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Pathogen genomic surveillance status among lower resource settings in Asia
Marya Getchell1, Suci Wulandari2, Ruklanthi de Alwis3,4,5
1Programme in Health Services and Systems Research, Duke-NUS Medical School, Singapore, Singapore.
Nature Microbiology
|September 24, 2024
Summary
Asia
Area of Science:
- Public Health
- Genomics
- Epidemiology
Background:
- Asia faces significant risks from emerging infectious diseases, necessitating robust pathogen surveillance.
- Effective use of next-generation sequencing (NGS) is crucial for enhancing regional health security.
- Assessing current pathogen genomic surveillance capacity in low-resource Asian settings is a priority.
Purpose of the Study:
- To develop and apply a framework for assessing pathogen genomic surveillance capacity in South and Southeast Asia.
- To identify barriers and facilitators for implementing next-generation sequencing in pathogen surveillance in low-resource settings.
- To inform strategies for strengthening regional health security through improved genomic surveillance.
Main Methods:
- Developed a pathogen genomic surveillance assessment framework.
- Collected data from 42 institutions across 13 countries in South and Southeast Asia between June 2022 and March 2023.
- Assessed institutional capacity, strategic planning, NGS application, and identified implementation barriers.
Main Results:
- Pathogen genomics capacity exists across the surveyed countries, with NGS capabilities present in all.
- Seven countries have strategic plans for integrating pathogen genomics, but overall NGS utilization is limited and under-resourced.
- NGS application was primarily focused on human surveillance, with limited use in environmental and animal interface surveillance; key barriers include funding, supply chains, personnel, and quality assurance.
Conclusions:
- While pathogen genomics capacity is present in Asia, its effective implementation for surveillance is hindered by resource limitations and specific challenges.
- Coordinated regional efforts are essential to support national planning, address capacity gaps, improve quality assurance, and facilitate data sharing for informed decision-making.
- Strengthening genomic surveillance is vital for Asia's preparedness against emerging infectious diseases.
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