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Combating Infectious Diseases in Nigeria

Combating Infectious Diseases in NigeriaCombating Infectious Diseases in NigeriaCombating Infectious Diseases in NigeriaCombating Infectious Diseases in Nigeria

Advancing research and healthcare to reduce the burden of infectious disease

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Combating Infectious Diseases in Nigeria

Combating Infectious Diseases in NigeriaCombating Infectious Diseases in NigeriaCombating Infectious Diseases in NigeriaCombating Infectious Diseases in Nigeria

Advancing research and healthcare to reduce the burden of infectious disease

SITE MENU
DONATE

ABOUT IFAIN

Female scientist examining samples through a microscope in a lab.

ABOUT US

CORE GOALS AND OBJECTIVES

OUR MISSION

About IFAIN – The International Foundation Against Infectious Disease in Nigeria


Headquartered in Abuja, the International Foundation Against Infectious Disease in Nigeria (IFAIN) is a premier non-profit research institution committed to addressing the burden of pediatric infectious diseases through robust surveillance, advanced research, 

About IFAIN – The International Foundation Against Infectious Disease in Nigeria


Headquartered in Abuja, the International Foundation Against Infectious Disease in Nigeria (IFAIN) is a premier non-profit research institution committed to addressing the burden of pediatric infectious diseases through robust surveillance, advanced research, and strategic capacity development. IFAIN was founded in response to Nigeria’s urgent need for accurate, data-driven insights into the causes and drivers of childhood morbidity and mortality, particularly in underserved communities.


Nigeria remains one of the countries with the highest under-five mortality rates globally. Recent epidemiological analyses have consistently identified invasive bacterial infections as a major contributor to child deaths across Sub-Saharan Africa. While many of these infections are preventable through routine immunization, accurate diagnostics, and standardized clinical practices, progress has been significantly hampered by the absence of reliable, population-level data—especially within vulnerable and marginalized populations.


IFAIN was established to bridge this critical knowledge gap. Leveraging cutting-edge field diagnostics and population-based surveillance, we generate high-quality, actionable data on bacterial syndromes and opportunistic infections affecting Nigerian children. Our research directly supports the development and implementation of targeted vaccines, diagnostics, and treatment protocols while enabling ongoing evaluation of their effectiveness across high-risk areas.


Special emphasis is placed on children living with underlying health challenges such as HIV, sickle cell disease (SCD), and malnutrition. By advancing the scientific understanding of these co-morbidities in resource-limited settings, IFAIN contributes to more effective public health strategies—helping policymakers, clinicians, and global health partners reduce preventable childhood deaths in Nigeria and across the region.

Modern laboratory with microscope and computer analyzing cell images.

OUR MISSION

CORE GOALS AND OBJECTIVES

OUR MISSION

IFAIN is committed to improving the quality of life of children in Nigeria, and the rest of the world, by reducing the burden of infectious and related diseases. 

Gloved hand handling vials in a laboratory analyzer.

CORE GOALS AND OBJECTIVES

CORE GOALS AND OBJECTIVES

CORE GOALS AND OBJECTIVES

Core Goals

  • Reduce under-five mortality and morbidity attributable to infectious diseases.
     
  • Enhance disease prevention, diagnosis, and therapeutic responses through applied research and innovation.
     
  • Strengthen local healthcare systems by embedding sustainable laboratory and clinical capacities.
     

Strategic Objectives

  • Generate accurate, commun

Core Goals

  • Reduce under-five mortality and morbidity attributable to infectious diseases.
     
  • Enhance disease prevention, diagnosis, and therapeutic responses through applied research and innovation.
     
  • Strengthen local healthcare systems by embedding sustainable laboratory and clinical capacities.
     

Strategic Objectives

  • Generate accurate, community-based data on the burden and incidence of pediatric infectious diseases.
     
  • Lead translational and implementation research to uncover the true etiologies of life-threatening childhood illnesses.
     
  • Equip healthcare institutions with advanced diagnostic technologies to improve clinical outcomes.
     
  • Build human resource capacity by training medical professionals, researchers, and students in infectious disease control.
     
  • Foster long-term partnerships with academic institutions, healthcare providers, and global health organizations to promote shared learning and collaborative impact.

