title: Building capacity for human genetics and genomics research in Trinidad and Tobago.
abstract: Advances in human genetics and genomic sciences and the corresponding explosion of biomedical technologies have deepened current understanding of human health and revolutionized medicine. In developed nations, this has led to marked improvements in disease risk stratification and diagnosis. These advances have also led to targeted intervention strategies aimed at promoting disease prevention, prolonging disease onset, and mitigating symptoms, as in the well-known case of breast cancer and the BRCA1 gene. In contrast, in the developing nation of Trinidad and Tobago, this scientific revolution has not translated into the development and application of effective genomics-based interventions for improving public health. While the reasons for this are multifactorial, the underlying basis may be rooted in the lack of pertinence of internationally driven genomics research to the local public health needs in the country, as well as a lack of relevance of internationally conducted genetics research to the genetic and environmental contexts of the population. Indeed, if Trinidad and Tobago is able to harness substantial public health benefit from genetics/genomics research, then there is a dire need, in the near future, to build local capacity for the conduct and translation of such research. Specifically, it is essential to establish a national human genetics/genomics research agenda in order to build sustainable human capacity through education and knowledge transfer and to generate public policies that will provide the basis for the creation of a mutually beneficial framework (including partnerships with more developed nations) that is informed by public health needs and contextual realities of the nation.
authors.affiliation: Public Health and Primary Care Unit, Department of Para-Clinical Sciences, The Faculty of Medical Sciences, University of the West Indies, St. Augustine, Trinidad and Tobago, allana.roach@gmail.com.
authors.forename: Allana
authors.initials: A
authors.lastname: Roach
authors.affiliation: Oncology Division, Stem Cell Biology and Bone Marrow Transplant Sections, Siteman Cancer Center, Washington University School of Medicine, St. Louis, Missouri, United States of America.
authors.forename: Wayne A
authors.initials: WA
authors.lastname: Warner
authors.affiliation: Department of Epidemiology, Rutgers School of Public Health and Rutgers Cancer, Institute of New Jersey, New Brunswick, New Jersey, United States of America.
authors.forename: Adana A M
authors.initials: AA
authors.lastname: Llanos
mesh_terms: D005826:Genetics, Medical; D023281:Genomics; D006801:Humans; D011634:Public Health; D014300:Trinidad and Tobago
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