Ghana Trip to Study Tuberculosis: Day Four

by Kaila Helm, Biological Basis of Behavior ’20; Kathleen Givan, Bioengineering and Political Science ’20; Kathryn Cocherl, Bioengineering ’20; Hope McMahon, Chemical and Biomolecular Engineering ’18; Dave Pontoriero, Biotechnology MS ’18

Ghana 4.1
Dr. Anthony Enimil (local pediatrician) giving a lecture on tuberculosis in Ghana.

David Issadore, a faculty member in the Department of Bioengineering at the University of Pennsylvania teaches an engineering course ENGR566 – Appropriate Point of Care Diagnostics. As part of this course, he and Miriam Wattenberger from CBE, have taken nine Penn students, most of them majoring in Bioengineering, to Kumasi, Ghana, to study the diagnosis of pediatric tuberculosis. While in Ghana, these students are blogging daily on their experiences.

Our team woke up and hit the floor with some Zumba. Following this exercise, we went to the campus cafeteria for breakfast. The food consisted of rolls with jam, sausages, omelets, and coffee, tea, or Milo (Australian chocolate milk).

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Students pose with Dr. Anthony Enimil following his lecture on tuberculosis in Ghana. (From left to right: Salim, Katharine Cocherl, Ethan Zhao, Danielle Tsougarakis, Kate Panzer, Kathleen Givan, Kaila Helm, Dr. Anthony Enimil, Jason Grosz, David Pontoriero, Dr. Miriam Wattenbarger, Hope McMahon, Dr. David Issadore, Priscilla, Benjamin)

Our first academic activity of the trip was after breakfast! We made it back to the house for a lecture from Dr. Anthony Enimil, a local pediatrician. During his initial lecture, he spoke about Ghanaian culture and how it related to our group, both as tourists and and as medical professionals. Dr. Enimil said that misconceptions mostly stemmed from tourists who think they are above Ghanaians. Ghanaians are multilingual, intelligent, and very proud of their culture. This pride is particularly prevalent in Kumasi and the Ashanti region, which is considered the cultural capital of Ghana. The question and answer period was particularly interesting, considering that we have spent a semester learning about tuberculosis without necessarily having any ability to learn specifics about the situation in Ghana. One fact that we found remarkable was that the WHO estimate of tuberculosis prevalence was found to be only one-quarter of the actual prevalence in Ghana.

The next portion of the day was critically important, if somewhat futile: a tour to get us oriented around campus. The KNUST campus is, according to a casual guestimation poll of the Ghana Nine (the nine Penn students on the trip), approximately five times bigger than the Penn campus. To make matters worse, large parts of the campus are, to our untrained eyes, identical stretches of unkempt jungle. We ended our tour with fufu for lunch at a chop bar, a casual Ghanaian restaurant that apparently serves the purpose as Wawa: keeping the Ghanaian students happily fed for cheap. We knew the food was spicier when our right hands (used in Ghana as utensils) tingled for a solid hour post-exposure. However, the fufu we ate was legitimate and delicious, and there were no complaints from the Ghana Nine about the food, particularly when we had a lovely post-meal Icy Cup (a tangy yogurt smoothie). It distantly reminded most of us of yogurt.

Ghana 4.3
Students enjoy fufu at the chop bar nearby the campus of Kwame Nkrumah University of Science and Technology (KNUST). (From left to right: Katharine Cocherl, Danielle Tsougarakis, Kathleen Givan, Priscilla)

Our second academic activity of the day was a continuation of the lecture led by Dr. Enimil. This time we got into the nitty-gritty details of the tools that are used to diagnose TB. Even with the progress made with technological advances, a recurring issue is stigma. TB is curable, but the perception of it as a “disease of death” has made it highly stigmatized. Much work needs to be done to reach some of the benchmarks set. For example, the hope is to eliminate the disease burden by 2035. To do this, Ghanaians must continue strengthening diagnostic methods. We discussed the microscopic culture molecular examination, chest radiographic findings, and sputum sample usage with the Gene Xpert. After another very stimulating question and answer session, the Ghana Nine took a 90-minute break, filled with naps and a competitive game of cards.

We then enjoyed a delicious dinner that consisted of salted fish, plantains and (white) yams (collectively called ampesi), palaver sauce, and avocado. After dinner, the whole group took a walk to the shopping mall on campus to get an ice cream treat to cool us off. We ended the night reflecting on our day, speed friending, and discussing all the new information we learned about TB in Ghana to prepare for our visit to the clinics.

Ghana Trip to Study Tuberculosis: Day Three

by Danielle Tsougarakis, Bioengineering ’20; Jason Grosz, Bioengineering ’19; Ethan Zhao, Bioengineering ’19; and Kate Panzer, Bioengineering ’18

Ghana 3.1
Danielle Tsougarakis (left) and Kathleen Givan (right) on a paddleboat along Lake Bosomtwe.

