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Imperial’s ARC & EMBRACE collaborations joined forces with the School of Public Health to deliver a day with a focus on AMR in the context of global health
The 2016 Faculty of Medicine Summer School, Revolutions in Biomedicine, brought together bioscience and medical students from all over the world. Through lectures, interactive group work and laboratory research projects they covered topics as diverse and wide-ranging as stress to big data. On the penultimate day of the school, the EMBRACE team joined forces with Dr Mariam Sbaiti from the School of Public Health to deliver a day on Antimicrobial Resistance & Global Health.
The day commenced with an introduction to antimicrobial resistance (AMR) from Dr Maryam Modarai (EMBRACE fellow, department of Medicine). This charted the discovery and widespread implementation of antibiotics to treat bacterial infections (a true revolution in biomedicine!), the emergence of resistance infection and the mechanisms by which they arise, and the potential post-antibiotic era that we face today. This was followed by two research talks from Imperial’s Antimicrobial Resistance Collaborative (ARC) fellows, Dr Martina Valentini and Dr Myrsini Kaforou. Both talks focused on specific areas of research within the field of AMR that are currently being undertaken at Imperial College, introducing the students to current research topics and giving insight into the world of biomedical research.
Dr Martina Valentini outlined how biofilm formation promotes the emergence of bacterial resistance and how this is a significant problem in areas such as hospital-acquired infections and lung infections in Cystic Fibrosis patients. Martina also discussed how understanding the mechanisms involved in biofilm development better could lead to the development of novel approaches to combating bacterial biofilms. Dr Myrsini Kaforou talked about the need for quicker and more reliable methods of diagnosing Tuberculosis (TB) infections. Tuberculosis affects an estimated 1 in 3 of the world’s population and the incidence of drug-resistant TB is an increasing problem. Myrsini described her research into developing a new diagnostic technique using genetic biomarkers to develop a “signature” of TB infection with the aim of producing a method of diagnosis that is both more specific and sensitive than those currently used.
The three presentations were followed by a stimulating panel discussion with the speakers as well as Dr Mariam Sbaiti and Dr Lindsay Evans (EMBRACE fellow, department of Chemistry). This gave the students an opportunity to ask questions about AMR in the broader context and promoted discussions between the panel and students. Important topics such as the economic reasons behind the lack of new antibiotics coming to market in the last 30 years, the effects of unregulated antibiotic use, and why bacteriophages, which are a popular alternative to antibiotics in countries such as Russia, are not used worldwide were discussed.
The afternoon session explored AMR in the context of global health. Dr Mariam Sbaiti worked with Dr Lindsay Evans to deliver a team-based learning exercise linking the two research themes. Dr Sbaiti then delivered a lecture introducing the audience to the field of global health, using drug-resistant TB to exemplify the complex problems and multifaceted causes of global health issues. The day concluded with an interactive summary session where the students were asked to summarise the key learning outcomes from the day and how factors associated with AMR and global health interplay.
The day was highly successful in fulfilling its aims of engaging the next generation of scientists and medics on the threat of AMR and the complex problems that feed into global health issues. The students particularly enjoyed hearing about the cutting-edge research at Imperial College and the opportunity for discussion with people working in these important research areas. This event was also a fantastic opportunity for those involved in the day, giving experience of collaborating with multiple departments to deliver a focused day of interdisciplinary teaching.
EMBRACE Sandpit (7-8 July 2016)
On 7 -8 July 2016, over 30 investigators from Imperial College and Universities of Newcastle, Surrey and Warwick gathered at South Kensington Campus to participate at the first EPSRC-supported EMBRACE Sandpit to propose innovative solutions to address the antimicrobial resistance (AMR) challenge.
The event was conducted by Knowinnovation, a company with more than 10 years of experience of running sandpit events. The four EMBRACE co-PI’s, Professors Chris Toumazou (Engineering), Alison Holmes (Medicine), Alan Armstrong (Natural Science) and Pantelis Georgiou (Engineering) were responsible for stimulating and provoking the participants with short talks and sharp questions. The three EMBRACE fellows, Doctors Lindsay Evans (Natural Science), Maryam Modarai (Medicine) and Pau Herrero (Engineering), were among the participants.
During the first day, several activities involving a lot of creative methods and soapbox talks were conducted in order to get to know each other and get a better picture of the expertise in the room. Lewis Preece from EPSRC gave a talk on the longer term funding opportunities that are on offer, and which could be used to obtain follow-up funding after the sandpit. The day ended with a dinner at 58 Prince's Gate.
The second day of the sandpit was focused on creating multidisciplinary teams of 4-8 participants and writing short, innovative proposals tackling the problem of AMR. At the end of the day, 5 proposals were presented which were evaluated by a panel of experts formed by Professors Alison Holmes, Alan Armstrong, Pantelis Georgiou and Ramesh Wigneshweraraj.
The winning team, led by Dr Andrew Edwards (MRC Centre for Molecular Bacteriology and Infection), was awarded £15K to develop an innovative solution to provide a novel target for a new type of therapeutic that promotes the killing of bacteria by the immune system.
The two days of intensive work and networking brought out great ideas from the participants, some of which will be put forward to the recently announced EMBRACE pump-priming call. The success of the event was enjoyed by everyone present.
EMBRACE @ The Imperial Festival (7-8 May 2016)
"Infection Investigator" game to show multidisciplinary approach to tackling AMR
This weekend saw the 5th annual Imperial festival welcome thousands of visitors. As the sun poured down, visitors to the South Kensington campus were invited to participate in talks, tours and interactive exhibits.
In the Superbug Zone the EMBRACE team and postgraduate researcher Rachel Troughton ran “Infection Investigator”., an interactive game that took participants on a journey from spotting infection symptoms, to where to seek appropriate healthcare, to the name of the disease, the pathogen responsible and finally what the appropriate treatment for that particular infection was.
Identifying the correct combinations completed electrical circuits to power light bulbs or motors, providing visual real-time feedback on their decisions. The game focused on three different pathogens responsible for many common infections (viruses, bacteria and fungi); fun facts and information on the differences between these microorganisms were also provided.
The game was designed to represent how the three Faculties (Medicine, Engineering and Natural Sciences) involved in the EMBRACE program can combine to tackle problems associated with Antimicrobial Resistance (AMR). Participants had to apply biological information to solve medical questions using engineering solutions, represented by the electrical components to the game.
The game was designed to be played as a team and proved to be extremely popular, especially for families, with around 200 participants over the weekend. The aim of the game was to increase awareness of the different types of infection and what treatments are appropriate for each. Important points of discussion included recognising that flu is caused by a virus and as a result is not susceptible to antibiotic treatment. It is a common misconception that antibiotics can be used to treat viral infections such as colds and flu, and reducing this unnecessary use of antibiotics is an important step in tackling the emergence of antibiotic resistance.
We would like to say a big thank you to Rachel Troughton, Pau Herrero-Vinas, Maryam Modarai and Lindsay Evans for their hard work in developing the exhibit and also to our amazing volunteers Claudia Adele, Michiyo Iwami and Bernard Hernandez Perez for their time over the weekend and their enthusiastic engagement with the public.