Why we do it

Leveraging metabolomics, we uncover disease mechanisms and biomarkers for personalized medicine

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Frugal Development of Diagnostics

Recognizing the challenges posed by resource constraints in many healthcare settings, the Basing Lab is dedicated to developing cost-effective and accessible diagnostic solutions. Through a combination of innovative technologies and a commitment to addressing global health disparities, the Basing Lab is making significant strides in frugal development.

The Basing Lab specializes in the development of lateral flow tests and other paper-based diagnostics. These technologies offer simplicity, portability, and cost-effectiveness, making them ideal for deployment in resource-limited environments where access to sophisticated laboratory infrastructure may be limited.

Frugal development at the Basing Lab places a strong emphasis on affordability. By utilizing locally available materials and streamlining manufacturing processes, the lab aims to produce diagnostics that are accessible to a broad range of healthcare settings, particularly in low- and middle-income countries.

In addition to developing diagnostics, the Basing Lab invests in capacity building and technology transfer initiatives. The lab collaborates with Incas Diagnostics, a biotech manufacturing company located in Kumasi, Ghana. The company seeks to save lives through the design and production of low-cost, easy-to-use, point-of-care diagnostic test kits designed specifically for Africa (incasglobal.com).

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Skin NTDS

At any given time, it is estimated that 1.8 billion people are affected by skin conditions.In regions with tropical climates and limited resources, skin infections stand out as the most prevalent cause of disease.

Skin Neglected Tropical Diseases (NTDs) typically constitute about 10% of all skin-related ailments in most communities. Hence, it is crucial for countries grappling with endemic issues to adopt comprehensive, community-oriented approaches that address both skin NTDs and other skin conditions. This inclusivity aligns with the goal of achieving universal health coverage and ensuring that no one is left behind.

In 2016, the World Health Organization (WHO) conceptualized the skin NTDs approach, recognizing their shared geographical distribution, epidemiological characteristics, and social impact.

The underlying principle was that training, community mobilization, and the detection and management of cases could be seamlessly integrated to maximize the efficient use of resources. By 2020, the integrated management of skin NTDs was highlighted as an exemplar of a strategic approach, showcasing its cross-cutting and holistic nature. Subsequently, in 2022, WHO published the skin NTD framework to provide guidance for countries and partners in implementing integrated public health interventions.

The significance of early diagnosis and treatment cannot be overstated, as untreated skin diseases can have detrimental effects on individuals, families, and communities. These repercussions may manifest as long-term disabilities, stigmatization, and mental health conditions. Our lab focuses on the epidemiology and diagnosis of yaws, Buruli ulcer, leishmaniasis and scabies as well as other causative bacteria of skin ulcers especially in resource limited settings.

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Soil transmitted helminths in Northern Ghana

Northern Ghana, characterized by its rural population and limited access to healthcare facilities, is known to be endemic for Soil-Transmitted Helminths (STH) infections. STHs represent a persistent and significant public health challenge in Northern Ghana, with a substantial burden of disease, particularly among vulnerable populations.

These infections contribute significantly to the burden of disease in the regions, impacting the health, nutrition, and socio-economic development of its inhabitants. Despite various control measures, including mass drug administration (MDA), the regions continue to experience a high prevalence of STH infections.

Additionally, there is a lack of comprehensive and up-to-date epidemiological data, risk factor analysis, and evidence-based interventions tailored to the specific context of Northern Ghana. This knowledge gap hinders effective control and prevention efforts and perpetuates the adverse health, socio-economic, and developmental impacts of STH infections on the region's population.

There is a need for evidence-based interventions specifically tailored to the local context of Northern Ghana to combat STH infections effectively. The ongoing prevalence of STH infections in Northern Ghana has adverse consequences on the health, nutrition, educational attainment, and socio-economic development of the population.

The Basing Lab seeks to address these critical issues by conducting a comprehensive epidemiological investigation, risk factor analysis, and intervention evaluation, ultimately contributing to the development of effective strategies to reduce the burden of STH infections and improve the overall well-being of the Northern Ghanaian population.

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Sexually Transmitted Infections

Sexually Transmitted Infections (STIs) are a major public health problem worldwide, affecting quality of life and causing serious morbidity and mortality. More than one million Sexually Transmitted Infections are acquired every day. In 2020, an estimate of 374 million new infections with one of four STIs: gonorrhoea (82 million), chlamydia (129 million), syphilis (7.1 million) and trichomoniasis (156 million).

Over 30 different organisms serve as sexually transmissible agents causing urethritis usually in men but mostly asymptomatic in women. Urethritis is clinically defined as leukorrhea and urethral inflammation characterized by dysuria, irritation and purulent or mucoid discharge, with Neisseria gonorrhoeae (gonococcal) and C. trachomatis, Mycoplasma, Urea plasma etc (non-gonococcal), which are well established as clinically important infectious causes of urethritis.