David Issadore, a faculty member in the Department of Bioengineering at the University of Pennsylvania teaches an engineering course ENGR566 – Appropriate Point of Care Diagnostics. As part of this course, he and Miriam Wattenberger from CBE, have taken nine Penn students, most of them majoring in Bioengineering, to Kumasi, Ghana, to study the diagnosis of pediatric tuberculosis. While in Ghana, these students are blogging daily on their experiences.

This morning, we headed to Lake Bosomtwe, which is in the Kumasi metropolitan area. The setting was surreal, with an expansive lake surrounded by rich vegetation and puffy white clouds. Lake Bosomtwe is the only natural lake in Ghana, formed by a collision with a meteor millions of years ago. However, the local story behind the lake’s origin involves a hunter who seeks to shoot an antelope. The first day, he goes into the forest and successfully shoots an antelope, but the animal runs away. The next day, the hunter once again goes into the forest and successfully shoots the antelope, but the same escape occurs. Finally, on the third day, the hunter decides to follow the antelope after it has been shot. The hunter ends up at a small pond and sees the antelope enter the water and disappear. The hunter determines that the antelope is a ghost and decides to name the pond “Antelope god,” or Bosomtwe in Twi, one of the languages of Ghana. Bosom translates to “god,” and twe means “antelope.”

Ghana 3.2
Students enjoying jollof rice and fufu by Lake Bosomtwe.

Now there are 22 communities surrounding the perimeter. We found out it would take eight hours to walk around the entire lake – a trek no one wanted to attempt. However, we did get to wade into the warm water and explore further with the paddleboats. At first glance, the water appeared polluted with scattered plastic bottles. Upon further examination, we realized these were actually makeshift flotation devices for fish traps. We later saw a group of young boys wading through the water catching fish with their hands. Overall, there weren’t a lot of other people there, and we were the main tourist group.

After dinner, we converted our dollars to Ghanian cedis by a currency exchanger named Aness. Aness was a Muslim born in Kumasi with heritage in Niger, and we had an extensive discussion about the various aspects of his identity, including his identifications with Kumasi, Ghana, and Islam.   First, even though his parents came from Niger, he identified more strongly with Kumasi and Ghana since he was born here, saying, “You must be proud of where you are born because it’s the only thing you have.” He was extremely proud of the fact that Kumasi was the cultural center of Ghana. He seemed to have very strong stereotypes against people from Accra, claiming that the businessmen were dishonest and cared only about making money, not the way it was made. He also explained to us the use of various regional dialects across Ghana.  In Kumasi, the primary language of communication is Twi.

Ghana 3.3
Students playing card games and board games by the scenic Lake Bosomtwe.

Ghana Trip to Study Tuberculosis: Day Two

by Kaila Helm, Biological Basis of Behavior ’20; Kathleen Givan, Bioengineering and Political Science ’20; Kathryn Cocherl, Bioengineering ’20; Hope McMahon, Chemical and Biomolecular Engineering ’18; and Dave Pontoriero, Biotechnology MS ’18

Ghana 2.1
Grilled beef kebabs at a street side market, on the way from Accra to Kumasi.

David Issadore, a faculty member in the Department of Bioengineering at the University of Pennsylvania teaches an engineering course ENGR566 – Appropriate Point of Care Diagnostics. As part of this course, he and Miriam Wattenberger from CBE, have taken nine Penn students, most of them majoring in Bioengineering, to Kumasi, Ghana, to study the diagnosis of pediatric tuberculosis. While in Ghana, these students are blogging daily on their experiences.

Our day started early: at 6 A.M. We were startled to see an aerobic fitness class outside our hotel room door. Participants were sweating and dancing with smiling faces to high-energy rhythmic music — a definite contrast to the decidedly low-energy sleeping state we were hoping to enjoy further.

Breakfast was a lovely, carbohydrate-heavy smorgasbord of avocado, pancakes, and flower-shaped chicken sausages. We then boarded our bus for our trip to Kumasi. Along the way, we noticed the changing landscape as we headed out to the rural area. On the bus, Ethan played his ukulele. Due to construction, the traffic sides switch slightly at random. This could be hair-raising at times: suddenly, the bus would simply divert to the side of the road where, mere moments before, the traffic was streaming along merrily in the opposite direction.

We also stopped at a rest area, and we tried guinea fowl, goat, and banana milk. As we continued, we saw more goats and churches and fewer vendors on the side of the street. It was also interesting to see more and more mosques as we passed in to the more Muslim northern/central area. We arrived at the exceedingly spacious KNUST campus, lush and green, and also, not the bus (we were very ready to be off after four hours of driving!). We set up our rooms and prepared for the rest of the night.

