Pathogen Genomics in Public Health

N Engl J Med. 2019 Dec 26;381(26):2569-2580. doi: 10.1056/NEJMsr1813907.

Abstract

Rapid advances in DNA sequencing technology ("next-generation sequencing") have inspired optimism about the potential of human genomics for "precision medicine." Meanwhile, pathogen genomics is already delivering "precision public health" through more effective investigations of outbreaks of foodborne illnesses, better-targeted tuberculosis control, and more timely and granular influenza surveillance to inform the selection of vaccine strains. In this article, we describe how public health agencies have been adopting pathogen genomics to improve their effectiveness in almost all domains of infectious disease. This momentum is likely to continue, given the ongoing development in sequencing and sequencing-related technologies.

MeSH terms

  • Animals
  • Bacteria / genetics
  • Disease Outbreaks*
  • Foodborne Diseases / diagnosis
  • Foodborne Diseases / epidemiology*
  • Foodborne Diseases / microbiology
  • Foodborne Diseases / parasitology
  • Genomics*
  • High-Throughput Nucleotide Sequencing*
  • Humans
  • Influenza, Human / diagnosis
  • Influenza, Human / epidemiology*
  • Influenza, Human / microbiology
  • Metagenomics
  • Parasites / genetics
  • Public Health*
  • Tuberculosis / diagnosis
  • Tuberculosis / epidemiology*
  • Viruses / genetics