CAMO-Net team pay tribute to David Price Evans

A delegation of staff from the University of Liverpool recently visited Anglesey, Wales to honour the life and generosity of the late Emeritus Professor David Price Evans.

Professor Price Evans is one of the University’s largest benefactors, supporting life changing developments in the field of medicine both prior to and after his death in 2019. This builds upon his important contribution to the University as a scientist and researcher. He dedicated much of his life to pharmacogenetics research as both Head of Medicine from 1968 until 1983 and Chair of Medicine from 1972 to 1983.

During the visit to Anglesey, where Professor Price Evans enjoyed his retirement, his family and friends of celebrated his life with a small service. This was followed by a reception held at the home of Professor David Owens FRCP, a long-time friend and colleague of Professor Price Evans.

Attendees heard from Professor Louise Kenny CBE, Executive Pro Vice Chancellor of the Faculty of Health and Life Sciences on how Professor Price Evans’ incredible contribution to the University throughout his life and death has enabled important advancements in our understanding of infectious diseases. This includes the work of Professor Greg Lip, the David Price Evans Chair of Cardiovascular Medicine and Professor Alison Holmes OBE.

Professor Louise Kenny and Professor Alison Holmes with friends, family, and former colleagues of the late Emeritus Professor David Price Evans.

Professor Alison Holmes was officially introduced as the David Price Evans Chair in Global Health and Infectious Diseases, a role created by Professor Price Evans’ bequest and named in his honour. Professor Holmes spoke about the impact of the donation and the global collaborations that have been enabled by it.

Professor Holmes leads the Centres for Antimicrobial Optimisation Network (CAMO-Net), a unique multidisciplinary, global collaboration. CAMO-Net is largely funded by Wellcome, but was brought to Liverpool thanks to the David Price Evans fund.

CAMO-Net is comprised of teams from Brazil, India, South Africa, Uganda, and the UK, and aims to address the global impact of antimicrobial resistance on human health. This will be achieved through optimising antimicrobial use through a sustainable global research ecosystem, developed across low, middle, and high resource settings, and across urban and rural environments.

Professor Holmes said: “It is a privilege for me to honour the legacy of Professor Price Evans through this role, and through the development of the David Price Evans Infectious Diseases and Global Health Group, which is contributing to the University’s existing academic activity and developing some new initiatives such as the CAMO-Net collaboration. Professor Price Evans has inspired a generation of scientists working in medicine, and I am delighted to have the chance to play a small part in building on his legacy here in Liverpool.”

Professor Louise Kenny commented: “David Price Evans will always be recognised as an important figure in the proud history of medical education at the University of Liverpool, and thanks to his generous and substantial contribution as a benefactor, his legacy will live on as a vital figure for future advancements in the field he dedicated his life to.”

For more information about the David Price Evans Infectious Diseases Research Group, please visit: https://www.liverpool.ac.uk/dpe-id

You can also find more information about CAMO-Net here: https://camonet.org

Publication: Our work in São Paulo

A publication in September 2023’s edition of The Lancet about our work on optimising antimicrobial use in highly populated urban environments:

Antimicrobial resistance (AMR) is considered an increasing threat to public health and a cause of great concern worldwide.

AMR is a complex One Health issue, in which agriculture, livestock, companion animals, and the environment play roles. Transmission of organisms and resistance genes occurs across these pathways and antibiotics and their metabolites reach the environment via a range of routes, including directly from humans or through waste. The accumulation of antimicrobials within the environment can contribute to selective pressures for the acquisition or development of AMR.

The use of antimicrobials is a major driver of AMR, thus optimising the prescribing of antimicrobials is a potentially effective strategy to reduce AMR. The term “antimicrobial stewardship programme” (ASP) defines a set of actions that promote and enforce the adequate use of antimicrobials (ATM) to reduce selective pressure while improving patient outcomes.2 It focuses on avoiding ineffective prescriptions, finding the adequate moment to start treatment, the adequate choice of drugs, the adequate/short duration of treatment, deescalation once there is a diagnosis, and PK/PD optimisation of antimicrobial use.

Read the full article for free at The Lancet.

Liverpool hosts first CAMO-Net meeting

Last week, The University of Liverpool hosted the first official gathering of the global partners from the Centres for Antimicrobial Optimisation Network (CAMO-Net) for a welcome reception and the inaugural CAMO-Net Management Board Meeting.

The welcome reception in Liverpool gave the opportunity for researchers to highlight projects and innovations already taking place within Liverpool and London, whilst also providing the chance to network and share knowledge. The scope of activities and discussion focused on innovation in technology and data usage at the molecular, patient, drug and health sector level, through to the whole population level.

Before exploring exhibitions from researchers based in Liverpool and London, attendees heard from Professor Louise Kenny, Executive Pro Vice Chancellor of the Faculty of Health and Life Sciences at the University of Liverpool,. Professor Kenny highlighted antimicrobial resistance (AMR) as  one of the greatest threats to the health of communities around the world, and how timely the CAMO-Net collaboration is in tackling this important challenge.

Professor Kenny said: “Global threats require a global partnership and so we are delighted that nationally here in the UK CAMO-Net has strengthened a long-standing strategic alliance with Imperial College London and that our two institutions are part of this wonderful global network of interdisciplinary experts, who will ensure that lifesaving drugs are preserved for future generations.”