Statement of Commitment to Public Health, Equity, and Science-Based Interventions

At the International Foundation Against Infectious Disease in Nigeria (IFAIN), we are unwavering in our commitment to advancing public health and child health through equitable, data-driven, and evidence-based approaches. Our work is rooted in the belief that every child—regardless of geography, socioeconomic status, or health condition—deserves access to life-saving diagnostics, treatments, and preventive care against infectious diseases.


We recognize the disproportionate burden of infectious diseases faced by vulnerable populations across Nigeria, particularly among children affected by poverty, malnutrition, HIV, and sickle cell disease. In response, we prioritize inclusive pediatric research, community-based surveillance, and policy-relevant findings that directly inform public health action.


Guided by scientific integrity and global best practices, IFAIN partners with government agencies, healthcare providers, academic institutions, and international stakeholders to develop interventions that are not only effective but also sustainable and culturally appropriate. We are dedicated to closing the data gaps that hinder progress, empowering local healthcare systems, and driving forward innovations that improve health outcomes across generations.


Our mission is clear: to harness the power of science in service of equity and to ensure that the benefits of medical advancement reach all segments of society—especially those most in need, thereby enhancing global health.

IFAIN BOARD OF TRUSTEES

DR. AJORITSEDERE AWOSIKA

HON. JUSTICE YARGATA NIMPAR (JCA)

DR. AJORITSEDERE AWOSIKA

Chairman

PROF. STEPHEN OBARO

HON. JUSTICE YARGATA NIMPAR (JCA)

DR. AJORITSEDERE AWOSIKA

Trustee

HON. JUSTICE YARGATA NIMPAR (JCA)

HON. JUSTICE YARGATA NIMPAR (JCA)

HON. JUSTICE YARGATA NIMPAR (JCA)

Trustee

DR AKIN FAJOLA

MR. ADEMOLA ADEBISE

HON. JUSTICE YARGATA NIMPAR (JCA)

Trustee

MR. PETER AMEADAJI

MR. ADEMOLA ADEBISE

MR. ADEMOLA ADEBISE

Trustee

MR. ADEMOLA ADEBISE

MR. ADEMOLA ADEBISE

MR. ADEMOLA ADEBISE

Trustee

IFAIN IMPACT

CHILDREN SCREENED

CHILDREN SCREENED

CHILDREN SCREENED

Smiling young girl with curly hair and a gray jacket.

Over 21,000 + Children have been screened

AMR LAB PROTOCOLS

CHILDREN SCREENED

CHILDREN SCREENED

Scientist in a lab coat examines samples using a microscope in a laboratory.

16

LAB PERSONNEL TRAINER

AMR SENTINEL SITES SUPPORTED

AMR SENTINEL SITES SUPPORTED

Scientists in lab coats working together on an experiment.

Over 100 personnel have been trained

AMR SENTINEL SITES SUPPORTED

AMR SENTINEL SITES SUPPORTED

AMR SENTINEL SITES SUPPORTED

Map of Nigeria with connected points symbolizing healthcare network and medical research.

11 Supported Sites

IFAIN PROJECTS

Group photo at IFAIN vaccine adverse event evaluation event in Nigeria.

IFAIN Launches BRAVE Project in Nigeria to Boost Vaccine Safety Monitoring, Targets Lassa Fever

The International Foundation Against Infectious Disease in Nigeria (IFAIN), in collaboration with the Global Vaccine Data Network (GVDN), has launched the Background Rates of Adverse Events for Vaccine Evaluation in Africa (BRAVE) project in Nigeria, with additional implementation in Ghana, Rwanda, and Kenya.


Officially kicked off at the Abubakar Tafawa Balewa University Teaching Hospital (ATBUTH) in Bauchi, the project aims to establish baseline incidence rates of key health conditions across four Nigerian sites—namely FMC Owo, Irrua Specialist Teaching Hospital, University of Benin Teaching Hospital, and ATBUTH, which serves as the lead implementation hub.


Over a three-year core implementation period, the project will gather pre-vaccine data. This will be followed by an additional two years of surveillance, making a total span of five years . Data will be collected from patients admitted in pediatrics, obstetrics & gynecology, and internal medicine departments, using a pre-defined list of priority conditions.

A key focus is to prepare for the rollout of Lassa fever vaccines, ensuring that once introduced, any deviations from baseline health data can be confidently assessed as vaccine‑related or incidental.


