When I’m asked how I became a scientist, I usually smile, because the truth is, I’ve been aspiring to be one for over 30 years. My career didn’t follow the straight path I once imagined. I failed to get into medical school, so I turned to biomedical sciences instead. During my undergraduate studies, something unexpected happened, I caught the “research bug.” I became obsessed with understanding nature, driven by curiosity and the thrill of discovery.
At first, I was far from a stellar biologist. I contaminated more samples than I care to admit. But I found myself fascinated by data, and this was the dawn of the internet era, when the Human Genome Project and the first waves of digital transformation in health were reshaping science. That curiosity led me to a PhD in bioinformatics at the University of Manchester. Suddenly, I was at the forefront of marrying computer science with biology, a field still in its infancy, and I’ve been working at that intersection for 25 years.
Entering the World of Genomics
My postdoctoral years at the Wellcome Sanger Institute in Cambridge immersed me in large-scale genomic data. I worked on DECIPHER, a database that became the backbone of genomic sequencing across UK and Irish paediatric centres. But I realised genomics wasn’t just for rare childhood conditions: it was for everyone.
In a move that would shape my career, my family and I sequenced our genomes and made them freely available online. At the time, we were likely the first family to do so. It sparked a community of citizen scientists and crowdsourced analyses, culminating in a widely cited 2015 paper.
But something caught my attention: when I compiled thousands of voluntarily shared genetic datasets from around the world, 95% were of European ancestry. This was 2017, before health data equity became a mainstream discussion, and it was a wake-up call. Who had access to genomic testing? Who was being represented in the data? And crucially, who was being left out?
The Cost and Power Gap
The underrepresentation of global populations in genomics isn’t just about cost, though tests remain prohibitively expensive in much of the world. Many companies don’t even ship to the Global South. In countries like Peru, where I work frequently, lab reagents cost twice as much, and specialist equipment is scarce. Often, samples must be shipped abroad for analysis, stripping local scientists of agency and missing opportunities to train local talent and strengthen local economies.
For me, the solution is clear: whenever possible, genomic analyses should be performed locally. It’s about capacity-building, empowerment, and ensuring that scientific progress benefits the communities it studies.
Bridging the Gap with Latin America
Based in the UK, I saw a unique opportunity. The UK is a leader in genomic technology and implementation, but it has limited ties with Latin America, my cultural and linguistic home. That’s why I launched the first Spanish-speaking congress dedicated to genomic medicine, creating a bridge between cutting-edge UK science and the Spanish-speaking world.
The challenges are stark. Many genetic tests are built on European genetic markers, limiting their accuracy for non-European populations. In pharmacogenomics, this can be dangerous. For example:
 Codeine can trigger toxic reactions in up to 30% of Ethiopians due to a common genetic variant, prompting a nationwide ban.Warfarin, the world’s most prescribed anticoagulant, causes adverse drug reactions in one in four Africans because dosing algorithms are based on European data.These are not abstract disparities, they are real, life-and-death consequences of inequitable data.
Building the Business Case for Equity
Scientists, clinicians, and even many pharmaceutical companies don’t want these inequities. The real barrier is the business case: the financial return for tailoring interventions to small or underserved populations is often unclear. But there are models to draw from, like those used in rare disease research, where “n=1” cases have inspired novel, scalable approaches.
The truth is, diversity is no longer optional. Global migration means that every country now hosts a rich mix of populations. Medicine must adapt not just for fairness, but for accuracy.
My Vision for Equitable Medicine
I envision a future where it doesn’t matter where you’re born, what you look like, or your socioeconomic status, everyone can benefit from the best that science offers.
 Recognising population differences in experimental design, ethics, and infrastructure.Embedding health equity at the core of government health initiatives.Coordinating across universities, industry, policymakers, and communities.Designing cost-effective operational models to reach small or resource-limited populations.The COVID-19 vaccine rollout showed what’s possible when the world aligns around a single goal. If we can do that for a pandemic, we can do it for health equity.
Technology with a Human Face
As a technologist, I believe we spend too much time on tools and too little on their human and ethical context. Innovation is essential, but so is remembering that every data point has a face, a story, and a community behind it. True progress in genomics and in medicine comes when technology serves people, not the other way around.
Final Thought: Health equity in genomics isn’t a niche goal. It’s essential for the validity, safety, and universality of medical science. We’ve identified the problem. We have the tools. Now we need the will, the business models, and the partnerships to make equitable precision medicine a reality.