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October 26, 2024
Professor Shiddiky's Provocation Lecture on Diagnostics Research
Professor Muhammad J. A. Shiddiky delivered a provocation lecture on 26th June at Charles Sturt University, covering his team's research activities in healthcare and agricultural diagnostics. He has also written a blog article on the topic, available at this link (along with the video of the talk).
By Shiddiky Laboratory
Professor Shiddiky's Provocation Lecture on Diagnostics Research

By bridging the gap between healthcare and agriculture, molecular diagnostics is paving the way for a healthier future—for humans and plants alike

In today’s rapidly evolving world, the intersection of healthcare and agriculture is more critical than ever. Both sectors face mounting challenges—from emerging diseases and biosecurity threats to climate change and population growth. One powerful solution lies in the development of rapid, affordable molecular testing methods and devices that can revolutionize how we detect and manage diseases in humans and plants alike. These on-site molecular diagnostics are transforming both healthcare and agriculture by providing real-time insights and enabling swift action in even the most remote or resource-limited settings.

The shift to on-site diagnostics: A game changer Traditionally, diagnostic methods for human and plant health have been centralized, relying on specialized labs equipped with costly materials and complex procedures. This setup, while effective, limits access, especially in low-income regions and rural areas. Delayed diagnosis often means delayed treatment, leading to worse outcomes in human healthcare and devastating crop losses in agriculture. However, recent advancements in nanotechnology, bioelectronics, and molecular biology have paved the way for on-site, point-of-care (POC) testing devices. These new technologies offer rapid, reliable, and cost-effective solutions for early disease detection—without the need for highly trained personnel or extensive infrastructure. The impact of these innovations is especially significant for communities far from urban centres, where access to healthcare and agricultural services is limited.

Precision healthcare: Personalized, predictive, and preventive The rise of molecular diagnostics in healthcare is a major leap forward in moving from reactive to proactive medical care. By analysing genetic biomarkers, such as microRNA (miRNA), cell-free DNA (cfDNA), and circulating tumour DNA (ctDNA), healthcare providers can detect diseases early—sometimes even before symptoms arise. Early detection enables more effective treatment, improving patient outcomes and reducing the burden on healthcare systems. Take, for example, the rapid development of POC testing devices during the COVID-19 pandemic. These devices, based on molecular diagnostics such as PCR (polymerase chain reaction) and isothermal amplification, allowed healthcare workers to perform accurate, on-site tests in real-time. As a result, they were able to identify infected individuals early, isolate them, and mitigate the spread of the virus. Moving forward, similar devices will be crucial in managing other viral threats, from influenza to emerging zoonotic diseases that could pose a global biosecurity risk.

Revolutionizing agriculture: Protecting crops with molecular diagnostics In agriculture, molecular diagnostics can be just as transformative. Plant diseases, if left undetected, can spread quickly, leading to both massive losses in both food production and economic instability. The recent rise in viral threats to crops—like wheat rust or the banana-killing TR4 fungus—illustrates how vulnerable our agricultural systems are to these biosecurity risks. Just as COVID-19 disrupted global healthcare systems, a rapidly spreading crop disease could threaten the food security of entire regions. Fortunately, molecular diagnostics now provide farmers with the ability to test for plant pathogens directly in the field, avoiding the delays associated with lab-based testing. Devices employing techniques such as PCR or loop-mediated isothermal amplification (LAMP) can detect viral, bacterial, or fungal infections in plants at an early stage. This enables farmers to take immediate action, such as applying targeted treatments or quarantining infected crops, to prevent widespread damage.

Recent success stories: Real-world impact of molecular diagnostics Several successful demonstrations of molecular diagnostic devices highlight their potential. In healthcare, devices like the Abbott ID NOW platform have been instrumental in managing viral outbreaks, providing COVID-19 test results in minutes at testing sites around the world. Another success story comes from Africa, where molecular diagnostics are helping to combat the spread of infectious diseases like malaria and tuberculosis in remote communities. These POC devices are saving lives by making early detection accessible even in regions with limited medical infrastructure. In agriculture, the deployment of molecular diagnostics to combat the spread of citrus greening disease—a bacterial infection devastating citrus orchards worldwide—has been a game-changer. Farmers are now able to test their crops regularly, allowing for early interventions that can save entire harvests. These rapid tests are also being used to monitor livestock diseases, ensuring biosecurity in the meat and dairy industries.

Facing climate change: The role of molecular diagnostics in adaptation The challenges posed by climate change further amplify the need for advanced molecular diagnostics. As rising temperatures and shifting weather patterns reduce arable land, farmers will need to maximize crop yields on smaller plots of land, often under more extreme conditions. At the same time, the global population continues to grow, increasing the demand for food production. On-site molecular diagnostics will play a key role in helping farmers navigate these challenges by providing early warning systems for plant diseases, enabling precision agriculture, and minimizing crop losses. In healthcare, the same devices can help populations vulnerable to climate change-related diseases—such as vector-borne illnesses like dengue or Zika—by offering early detection and preventive care. With climate change expected to increase the range of disease vectors, rapid on-site testing will be essential for managing outbreaks in regions previously unexposed to certain diseases.

A unified future: Bridging healthcare and agriculture The symbiotic relationship between healthcare and agriculture is becoming clearer. Both sectors rely on the early detection and management of disease to protect human health and ensure food security. Molecular diagnostics, by bridging this gap, is creating a healthier future for both people and the planet. The widespread adoption of on-site testing devices can mitigate the effects of disease outbreaks, safeguard biosecurity, and address the challenges posed by climate change. As these technologies continue to evolve, we can expect even more compact, portable, and user-friendly devices that democratize access to molecular diagnostics. By making these innovations accessible to everyone—from rural farmers to healthcare workers on the frontlines—molecular diagnostics is revolutionizing how we approach health and food production in the 21st century.

Conclusion: Securing a resilient future The future of molecular diagnostics holds immense promise. By making disease detection faster, cheaper, and more accessible, we can save lives and secure food systems in an increasingly complex and interconnected world. Whether in the fight against the next viral pandemic or protecting crops from devastating pathogens, molecular diagnostics is a crucial tool for building a resilient, sustainable future. Through continued innovation and the integration of these devices across healthcare and agriculture, we can ensure a world where human health and food production are safeguarded against tomorrow’s threats.

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