Beyond surveillance, BRAVE aims to strengthen Nigeria’s healthcare framework by building health worker capacity and improving data infrastructure—a strategic step toward advancing the country’s readiness for future vaccine and drug trials.

Read article
A healthcare worker examines a malnourished child held by a woman.

Community-Acquired Bacteremic Syndromes in Young Nigerian Children (CABSYNC)​

The primary objective of the CABSYNC project is to identify and characterize the causative agents of community-acquired bacteremic syndromes in malaria-endemic regions, with a specific focus on young children in Nigeria. In addition, the project seeks to generate insights into host immune responses that may inform the development of both primary and secondary prevention strategies.


Key Objectives:

  • Identify and characterize the bacterial pathogens responsible for community-acquired bacteremic syndromes in young Nigerian children.
     
  • Assess the role of respiratory viruses in exacerbating the severity of bacteremia and radiologic pneumonia.
     
  • Evaluate acute inflammatory response profiles in children with bacteremic syndromes complicated by respiratory distress.

Community health workers conducting a medical check-up outdoors.

Community-Acquired Pneumonia and Invasive Bacterial Diseases in Young Nigerian Children (CAPIBD)

The primary goal of CAPIBD was to create a platform for generating local data on the causes and burden of community-acquired pneumonia and opportunistic/bacteremic syndromes (bacteremia, sepsis, and meningitis), to promote prevention by increasing the use of existing vaccines, stimulating the development of new vaccines, and providing a platform to monitor the impact of these vaccines.


Project Objectives:

  • Establish two field and laboratory sites to determine the pathogen-specific burden of bacteremic syndromes in children.
     
  • Determine incidence rates of childhood bacteremic syndromes.
     
  • Determine the role of respiratory viruses in severe childhood pneumonia.
     
  • Determine the role of comorbid conditions (e.g., HIV, sickle cell disease [SCD], and malaria) in bacteremic syndromes.

Scientists in lab coats working together on an experiment.

MHEALTH

Sickle Cell Disease (SCD) is an inherited disorder of red blood cells with multisystem manifestations and the highest disease burden in Nigeria, where over 150,000 babies are born annually. Fewer than 50% survive beyond the first five years of life due to severe infections. The overall aim was to evaluate a new point-of-care diagnostic with digital transmission of results to a central database and to mobile phones for patient tracking, in order to improve turnaround time for diagnosis, specialist-clinic registration, and follow-up, with the ultimate goal of providing a scalable platform for a robust national surveillance program for SCD care.


Project Objectives:

  • Develop a mobile-health platform for SCD and malaria point-of-care testing, registration, and tracking of newborns and children under five years of age in Kano, Nigeria.
     
  • Evaluate the performance of mobile-health tools for diagnosis (Gazelle point-of-care test) and tracking (custom-built Mobile Patient Health Record System application) of patients with SCD.

Medical professionals in a lab attending a lecture, all wearing masks and lab coats.

Expertise Joint West Africa Research Group (JWARG)

The JWARG study—Severe Infectious Diseases Surveillance and Detection in West Africa (RV466)—aimed to identify common pathogens in the region that pose significant public-health threats. The International Foundation Against Infectious Disease in Nigeria (IFAIN), in collaboration with the University of Nebraska Medical Center (UNMC), worked to strengthen laboratory capacity in Nigerian military health facilities.


Project Objectives:

  • Strengthen participants’ capacity to detect and respond promptly and appropriately to public-health emergencies.
     
  • Assess existing facility, clinical, and laboratory responses in Nigeria in order to design an appropriate curriculum.

A tender moment between mother and newborn baby wrapped in a blue blanket.

Vertical Transmitted Infections (VTI)

Maternal rectovaginal colonization with Group B Streptococcus (GBS) and vertical transmission of resistant bacteria predispose neonates to early-onset invasive disease. This project aimed to assess, among pregnant women colonized with GBS and antibiotic-resistant Gram-negative organisms, the risk factors for neonatal disease and the associated maternal and perinatal adverse outcomes.


Project Objectives:

  • Determine risk factors for colonization and associated perinatal events, and evaluate strategies to prevent vertical transmission.
     
  • Study the serotype distribution of GBS isolates associated with colonization in mother–newborn dyads.
     
