AccessibleGenomics.org
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We're a global volunteer team of students and scientists with a mission to help bring genomics to low-income countries.

Team accomplishments:
  • First volunteer group to enable SARS-CoV-2 variant identification, demonstrating a low-cost solution for the global south
  • First on-site sequencing of any organism in Mindanao, Philippines.
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In collaboration with Philippine Genome Center Mindanao and the GECO-Philippines Project by the Research Institute of Tropical Medicine (RITM) and the University of Glasgow
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Funded by Just One Giant Lab Open Covid-19 Initiative
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Support from New England Biolabs and GISAID
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Special thanks to our trainers (see videos here) Ineke Knot (portablegenomics.org); Dr. Nicole Wheeler; Dr. Amanda Warr; Dr. Joe Russell; Dr. Lara Urban; Ralf Dagdag and Matthew Redlinger from the Bortz Virology Lab; Alberten Lab; Dr. Nikki Freed; Dr. Michael Crone, and to our logistics consultants Jon Gotiong and Russel Ong.

Contact Kahlil Corazo via email bio@corazo.org or Twitter DM @kcorazo if you want to collaborate or if you want to run a project to also bring genomic pathogen surveillance to a lab in your locality—we'll share with you what we've learned through project Accessible Genomics.

Project introduction video
Project crowdfunding video (donate here)

Project Updates

  • May 2020 - project initiation via JOGL.io
  • June - Sep 2020 - team building, grant applications
  • October 2020 - grant given by JOGL.io
  • November 2020 - PGC Mindanao joined the project, started trainings for the team
  • December 2020 - all equipment and reagents on their way to the lab
  • January 2021 - trainings complete, and just one waiting for one last package
  • February 16, 2021 - all equipment and reagents needed for sequencing are now in the lab.
  • March 9, 2021 - first ever SARS-CoV-2 sequencing enabled by an international volunteer team!
  • ​June 2021 - ethics approval and  sequencing of clinical samples

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We need to bring genomic pathogen surveillance to the global south.

To better manage this pandemic and prevent future ones, genomic pathogen surveillance is needed on top of diagnostics.[1]

RT-PCR and antibody tests could only tell us whether or not someone has an infection. Viral genomics could tell us the lineage of a specific infection.


Tracing viral lineages is like 23andMe for pathogens. It would tell us where the virus originated. This information guides epidemiologist and local officials to make better decisions for quarantines and border management.

The same skill set and equipment allows rapid identification of novel pathogens.
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image source: nextstrain

Access to genomics is currently limited to rich countries.

Yet, the next epidemics will mostly likely come from developing countries.
We counted the number of SARS-CoV-2 genome uploads per country in GISAID.[2]

​Almost half of the uploaded genomes came from the UK and a third of the rest were from the USA.

At the bottom of this list are 17 countries with each less than 10 SARS-CoV-2 genomes uploaded in GISAID. ​The combined populations of these countries total to roughly 1 billion people.

Future outbreaks will mostly likely come from the developing world, where human-to-wildlife interaction is most prevalent.[3] Yet, access to genomics concentrated in the developed world.
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More about these data

Recent innovations allow us to bring genomics to the global south

Just a few years ago, a genetic sequencing machine would cost more than a car, and a genomics lab hundreds of thousands of dollars.[4]

Today, there is a sequencer that costs less than an iPhone, the Oxford Nanopore MinION. The supporting lab equipment and consumables costs less than USD 20k.[5]

After the lab is setup, the cost per sample is at $30 - $50.[6]

Multiple scientists have shown the feasibility of using these new technologies in austere environments.[7] There are also well-established protocols, particularly for SARS-CoV-2.[8]

This means that is is now possible for labs, universities and local governments in the developing world to setup a genomic surveillance laboratory.

What is stopping developing countries then?

​Here are the challenges that each deployment needs to face:
  • Getting funding
  • Logistics of bringing in equipment and reagents
  • Recruiting a partner laboratory and adding a genomics layer to their current setup
  • Training local laboratory technologists in library preparation and local bioinformaticians on the pipeline
  • Getting SARS-CoV-2 samples
  • Ensure biosafety
  • Doing the actual sequencing and genome assembly
  • Establishing a sustainable operational model, so that the skilled personnel and equipment are ready when an outbreak happens
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Our contribution will be to create a deployment manual

Scientists and technologists will continue to lower the cost of sequencing and refining the protocols for its use.

To scale the deployment of these technologies, and to bring genomic pathogen surveillance to the global south, we also need project management solutions.

​A standard solution employed by institutions like Care.org and companies like Oracle is to establish a deployment manual. This manual documents tried-and-tested steps to manage a deployment, and could be used for training, and as a reference for project managers.

