The Guardian Australia

Millions invited to take part in UK scheme to diagnose diseases earlier

- Nicola Davis Science correspond­ent

A project to diagnose and treat diseases early – or even prevent them from developing – has been launched in the UK, with 3 million people to be invited to take part this autumn.

The project, called Our Future Health, will eventually recruit 5 million or more people from all walks of life, with participan­ts sharing their health records and giving blood samples, as well as having their weight, blood pressure and cholestero­l measured, and their DNA analysed.

Prof Sir John Bell, of the University of Oxford, who is chairing the project, said healthcare systems tended to be geared towards treating people once they developed symptoms and often in the last stages of a disease.

But he noted that with new tools, including those based on genetics, it was possible to detect a chronic disease early or identify people at higher risk of a condition before it developed, meaning interventi­ons could be made sooner.

The principle, he said, applied for conditions ranging from obesity to cancer and mental health.

“[The ambition] is to try and create a sandbox for testing and evaluating these early diagnostic or prevention strategies across a large population of people,” said Bell. “And we’ll be able to use that population to help us evaluate these new tools, diagnose disease early, prevent disease more effectivel­y, and intervene at an earlier stage.”

Dr Raghib Ali, the chief medical officer of the project, said: “We’ve known this for a long time, that if we can intervene earlier by detecting disease earlier that will produce much better outcomes for our patients.”

Ali added that the approach would also save the NHS money. “Most of the costs of care is in the final stages of disease,” he said.

Backed by the government, life sciences industry, the NHS and charities including Alzheimer’s Society, British Heart Foundation and Cancer Research UK, the scheme is expected to build on the success of research resources such as the UK Biobank to become the UK’s largest health research programme.

However, the team said its project went further, not only in recruiting a far larger pool of participan­ts but also ensuring they came from a wide range of socioecono­mic background­s and ethnicitie­s.

All adults are eligible to join Our Future Health, whatever their age, while the project will also offer participan­ts the chance to receive feedback on their risks of various diseases – initially focused on diabetes and heart disease. The team said it subsequent­ly hoped to offer participan­ts at risk of particular conditions the option to join screening programmes or further research.

“In order to start to evaluate interventi­ons, you’ve got to have enough

 ?? Photograph: Nicola Ferrari/Getty Images/iStockphot­o ?? Fluorescen­t imaging of cancer cells. Earlier diagnosis and treatment could help those with conditions ranging from cancer to obesity and mental health.
Photograph: Nicola Ferrari/Getty Images/iStockphot­o Fluorescen­t imaging of cancer cells. Earlier diagnosis and treatment could help those with conditions ranging from cancer to obesity and mental health.

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