During the first 18 months, this project has achieved significant milestones in using genomic tools to combat epidemics, enhance public health, and build capacity in Africa.
Improving Genomic Epidemiology: Laboratory procedures were adapted to sequence multiple pathogens, aiding epidemic response in South Africa, Kenya, and Mozambique. Highlights include adaptations to sequence cholera, chikungunya, and hepatitis B, advancing tuberculosis (TB) genome analysis, and initiating HIV drug resistance surveillance in Mozambique. A low-cost Oxford Nanopore drug resistance test was validated to support future applications.
Fighting drug-resistant TB (DR-TB): Activities have focused on incorporating next-generation sequencing (NGS) into DR-TB management in South Africa, with personalized treatment aids and a clinical study framework developed. Key steps included stakeholder engagement and ethics approval for a clinical trial to enhance precision medicine approaches.
Set-up of early warning surveillance: Wastewater surveillance systems in Kenya are detecting pathogens of public health concern, while South Africa's samples focus on zoonotic mycobacteria. Notable findings include identifying Mycobacterium bovis in various domestic and wildlife animal populations and refining genomic tools for Rift Valley fever virus surveillance.
Advancing Data Integration: Activities have focused on developing systems to seamlessly integrate genomic, clinical, and epidemiological data to enhance tools like a metagenomics bioinformatics pipeline and an interactive dashboard for pathogen tracking.
Capacity Building: Workshops at Stellenbosch University and other institutions have contributed to the training of over 100 individuals in genomics and bioinformatics analysis. A structured Master's program in Pathogen Bioinformatics is under development and will be initiated in 2026.
This project underscores Africa’s leadership in leveraging genomic science for epidemic preparedness and response while fostering regional expertise and innovation.