Project ACCESSIBLE GENOMICS will produce this manual by deploying a genomic pathogen surveillance lab in a city in the developing world, and documenting the experience using the standards of the Project Management Body of Knowledge (PMBOK).
Examples of Deployment Manuals
  • care.org - The Basics of Project Implementation
  • care.org - Emergency Toolkit
  • GE Healthcare - Project Implementation Guide 
  • Oracle® Projects Implementation Guide

We have assembled a team with the right science and project management backgrounds to successfully deliver this project

Project Accessible Genomics was born in the middle of the COVID-19 pandemic, at Just One Giant Lab (JOGL.io), a platform for open and collaborative international science projects.
Project Management
  • Kahlil Corazo - PMP-certified with years of project experience in the developing world, currently studying MSc Biology
Wet lab and Bioinformatics
  • Ineke Knot - PhD candidate from the University of Amsterdam, portable genomics expert
  • Dr. Lyre Murao - Head of Philippine Genome Center
  • Michael "Mich" Bacus - Wet lab team leader
  • Paul Gaite - Bioinformatics team leader
  • Jan Divina - Wet lab and bioinformatics team
  • Joan Acaso - Wet lab team
  • Janessa Villota - PGC Mindanao Communications
  • Homer Sajonia - BSIT, MBA
  • Gitanjali "Gita" Roy - MSc Biochemistry and Molecular Biology at Indiana University Purdue University Indianapolis
  • ​Akul Bahl - BS Bioengineering and Mathematics, Northeastern University
Grant Pursuit
  • Nivedita "Nivi" Bhattacharya (team lead) - PhD with postdoc at Boston University, mass spectrometry imaging expert
  • Benjamin Akinmoyeje - MSc Informatics Research student
  • Navraj Brar - University of Toronto, Bachelor of Kinesiology and Physical Education
  • Silky Singh - Mathematics and computing student at Indian Institute of Technology Delhi
  • Anton Tung - Undergraduate at University of Wisconsin-Madison​
Subject Matter Experts
  • Martin Adams - Global Health Security Lead at GSSHealth, Biosafety and Nanopore sequencing subject matter expert
  • Josh Chorlton - Co-founder at BugSeq, Bioinformatics subject matter expert
  • Sam Chorlton - Co-founder at BugSeq, Bioinformatics subject matter expert​
  • Ineke Knot - PhD candidate from the University of Amsterdam, portable genomics expert
  • Isaac Larkin - PhD from Northwestern University, synthetic biology  expert
  • ​​Olle Nordesjö - Development Scientist at Oxford Nanopore Technologies, bioinformatics expert
  • Joseph Russell - Senior Scientist at MRIGlobal, portable genomics expert
  • Paola de Sessions - Manager at Oxford Nanopore Technologies, Nanopore sequencing subject matter expert
  • Jacob Swett - Researcher University of Oxford and Arizona State University, expert in next-generation nanopore biosensors
  • Lara Urban - PhD, Humboldt Research Fellow, Gemmell Lab, University of Otago
  • Nicole Wheeler - PhD, Technical Consultant at the Nuclear Threat Initiative
  • Thidathip "Tip" Wongsurawat - PhD, Instructor at University of Arkansas for Medical Sciences, expert in Nanopore sequencing​
Accessible Genomics is a project led from the global south, for the global south, supported by a global team.
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Go deeper

  • Project Accessible Genomics Grant Application Template (details galore)
  • Key papers for Project Accessible Genomics
  • portablegenomics.org (portable genomics tools that could be used in a field setting, curated by Ineke Knot)

References

 [1] To better manage this pandemic and prevent future ones, genomic pathogen surveillance is needed on top of diagnostics
  • Examples of how developed countries use genomic pathogen surveillance in epidemic management
  • “Studies already show that outbreaks tend to be shorter and smaller when genomics is used to help contact tracing.”
​
[2] We counted the number of SARS-CoV-2 genome uploads per country in GISAID.
  • Raw data
  • Twitter tread explaining the data

​[3] Future outbreaks will mostly likely come from the developing world, where human-to-wildlife interaction is most prevalent.
  • Sources on factors responsible for viral emergence, history of disease emergence, and human-wildlife interaction

​[4] Just a few years ago, a genetic sequencing machine would cost more than a car, and a genomics lab hundreds of thousands of dollars.
  • Access to genomics might follow the history of mobile phone penetration. At the start, only developed countries had a significant percentage of their population with mobile phones. Now, the developing world has the most phones in the world.
  • A sequencer used to cost more than a brand new car. Now, you can get the Oxford Nanopore MinION at less than the cost of an iPhone.​

​[5] The supporting lab equipment and consumables costs less than USD 20k.
  • Bill of materials based on the ARTIC protocol
  • Twitter thread on this bill of materials
  • Section of grant application template discussing this bill of materials

​[6] After the lab is setup, the cost per sample is at $30 - $50.
  • How much does a genomics lab-in-suitcase cost?

​[7] Multiple scientists have shown the feasibility of using these new technologies in austere environments.
  • Lab-in-suitcase papers

​[8] There are also well-established protocols, particularly for SARS-CoV-2.
  • We are using the ARTIC protocol for SARS-CoV-2 v2
  • Other protocols


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Alternatively, email Kahlil Corazo at bio@corazo.org
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