We are Elrha, a force for change in the humanitarian community. The research and innovation we support equips the humanitarian community with the knowledge of what works, so people affected by crises get the right help when they need it most.
Our purpose is clear: to empower the humanitarian community to improve humanitarian response. We make this happen by supporting and championing the outcomes of robust research and proven innovations.
We empower the humanitarian community. Find out how we can support you...

Principal Investigator: Amadou A. Sall, Institut Pasteur de Dakar

Purpose

Real‐time Reverse Transcription Polymerase Chain Reaction(RT-PCR) was  used as the standard method for Ebola virus (EBOV) molecular diagnosis during the 2014 outbreak in West Africa but has some limitations in terms of cost, equipment, and turnaround time. In contrast, isothermal recombinase polymerase amplification (RPA) is six times faster than RT- PCR while yielding the same analytical sensitivity and specificity. In addition, the RPA assay uses smaller equipment and reagents which are cold chain independent, making rapid on-site testing feasible and affordable. The project investigated the use of RPA for EBOV point-of-care detection in Guinea treatment centres.

Outcomes

An existing Ebola virus Recombinase polymerase amplification (RPA) assay was adapted to the outbreak strain and mobilized into a suitcase laboratory combined with a mobile glovebox for biosafety sample extraction. Specifically, so called primer–in pellets were developed in collaboration with company Twist DX allowing for cooling chain independent and simple use of reagents. The RPA assay was deployed in Conakry as well as during campaigns organized by the coordination committee in the Forecariah, Coyah, Dubreka and Boke prefectures. During these campaigns, 2,509 samples were tested and the results were available within 30 minutes upon sample receipt.

Key outputs

  • 1 peer reviewed article published (see ‘Publications’ section below for details)
  • Local teams were trained in the use of the mobile laboratory in Guinea. The trained staff supported the laboratory deployment in Conakry (Ratoma municipality) and were involved in the different campaigns organized by the Ebola Task Force in Guinea., Additional local teams were also trained in hospitals localised in the prefectures of Boke and Nzerekore. The newly trained staff went on to use the RPA test for Ebola Surveillance in Guinea.
  • Representatives from five African countries (Guinea, Sierra Leone, Democratic Republic of Congo, Mali and Senegal) and one European country (Germany) participated in a dissemination day organised in February 2016. The Senegalese Ministry of Health as well as international agencies (WHO, MSF and UNAIDS) were also represented at this meeting.

Next steps

  • MSF has expressed interest in using the RPA for i) salivary tests on living people as it is a less intrusive sampling method, ii) a multiplex approach in order to test various diseases quickly in EVD suspected negative cases, as a differential diagnostic tool
  • Discussions are ongoing to adapt RPA to test other diseases in the field and to identify commercial companies to invest into RPA assays

Related Resources

Development and deployment of a rapid recombinase polymerase amplification Ebola virus detection assay in Guinea in 2015

Latest Updates

News article

Apr 2015

International Team Begins Field Trials for Solar-Powered 'Suitcase Lab,' Ebola Assay

View
2015Apr

Briefing Sheet

Jan 2015

The project is focussing on developing suitcase labs which can speed up testing. The portable labs are testing after death and producing results in between six to ten minutes which means that burials can take place faster and within culturally sensitive time frames.

View
Jan

Related News

22.01.2015

ELRHA funds new 15 minute test for Ebola to be trialled in Guinea

R2HC Funding for Ebola Projects.  A Rapid Response

 In August 2014, the Ebola Outbreak in West Africa was declared an International Health Emergency by WHO and within a couple of weeks ELRHA launched a rapid-response call for research to combat the crisis.  The UK Department for International Development (DFID), the Wellcome Trust and ELRHA opened a special funding window through the Research for Health in Humanitarian Crises (R2HC) programme.

The aim of this emergency call was both to produce robust research findings that could contribute to the effectiveness of the response to the current outbreak and help to draw lessons for future outbreaks of Ebola and other communicable diseases. The projects funded will strengthen the evidence base for the Ebola response in topics ranging from diagnostics to anthropology, surveillance and disease control.

Subscribe to our newsletters....

Subscribe
 
Elrha © 2018 - 2019 Elrha is a registered charity in England and Wales (1177110).
Elrha Please upgrade your browser

You are seeing this because you are using a browser that is not supported. The Elrha website is built using modern technology and standards. We recommend upgrading your browser with one of the following to properly view our website:

Windows Mac

Please note that this is not an exhaustive list of browsers. We also do not intend to recommend a particular manufacturer's browser over another's; only to suggest upgrading to a browser version that is compliant with current standards to give you the best and most secure browsing experience.