CAMO-Net will use its extensive network of interdisciplinary experts, partners at the forefront of relevant technological innovation and links with policymakers to conduct research to actionably improve antimicrobial use in humans through three interlinked themes identified through a Wellcome-commissioned roadmap.

Chibuzor Uchea, Research Manager of Drug Resistant Infections at the Wellcome Trust also addressed the event, and highlighted the vital work of the project. He said, ““The inappropriate human use of antimicrobials is a key driver of AMR and importantly the driver most under our direct control. Supporting research into the optimal use of antimicrobials is vital to preserve and sustain their efficacy. CAMO-Net has huge potential for creating significant and lasting impact in the AMR field.”

Professor Alison Holmes OBE, Principal Investigator for CAMO-Net UK, hosted the event. Professor Holmes commented: “Not only will this network provide a unique opportunity to advance multidisciplinary research to improve and sustain access to effective antimicrobial treatments and address AMR, it has shared international learning embedded within it and also represents a major commitment to more equitable research models.”

CAMO-Net officially launches

Read the press release issued on our launch earlier this year:

Research teams from institutions in Africa, Asia, Europe and South America are coming together to form the Centres for Antimicrobial Optimisation Network (CAMO-Net). With up to £11m in funding from Wellcome, this ground-breaking consortium will support translational research to address a major driver of antimicrobial resistance, using a bespoke funding model to help enhance global health research equity.

CAMO-Net brings together research teams from the University of Liverpool and Imperial College London in the UK, the University of Cape Town in South Africa, the Infectious Diseases Institute in Uganda, and the Faculty of Medicine at the University of São Paulo in Brazil.

The network aims to address the global impact of antimicrobial resistance (AMR) on human health. This will be achieved through optimising antimicrobial use through a sustainable global research ecosystem, developed across low, middle, and high resource settings, and across urban and rural environments.

Researchers will seek to build knowledge relating to the optimised use of antibiotics, improved access to effective treatment and better prevention and treatment of bacterial infections, all of which will minimise AMR. This will take into account specific epidemiological, cultural, structural, and economic factors.

This initiative will help to improve clinical decision-making regarding antimicrobial use and also inform practices and guidelines for prescribers, users and policymakers. Importantly, the consortium’s key operations will be in regions with extremely high burden of drug-resistant infections, serving some of the communities most affected by escalating infectious disease, while taking a unique, multi-sectoral, systems-based approach to improving the use of antimicrobials.

The four sites form ‘National Hubs’ responsible for driving the research and leading the global network. Each hub has specific and complementary multidisciplinary research expertise, necessary to help address the inappropriate use of antimicrobials – a complex, dynamic and multifactorial issue. CAMO-Net also includes three “Shadow National Sites” which will participate in network activities and develop a pilot project as part of the larger CAMO-Net programme. The Shadow National Sites include: Dow University of Health Sciences in Pakistan, Child Health Research Foundation in Bangladesh and Unversidade da Paz in Timor Leste, supported by Menzies School of Health Research.

Each of the national Hubs will receive its own individual funding, with awards linking directly to those of the other three countries. This approach will aim to improve research equity by ensuring local leadership and facilitating joint ownership of the programme across partners.These elements form the consortium’s core values alongside knowledge mobilisation, output sharing and mutual cross-regional learning.

CAMO-Net will use its extensive network of interdisciplinary experts, partners at the forefront of relevant technological innovation and links with policymakers to conduct research to actionably improve antimicrobial use in humans through three interlinked themes identified through a Wellcome-commissioned roadmap.

The network will seek to build a comprehensive contextual understanding of situational data in each National Hub to identify opportunities to address existing gaps andchallenges. It will harness the power of data through strategic and targeted studies to generate new knowledge, implement co-produced, contextually fit, and sustainable solutions to optimise antimicrobial use, and evaluate these interventions and strategies using an intersectional approach.

Timothy Jinks, Head of Infectious Disease Interventions at Wellcome, said: “Antibiotics have been saving millions of lives for decades, but their effectiveness is under increasing pressure. Our funding for CAMO-Net will support research that generates new knowledge about how best to preserve and sustain their efficacy, drawing on local contexts where the burden of drug-resistant infections is highest. This will help guide more effective and tailored interventions from policymakers and prescribers, ensuring patients can continue to benefit from these lifesaving medicines into the future.”

Dr Andrew Kambugu, executive director of the Infectious Diseases Institute in Uganda said: “Our engagement in the CAMO-Net grant is a landmark opportunity to generate new knowledge (research) and mitigate the looming threat of antimicrobial resistance in the region. We are keen to leverage our 20-year experience in combatting and studying infectious diseases in Africa to influence leadership and empower the rising generation of scientists in the Global South.”

Professor Anna Levin of the Faculty of Medicine at the University of São Paulo said: “The connection between the use of antibiotics and bacterial resistance has been extensively studied. Over time, as antibiotics are used, resistance appears and leads to their obsolescence. It is imperative that we improve the use of these drugs if we want to extend the useful life of antibiotics. However, how to do this is a huge practical challenge. In Brazil, the CAMO-Net study will focus on strategies to improve the use of antibiotics in the community, and the impact that this may have on antimicrobial resistance, including patients, health workers, and the environment (wastewater and drinking water). We established a partnership with a city of 162000 inhabitants in the state of São Paulo, São Caetano do Sul and its local university, and will work with the entire municipality. This is the sort of challenge made possible by our international partnership CAMO-Net.”