The majority of STIs have no symptoms and so the target group in this study are sexually active asymptomatic females targeted to be between 15 and 24 years old. This targeted age range falls within the age range where these sexually transmitted infections are most common. Most often in Ghana, this is the age group where young people are becoming independent and sexually adventurous. Indiscriminate sex, having multiple sexual partners and sexual experimentation are very high in this age group and at these institutions due to the newly found freedoms that these young people enjoy. High risk sexual practices like anal sex, oral sex, group sex etc. are very common among this age group. The Basing Lab focuses on the epidemiology and diagnosis of preventable STIs among young people.

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Antimicrobial Resistance and One health

Antimicrobial Resistance (AMR) is a global health threat that occurs when microorganisms such as bacteria, viruses, fungi, and parasites develop resistance to the drugs designed to eliminate them. This phenomenon renders standard treatments ineffective, leading to the persistence and spread of infections in humans, animals, and the environment.

Recognizing the interconnected nature of human, animal, and environmental health, the One Health approach emerges as a crucial framework to address the complex challenges posed by AMR. One Health is a holistic strategy that acknowledges the interdependence of human health, animal health, and the health of the environment.

It emphasizes collaboration across disciplines, sectors, and borders to achieve optimal health outcomes. In the context of AMR, the One Health approach recognizes that the misuse of antimicrobials in any sector - human, animal, or environmental - contributes to the development and spread of resistant microbes.

At the basing lab, our research focuses on proper antibiotic stewardship and responsible use of antimicrobials in healthcare settings. We also focus on regulation of antimicrobial discharge into the environment, such as through wastewater and in community water sources. We study environmental reservoirs of resistant microbes and their genetic material.

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Metabolomics

The Basing Lab extends its research interests to the realm of metabolomics, a field crucial for unraveling the intricate biochemical processes within living organisms. Metabolomics, as a key component of systems biology, enables a comprehensive analysis of small molecules (metabolites) within biological systems, providing valuable insights into the physiological and pathological states. The Basing Lab's metabolomics research complements its broader mission of advancing healthcare solutions through innovative and interdisciplinary approaches.

The Basing Lab employs metabolomics to investigate the metabolic pathways associated with antimicrobial resistance and one health. By analyzing the composition and levels of metabolites, researchers gain a deeper understanding of the biochemical changes occurring in specific diseases. Metabolomics plays a pivotal role in biomarker discovery, aiding in the identification of specific metabolites that can serve as biomarkers for the development of innovative diagnostics especially in the area of NTDs and STIs.

The Basing Lab also investigates the impact of nutrition on metabolism, studying how dietary factors influence the composition of metabolites in the body. This study is valuable for understanding the links between diet, health, and disease.

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Global Health Diagnostics

Africa is disproportionately burdened by infectious diseases such as HIV/AIDS, malaria, tuberculosis, and neglected tropical diseases. Rapid and accurate diagnostic tests are crucial for early detection and management of these diseases. However, many African countries struggle to provide widespread access to such tests.

High costs associated with diagnostics can be prohibitive for individuals and healthcare systems. The majority of Africans lack access to health insurance and must pay out-of-pocket for diagnostic tests. Remote and underserved regions often lack healthcare facilities, making it difficult for individuals to access diagnostic services. Poor transportation infrastructure compounds this issue. A shortage of skilled healthcare professionals, including laboratory technicians and radiologists, limits the capacity to conduct and interpret diagnostic tests.

Regulatory issues further exacerbate the diagnostic gap in Africa. Cumbersome and slow regulatory processes can delay the approval and adoption of new diagnostic technologies and tests, preventing timely access. Ensuring the quality and accuracy of diagnostic tests is a challenge in some regions, as regulatory authorities may lack the resources or capacity for rigorous oversight.

The diagnostic gap in Africa is not just a local concern; it has broader implications for global health security, Insufficient diagnostic capabilities can impede the timely detection and reporting of emerging infectious diseases, which can potentially lead to regional and international outbreaks. Inadequate diagnostics can contribute to the misuse and overuse of antibiotics, fuelling antimicrobial resistance—a global health threat. The COVID-19 pandemic highlighted the importance of rapid and widespread diagnostic testing. A weak diagnostic infrastructure in Africa can hinder pandemic preparedness efforts.

The diagnostic gap in Africa represents a multifaceted challenge that impacts healthcare delivery, public health outcomes, and global health security. Addressing this gap requires concerted efforts from governments, international organizations, researchers, and healthcare providers to improve access, regulatory frameworks, and diagnostic capacity across the continent. Bridging this gap is essential not only for the well-being of Africa's population but also for enhancing global health security in an interconnected world. At the Basing lab, our focus is

• To assess the extent and nature of the diagnostic gap in Africa, focusing on major diseases and conditions such as infectious diseases, non-communicable diseases, and emerging threats.

• To identify the key barriers to access to diagnostics in Africa, including but not limited to supply chain, economic, infrastructural, and geographical factors.

• To analyze the regulatory challenges and bottlenecks that hinder the deployment and utilization of diagnostic technologies and services in African countries.

• To investigate the potential linkages between the diagnostic gap in Africa and global health security, with a particular emphasis on the implications for pandemic preparedness and response.