  • Characterize the capsular serotype distribution of invasive isolates from infants.
     
  • Compare the relative invasive potential of GBS serotypes associated with early-onset disease.
     
  • Investigate extended-spectrum β-lactamase (ESBL)–producing isolates associated with colonization in mother–newborn dyads.

Four scientists in lab coats and masks working together in a laboratory.

Fleming Fund Country Grant

The Fleming Fund project implemented a One Health approach to strengthen antimicrobial resistance (AMR) and antimicrobial use (AMU) surveillance in Nigeria. The initiative enhanced governance, laboratory capacity, and intersectoral collaboration across the human, animal, and environmental health sectors.


Project Objectives

  • Build a One Health governance structure for AMR/AMU surveillance by establishing a One Health National Steering Committee (OHNSC) to work closely with the National AMR Coordinating Committee (AMRCC) Secretariat.
     
  • Strengthen AMR/AMU surveillance systems in human health by linking two leading Nigerian laboratory and surveillance organizations with the Liverpool School of Tropical Medicine to support adherence to international standards and ensure quality.
     
  • Strengthen AMR and AMU surveillance in food animals by building shared initiatives between the private food-production sector and the public animal-health sector, balancing production and marketing with research, workforce training, and regulatory functions.
     
  • Establish a foundation for AMR surveillance in aquatic animals.
     
  • Conduct a situational analysis of environmental laboratory stakeholders to assess the requirements for an AMR bacteriology sentinel site for environmental health.

Two healthcare professionals examining a sleeping baby in a clinical setting.

Minimally Invasive Tissue Sampling (MITS)

Goal: Use minimally invasive tissue sampling (MITS) as an alternative to traditional autopsy to determine the causes of stillbirth, neonatal and infant death, and pregnancy-related deaths.


Project Objectives:

  • Apply MITS to investigate causes of stillbirth, neonatal death, and maternal/pregnancy-associated deaths.
     
  • Apply MITS to investigate deaths among children aged 1 month–18 years.
     
  • Explore sociobehavioral factors associated with acceptance or refusal of MITS.

A man in white registers or interviews a woman in yellow surrounded by children and adults.

Global Genomic and Proteomic Profiling of African Children with Typhoid Fever

This project aims to advance the development of innovative, low-cost molecular diagnostic tools for the rapid detection of typhoid fever. Additionally, it seeks to deepen our understanding of the disease’s molecular pathogenesis and host immune response, ultimately supporting the development of next-generation typhoid fever vaccines.


Project Objectives

  • Identify host response genes specifically associated with typhoid fever using gene expression microarray analysis.
     
  • Detect serum proteins uniquely reactive to Salmonella Typhi using newly developed S. Typhi proteome microarrays.
     
  • Design and develop a prototype serological assay for the detection of acute typhoid infection.
     
  • Validate identified host classifier genes and conduct field testing of prototype ELISAs using independent, newly recruited patient cohorts.

Scientist in a lab coat using a pipette in a laboratory.

Combatting Antimicrobial Resistance in Africa Using Data Science (CAMRA)

The CAMRA project is a comprehensive field-to-laboratory investigation of Nigerian and Rwandan children with serious bacterial infections (SBI). It aims to characterize the distribution and determinants of antimicrobial resistance (AMR) among Enterobacterales and the diseases they cause by prospectively enrolling hospitalized newborns, infants, and children with severe bacterial infection syndromes.


Project Objectives:

  • Analyze the phenotypic and genotypic profiles of Enterobacterales isolates from Nigeria and Rwanda.
     
  • Correlate multidrug-resistant organism (MDRO) status with the clinical course and outcomes of infected patients.
     
  • Determine household reservoirs of MDROs.

Invasive Pneumococcal Disease in the Meningitis Belt of Nigeria (IPD-MeniNG)

This study conducts surveillance of invasive pneumococcal disease (IPD) in Nigeria’s meningitis belt, with a focus on the role of Streptococcus pneumoniae (Spn) in severe bacterial infections.


Project Objectives:

  • Determine the contribution of Streptococcus pneumoniae (Spn) to sepsis, pneumonia, and meningitis in north-central Nigeria.
     
  • Identify host and pathogen risk factors associated with poor clinical outcomes.

