Objective The African Great Lakes region is one of the most densely populated areas in Africa and also one of the areas globally with the highest biodiversity, and forced or voluntary migrations. Very limited information is available on the prevalence and epidemiology of infectious diseases, especially gastrointestinal diseases and antimicrobial resistance that has been very understudied.Logistically it is difficult to sample and conventionally study infectious diseases in the area and such studies have limited real-time value locally. In this study we will take full advantage of the potential offered by combining field-deployable nanopore sequencing combined with metagenomics and lap-top bioinformatics, to establish frontline sequencing at remote sites and linking this with central sharing of analytic output. Newly developed bioinformatics solutions by us have made it possible to perform simple bioinformatics analyses in real-time using lap-tops and subsequently share the analytic output simply using the mobile net, avoiding the need of transferring large amounts of data and access to high-performance computing.In GREAT-LIFE we will establish sequencing across six countries in the region and use this to study the abundances of AMR in villages and refugee camps. Linking this with spatial and temporal epidemiological data will enable us to identify locally relevant drivers for AMR and provide data for changing empiric treatment and policies. In addition, we will utilize sequencing directly on GI samples to identify the causative agents (and their AMR) both to provide data for policies, but also to provide immediate results for direct patient care in the frontline. We will educate a number of people in the very frontline to utilize field-sequencing and bioinformatics, as well as more advanced bioinformaticians and epidemiologist centrally. The data generated will be linked in real-time through a central hub in Tanzania to public health authorities for actions. Fields of science medical and health scienceshealth sciencespublic healthepidemiologymedical and health scienceshealth sciencesinfectious diseasessocial sciencessociologydemographyhuman migrationsmedical and health sciencesbasic medicinepharmacology and pharmacydrug resistanceantibiotic resistancemedical and health sciencesclinical medicinegastroenterology Keywords Antimicrobial Resistance Epidemiology Programme(s) HORIZON.2.1 - Health Main Programme Topic(s) HORIZON-JU-GH-EDCTP3-2022-CALL1-01-03 - Genomic epidemiology for surveillance and control of poverty-related and emerging/re-emerging infections in sub-Saharan Africa Call for proposal HORIZON-JU-GH-EDCTP3-2022-01 See other projects for this call Funding Scheme HORIZON-JU-RIA - HORIZON JU Research and Innovation Actions Coordinator DANMARKS TEKNISKE UNIVERSITET Net EU contribution € 1 356 250,00 Address Anker engelunds vej 101 2800 Kongens lyngby Denmark See on map Region Danmark Hovedstaden Københavns omegn Activity type Higher or Secondary Education Establishments Links Contact the organisation Opens in new window Website Opens in new window Participation in EU R&I programmes Opens in new window HORIZON collaboration network Opens in new window Other funding € 0,00 Participants (9) Sort alphabetically Sort by Net EU contribution Expand all Collapse all THE GOOD SAMARITAN FOUNDATION Tanzania Net EU contribution € 1 142 500,00 Address Po box 545 - Moshi See on map Activity type Other Links Contact the organisation Opens in new window Website Opens in new window Participation in EU R&I programmes Opens in new window HORIZON collaboration network Opens in new window Other funding € 0,00 STANSILE LTD Rwanda Net EU contribution € 456 250,00 Address Kc 622 st 4th fl fairview building kimihurura 622 Kigali See on map Activity type Private for-profit entities (excluding Higher or Secondary Education Establishments) Links Contact the organisation Opens in new window Participation in EU R&I programmes Opens in new window HORIZON collaboration network Opens in new window Other funding € 0,00 INSTITUT NATIONAL DE SANTE PUBLIQUE Burundi Net EU contribution € 412 500,00 Address Avenue de l'hopital 3 Bujumbura See on map Activity type Higher or Secondary Education Establishments Links Contact the organisation Opens in new window Participation in EU R&I programmes Opens in new window HORIZON collaboration network Opens in new window Other funding € 0,00 UGANDA NATIONAL HEALTH RESEARCH ORGANISATION Uganda Net EU contribution € 412 500,00 Address Berkeley lane plot 2 465 Entebbe See on map Activity type Research Organisations Links Contact the organisation Opens in new window Participation in EU R&I programmes Opens in new window HORIZON collaboration network Opens in new window Other funding € 0,00 AFRICA RESEARCH EXCELLENCE FUND United Kingdom Net EU contribution € 112 500,00 Address 99 charterhouse street EC1M 6HR London See on map Region London Inner London — East Haringey and Islington Activity type Other Links Contact the organisation Opens in new window Participation in EU R&I programmes Opens in new window HORIZON collaboration network Opens in new window Other funding € 0,00 KENYA MEDICAL RESEARCH INSTITUTE Kenya Net EU contribution € 495 000,00 Address Off mbagathi way 00200 Nairobi See on map Activity type Research Organisations Links Contact the organisation Opens in new window Website Opens in new window Participation in EU R&I programmes Opens in new window HORIZON collaboration network Opens in new window Other funding € 0,00 NATIONAL INSTITUTE FOR MEDICAL RESEARCH Tanzania Net EU contribution € 513 750,00 Address Sokoine luthuli drive ocean road 255 Dar es salaam See on map Activity type Research Organisations Links Contact the organisation Opens in new window Website Opens in new window Participation in EU R&I programmes Opens in new window HORIZON collaboration network Opens in new window Other funding € 0,00 KOBENHAVNS UNIVERSITET Denmark Net EU contribution € 100 000,00 Address Norregade 10 1165 Kobenhavn See on map Region Danmark Hovedstaden Byen København Activity type Higher or Secondary Education Establishments Links Contact the organisation Opens in new window Website Opens in new window Participation in EU R&I programmes Opens in new window HORIZON collaboration network Opens in new window Other funding € 0,00 ERASMUS UNIVERSITAIR MEDISCH CENTRUM ROTTERDAM Netherlands Net EU contribution € 206 250,00 Address Dr molewaterplein 40 3015 GD Rotterdam See on map Region West-Nederland Zuid-Holland Groot-Rijnmond Activity type Higher or Secondary Education Establishments Links Contact the organisation Opens in new window Website Opens in new window Participation in EU R&I programmes Opens in new window HORIZON collaboration network Opens in new window Other funding € 0,00