Kanyerezi Stephen, Guerfali Fatma Zahra, Anzaku Abbas Abel, Babaleye Oluwasegun Adesina, Calvert-Joshua Tracey, Nguinkal Julien Alban, Amoo Oluwaseun Paul, Atri Chiraz, Khan Waqasuddin, Saleh Iqra, Nisar M Imran, Kasambula Arthur Shem, Morapedi Koketso, Mboowa Gerald
The African Center of Excellence in Bioinformatics and Data-Intensive Sciences, the Infectious Diseases Institute, College of Health Sciences, Makerere University, Kampala, Uganda.
National Health Laboratories and Diagnostics Services, Central Public Health Laboratories, Ministry of Health, Kampala, Uganda.
PLOS Glob Public Health. 2024 Dec 20;4(12):e0004044. doi: 10.1371/journal.pgph.0004044. eCollection 2024.
The advent of metagenomics has dramatically expanded our understanding of microbial communities, particularly through the study of wastewater, which serves as a rich source of microbial data. In Africa, wastewater metagenomics presents unparalleled opportunities for public health monitoring, antimicrobial resistance (AMR) tracking, and the discovery of new microbial species and functions. Utilizing high-throughput sequencing (HTS) technologies, this method allows for direct analysis of nucleic acids from wastewater samples, providing a cost-effective and comprehensive approach for pathogen surveillance. The potential of wastewater metagenomics in Africa is vast. It can revolutionize public health monitoring by acting as an early warning system for infectious disease outbreaks, offering near real-time data to shape effective responses. This is especially critical in densely populated urban areas with poor sanitation, where the risk of disease spread is high. Moreover, this approach enables the detection of emerging pathogens and insights into environmental health. However, the implementation of wastewater metagenomics in Africa faces several challenges. These include variability in wastewater composition due to differing local customs, limited infrastructure for sequencing and data analysis, and a shortage of bioinformatics expertise. Socio-political and ethical issues also complicate data sharing and the equitable distribution of benefits. To overcome these challenges, there is a need to enhance capacity through collaborative training, infrastructural development, and international partnerships. Investing and sustaining local genomics and bioinformatics infrastructure and expertise is crucial. Moreover, establishing robust data governance frameworks and engaging communities are essential for leveraging metagenomics to advance scientific knowledge and deliver tangible health and economic benefits. With strategic planning and collaboration, Africa can harness the transformative potential of wastewater metagenomics to improve disease surveillance, combat AMR, and foster scientific innovation, contributing significantly to sustainable development and improved quality of life.
宏基因组学的出现极大地扩展了我们对微生物群落的理解,特别是通过对废水的研究,废水是丰富的微生物数据来源。在非洲,废水宏基因组学为公共卫生监测、抗菌药物耐药性(AMR)追踪以及新微生物物种和功能的发现提供了无与伦比的机会。利用高通量测序(HTS)技术,这种方法可以直接分析废水样本中的核酸,为病原体监测提供一种经济高效且全面的方法。废水宏基因组学在非洲的潜力巨大。它可以通过充当传染病爆发的预警系统来彻底改变公共卫生监测,提供近乎实时的数据以形成有效的应对措施。这在卫生条件差的人口密集城市地区尤为关键,因为疾病传播风险很高。此外,这种方法能够检测新出现的病原体并深入了解环境卫生。然而,在非洲实施废水宏基因组学面临若干挑战。这些挑战包括由于当地习俗不同导致的废水成分差异、测序和数据分析基础设施有限以及生物信息学专业知识短缺。社会政治和伦理问题也使数据共享和利益的公平分配变得复杂。为了克服这些挑战,需要通过合作培训、基础设施发展和国际伙伴关系来增强能力。投资并维持当地的基因组学和生物信息学基础设施及专业知识至关重要。此外,建立强大的数据治理框架并让社区参与对于利用宏基因组学推进科学知识以及带来切实的健康和经济效益至关重要。通过战略规划和合作,非洲可以利用废水宏基因组学的变革潜力来改善疾病监测、抗击AMR并促进科学创新,为可持续发展和提高生活质量做出重大贡献。