MDRO Surveillance – TETFund Isolates Re-Identification Project

This project focused on the re-identification of bacterial isolates from University College Hospital (UCH), Ibadan, processed at the IFAIN Laboratory using the VITEK 2 automated system. It was part of broader efforts to strengthen surveillance capacity and improve the accurate characterization of multidrug-resistant organisms (MDROs).

A smiling lab technician in a white coat and blue gloves stands in a modern laboratory.

IFAIN LAB

IFAIN’s laboratory—pictured—provides a clean and well-organized environment for the receipt, processing, analysis, and storage of samples related to child health and infectious disease, particularly in Nigeria. Clearly marked work zones, modern instruments, and PPE stations facilitate safe and efficient workflows, while SOPs and routine calibration ensure quality, traceability, and reliable results through daily QA, all of which are crucial for advancing pediatric research and improving global health.

IFAIN PUBLICATIONS

Community acquired bacteremia in young children from central Nigeria--a pilot study

Detection of Streptococcus pneumoniae from culture-negative dried blood spots by real-time PCR

Community acquired bacteremia in young children from central Nigeria--a pilot study

Obaro, S., Lawson, L., Essen, U. et al (2011). Community Acquired Bacteremia in Young Children from Central Nigeria- A Pilot Study. BMC Infect Dis 11, 137.

READ

Salmonella Bacteremia Among Children in Central and Northwest Nigeria, 2008-2015

Detection of Streptococcus pneumoniae from culture-negative dried blood spots by real-time PCR

Community acquired bacteremia in young children from central Nigeria--a pilot study

Obaro, S. K., Hassan-Hanga, F., Olateju, E. K., Umoru, D., Lawson, L., Olanipekun, G., Ibrahim, S., Munir, H., Ihesiolor, G., Maduekwe, A., Ohiaeri, C., Adetola, A., Shetima, D., Jibir, B. W., Nakaura, H., Kocmich, N., Ajose, T., Idiong, D., Masokano, K., Ifabiyi, A., … Fey, P. D. (2015). Salmonella Bacteremia Among Children in Central and Northwest Nigeria, 2008-2015. Clinical infectious diseases: an official publication of the Infectious Diseases Society of America, 61 Suppl 4(Suppl 4), S325–S331. 

READ

Detection of Streptococcus pneumoniae from culture-negative dried blood spots by real-time PCR

Detection of Streptococcus pneumoniae from culture-negative dried blood spots by real-time PCR

Emergence of New Delhi Metallo-β-Lactamase (NDM-5) in Klebsiella quasipneumoniae from Neonates in a

Iroh Tam, PY., Hernandez-Alvarado, N., Schleiss, M.R. et al. (2018). Detection of Streptococcus pneumoniae from culture-negative dried blood spots by real-time PCR in Nigerian children with acute febrile illness. BMC Res Notes 11, 657. 

READ

Emergence of New Delhi Metallo-β-Lactamase (NDM-5) in Klebsiella quasipneumoniae from Neonates in a

Erratum: Status of Retinoids and Carotenoids and Associations with Clinical Outcomes in Maternal-Inf

Emergence of New Delhi Metallo-β-Lactamase (NDM-5) in Klebsiella quasipneumoniae from Neonates in a

Brinkac, L. M., White, R., D’Souza, R., Nguyen, K., Obaro, S. K., & Fouts, D. E. (2019). Emergence of New Delhi metallo-β-lactamase (NDM-5) in Klebsiella quasipneumoniae from neonates in a Nigerian hospital. mSphere, 4(2), [e00685-18]. 

READ

Erratum: Status of Retinoids and Carotenoids and Associations with Clinical Outcomes in Maternal-Inf

Erratum: Status of Retinoids and Carotenoids and Associations with Clinical Outcomes in Maternal-Inf

Erratum: Status of Retinoids and Carotenoids and Associations with Clinical Outcomes in Maternal-Inf

Hanson, C., Lyden, E., Anderson-Berry, A., Kocmich, N., Rezac, A., Delair, S., Furtado, J., Van Ormer, M., Izevbigie, N., Olateju, E. K., Akaba, G. O., Anigilaje, E. A., Yunusa, T., Obaro, S (2018). Erratum: Status of Retinoids and Carotenoids and Associations with Clinical Outcomes in Maternal-Infant Pairs in Nigeria. Nutrients 10, 1286.

