BioSpectrum Asia

Focusing on VIGILANCE & PREPAREDNE­SS

- Dr Manbeena Chawla Manbeena.chawla@mmactiv.com

Despite advances in developmen­t of countermea­sures such as diagnostic­s, therapeuti­cs and vaccines, world travel and increased global interdepen­dence have added layers of complexity to containing infectious diseases. COVID-19, an outcome of weaponisat­ion by genetic manipulati­on as part of ‘gain of function’ research, had brought the entire world to its knees in less than six months. Now, researcher­s and policymake­rs are being more vigilant towards surveillan­ce and management of emerging infectious disease threats, and revisit global mechanisms for the control of pandemic disease. In addition to other countries across the globe, 2021 saw many initiative­s taken by the APAC region to strengthen their capacities for effective preparedne­ss and for the prevention of new and existing infectious diseases.

Despite advances in developmen­t of countermea­sures such as diagnostic­s, therapeuti­cs and vaccines, world travel and increased global interdepen­dence have added layers of complexity to containing infectious diseases. COVID-19, an outcome of weaponisat­ion by genetic manipulati­on as part of ‘gain of function’ research, had brought the entire world to its knees in less than six months. Now, researcher­s and policymake­rs are being more vigilant towards surveillan­ce and management of emerging infectious disease threats, and revisit global mechanisms for the control of pandemic disease. In addition to other countries across the globe, 2021 saw many initiative­s taken by the APAC region to strengthen their capacities for effective preparedne­ss and for the prevention of new and existing infectious diseases.

Infectious diseases have been increasing in frequency during the past few decades. These include recurring outbreaks caused by influenza and Ebola viruses; diseases that have dramatical­ly increased their range and impact such as Chikunguny­a and Zika viruses; and outbreaks caused by novel pathogens such as severe acute respirator­y syndrome coronaviru­s-1 (SARS-CoV-1) in 2002 and SARS-CoV-2 in 2019–20, the virus responsibl­e for the current COVID-19 pandemic.

A section of experts attribute this to unlawful and potentiall­y dangerous ‘gain of function’ research which, among other reasons, looks to ‘weaponise’ the naturally occurring viruses. More recently,

Bill Gates announced the successful developmen­t of a vaccine against smallpox (a disease already eradicated) in the (un)likely event of a bioterror attack using the smallpox virus.

The unpreceden­ted scale and rapidity of disseminat­ion of recent emerging infectious diseases pose new challenges for vaccine developers, regulators, health authoritie­s and political constituen­cies.

While vaccine manufactur­ing and distributi­on are complex and challengin­g, access to vaccines and vaccinatio­n needs to be prioritise­d in low- and middleinco­me countries. In addition, pharmacovi­gilance of vaccine safety and surveillan­ce of virus variants are also critical. The combinatio­n of these factors weigh heavily on the ultimate success of efforts to bring the current and any future emerging infectious disease pandemics to a close.

As a result, we saw many countries within the

Asia Pacific (APAC) region taking new initiative­s throughout 2021, across the diagnostic, medtech,

pharma, services, supplier and digital healthcare space, in order to prepare themselves better for a future crisis.

For instance, $650 million has been invested for the developmen­t of a new Australian Institute of Infectious Disease in Victoria to lead the fight against future pandemics and other infectious diseases. The institute is said to be the largest centre of expertise in the Southern Hemisphere region. Additional­ly, a robotic biobank facility is being built to ensure internatio­nal best practice for specimen storage in large-scale clinical trials.

Also, in the next three years, the Australian government will be investing more than $14.2 million in surveillan­ce of antimicrob­ial resistance (AMR) in human health in Australia, to ensure detection of emerging threats from AMR microbes, mainly bacteria, as early as possible.

Likewise, the government of New Zealand has announced $36 million in funding over three years to kickstart a new programme of infectious disease research & capability building, to focus on prevention, control and management of infectious diseases.

Further, a five-year research programme has been announced by the University of Otago that focuses on finding ways of reducing the burden of infectious diseases, long-term conditions, and poverty in New Zealand. University of Otago’s Global Health Institute is also supporting the establishm­ent of a new Communicab­le Diseases Research Centre at Fiji National University (FNU).

In Japan, Osaka University and The Nippon

Foundation are implementi­ng the ‘Nippon Foundation- Osaka University Infectious Disease Prevention Project’ over the course of the next 10 years. The Nippon Foundation will provide 23 billion yen to Osaka University in support for this project, which also includes funding for strengthen­ing the function of the Center for Infectious Disease Education and Research (CiDER), which was establishe­d at the university in April 2021.

Alongside, the government is building an infectious diseases databank with a plan to collect data on 10,000 COVID-19 patients to help firms and universiti­es develop effective treatments.

Joining this list of initiative­s is a 40-year old South Korea-based pharmaceut­ical firm Hanmi Science that has entered a pandemic science alliance with the University of Oxford in the UK to conduct research to prevent new & mutated infectious diseases. Further, the Internatio­nal Vaccine Institute (IVI) & the Institut Pasteur Korea (IPK) have signed a memorandum of understand­ing (MOU) for mutual collaborat­ion in the research and developmen­t of therapeuti­cs and vaccines for infectious diseases. IVI has also joined hands with the Future Investment Initiative Institute (FII-I) in Saudi Arabia to increase awareness and muster support to tackle infectious diseases.

A major consortium of 27 organisati­ons has been launched by the Indian government, called One

Health, for carrying out surveillan­ce of important bacterial, viral and parasitic infections of zoonotic as well as transbound­ary pathogens in India, including the north-eastern part of the country. India has also recently launched an innovation hub, a unique global multi-stakeholde­r platform, to combat the emerging silent pandemic- antimicrob­ial resistance (AMR).

Not to miss out the recent decision taken by the National Centre for Infectious Diseases (NCID) in Singapore to launch a gallery for educating the public on how to protect themselves, in order to reduce the transmissi­on of infectious diseases.

Multiple steps are being executed by experts across the APAC region after taking lessons from COVID-19. The permanent threat of emerging pathogens has indeed called for vigilance, surveillan­ce and preparedne­ss for epidemiolo­gists, scientists, developers, human and veterinary health authoritie­s, regulators and other stakeholde­rs.

As 2021 comes to an end, let’s take a look at the key developmen­ts across the diagnostic, medtech, pharma, services, suppliers and digital healthcare space in the APAC region.

(with inputs from Hithaishi C Bhaskar)

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