaining the sustainability of the distance learning platform.