READ

A Comparison of Vitamin E Status and Associated Pregnancy Outcomes in Maternal–Infant Dyads between

Erratum: Status of Retinoids and Carotenoids and Associations with Clinical Outcomes in Maternal-Inf

Erratum: Status of Retinoids and Carotenoids and Associations with Clinical Outcomes in Maternal-Inf

Cave, C., Hanson, C., Schumacher, M., Lyden, E., Furtado, J., Obaro, S., Delair, S., Kocmich, N., Rezac, A., Izevbigie, N. I., Van Ormer, M., Kamil, A., McGinn, E., Rilett, K., Elliott, E., Johnson, R., Weishaar, K., Olateju, E. K., Akaba, G. A., Anigilaje, E. A., … Anderson-Berry, A. (2018). A Comparison of Vitamin E Status and Associated Pregnancy Outcomes in Maternal⁻Infant Dyads between a Nigerian and a United States Population. Nutrients, 10(9), 1300. 

READ

Aetiology of neonatal sepsis in Nigeria, and relevance of Group b streptococcus: A systematic review

Aetiology of neonatal sepsis in Nigeria, and relevance of Group b streptococcus: A systematic review

Aetiology of neonatal sepsis in Nigeria, and relevance of Group b streptococcus: A systematic review

Medugu N, Iregbu K, Iroh Tam PY, Obaro S (2018). Aetiology of neonatal sepsis in Nigeria, and relevance of Group b streptococcus: A systematic review. PLoS One. Jul 17;13(7): e0200350. 

READ

Sickle-Cell Disease in Nigerian Children: Parental Knowledge and Laboratory Results

Aetiology of neonatal sepsis in Nigeria, and relevance of Group b streptococcus: A systematic review

Aetiology of neonatal sepsis in Nigeria, and relevance of Group b streptococcus: A systematic review

Obaro SK, Daniel Y, Lawson JO, Hsu WW, Dada J, Essen U, Ibrahim K, Akindele A, Brooks K, Olanipekun G, Ajose T, Stewart CE, Inusa BP (2016). Sickle-Cell Disease in Nigerian Children: Parental Knowledge and Laboratory Results. Public Health Genomics;19(2):102-7. 

READ

Molecular Detection of Streptococcus pneumoniae on Dried Blood Spots from Febrile Nigerian Children

Aetiology of neonatal sepsis in Nigeria, and relevance of Group b streptococcus: A systematic review

Phylogeographical analysis of the dominant multidrug-resistant H58 clade of Salmonella Typhi identif

Tam, P. Y. I., Hernandez-Alvarado, N., Schleiss, M. R., Hassan-Hanga, F., Onuchukwu, C., Umoru, D., & Obaro, S. K. (2016). Molecular detection of Streptococcus pneumoniae on dried blood spots from febrile Nigerian children compared to culture. PloS one, 11(3), [e0152253]. 

READ

Phylogeographical analysis of the dominant multidrug-resistant H58 clade of Salmonella Typhi identif

Phylogeographical analysis of the dominant multidrug-resistant H58 clade of Salmonella Typhi identif

Phylogeographical analysis of the dominant multidrug-resistant H58 clade of Salmonella Typhi identif

Wong, V., Baker, S., Pickard, D. et al (2015). Phylogeographical analysis of the dominant multidrug-resistant H58 clade of Salmonella Typhi identifies inter- and intracontinental transmission events. Nat Genet 47, 632–639.

READ

Molecular characterization of invasive Enterobacteriaceae from pediatric patients in Central and Nor

Phylogeographical analysis of the dominant multidrug-resistant H58 clade of Salmonella Typhi identif

Molecular characterization of invasive Enterobacteriaceae from pediatric patients in Central and Nor

Duru C, Olanipekun G, et al. Molecular characterization of invasive Enterobacteriaceae from pediatric patients in Central and North Western Nigeria: a multicenter study PLos One 2020 Oct 26;15(10): e0230037.

READ

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IFAIN TEAM

Bernard Ebruke 

Country Director Research

Nekpen Ogbomo 

Chief Operations Officer

Theresa Ajose 

Project Administrator

Grace Olanipekun 

Lab Manager

Tope Egbetade 

Med Lab Scientist

Joy Alaba 

Med Lab Scientist

James Abu Ochiekwu 

Med Lab Scientist

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