The afternoon was hot and lazy, filled with unpacking and chatting about the wild experiences that we’d already had. A definitive highlight was a run that some students took on campus. The group was lucky enough to see the computer lab and a Ghanaian wedding and to meet up with some Ghanaian friends who helped with the program last year. After a shower and perhaps a quick nap for the lucky ones among us, we were ready for the next stage of the evening: the welcome party.

At the welcome party, we met the Ghanaian students who will be with us during our time here. We then watched a performance by drummers and traditional Ghanaian dancers. They pulled us in their circle and taught us some of their dance moves. We met some of the KCCR staff members who told us more about the work we will be starting this week. We ended the night in the lounge, reflecting on our day and getting to know each other better.

Ghana 2.2
Students enjoying snacks at a market on the road between Accra and Kumasi.

Ghana Trip to Study Tuberculosis: Day One

by Danielle Tsougarakis, Bioengineering ’20; Jason Grosz, Bioengineering ’19; Ethan Zhao, Bioengineering ’19; and Kate Panzer, Bioengineering ’18

Ghana 1.0


David Issadore, a faculty member in the Department of Bioengineering at the University of Pennsylvania teaches an engineering course ENGR566 – Appropriate Point of Care Diagnostics. As part of this course,  he and Miriam Wattenberger from CBE,
 have taken nine Penn students, most of them majoring in Bioengineering,  to Kumasi, Ghana to study the diagnosis of pediatric Tuberculosis. While in Ghana, these students will be blogging daily on their experiences.

 

Our trip began with a 10-hour flight, departing from JFK Airport on Thursday and arriving in Accra on Friday. Infrared cameras scanned us as we walked through customs at the Accra Airport (our guess was for fever), and we exited the airport to meet our contacts from Kwame Nkrumah University of Science and Technology (KNUST).
Ghana 1.1
(Left to right) Dr. Wattenbarger, Jason Grosz, Ethan Zhao, Hope McMahon, Katharine Cocherl, Kaila Helm

As soon as we walked out of the airport, we were hit with our first wave of hot and humid Ghanaian air. Shortly after driving out of the hectic airport traffic, we approached a coconut stand and hydrated with freshly cut coconuts. Many of us had coconut meat for the first time, with the coconuts hacked open by machetes.  The meat had an unexpectedly sweet and gooey texture, as opposed to dry and flaky texture of coconut shavings.

Ghana 1.2
(Left to right) Kaila Helm, David Pontoriero

As we were driving around Accra, we were surprised by the abundance of street vendors selling items on the side of the road. In order to sell their goods (gum, sunglasses, peanuts, fried bread, shampoos, etc.), the vendors dodged oncoming traffic and balanced their items in baskets on their heads.

Next, we went on a bus tour of the University of Ghana, admiring the expansive campus, green lawns, and beautiful whitewashed buildings with terracotta roofing. The remainder of the day was spent swimming in the hotel pool and eating our first Ghanaian meals of rice, chicken, fish, plantains, and banku — a Ghanaian dish made of fermented corn and cassava dough cooked in hot water into a paste.

Ghana 1.3
(Left to right) Kathleen Givan, Danielle Tsougarakis

Allen Foundation Awards Major Grant to Study Concussions

Faculty members in the Department of Bioengineering at the University of Pennsylvania are among the recipients of a major $9.25 million grant from the Paul G. Allen Family Foundation to study the mechanism underlying concussion and to investigate possible interventions.

allen foundation meaneyallen foundation smith

 

 

 

 

 

 

David Meaney, PhD, Solomon R. Pollack Professor and Chair of the Bioengineering Department (above left), is one of two principal investigators, with Douglas H. Smith, MD,  professor of neurosurgery at Penn’s Perelman School of Medicine (above right). In addition, Danielle S. Bassett, PhD, Eduardo D. Glandt Faculty Fellow and Associate Professor (below left), Dongeun (Dan) Huh, PhD, Wilf Family Term Assistant Professor (below center), and David Issadore, PhD, assistant professor (below right), all of BE Department, are co-investigators. The Allen Foundation grant also involves investigators from Columbia University (Barclay Morrison, Ph.D.), Duke University (Cameron Bass, Ph.D.), and Children’s Hospital of Philadelphia (Akiva Cohen, Ph.D.).

allen foundation bassettallen foundation huhallen foundation issadore

Selected from a large national pool of applicants, the Allen Foundation grant will bring together new technology platforms developed by Drs. Huh and Issadore to study how concussions occur at the microtissue scale and release markers of rewiring  during recovery. Network theory models from Dr. Bassett’s group will provide an entirely new view on how concussion recovery occurs at all scales in the brain. The overall impact of the project will be to move away from the widely held perspective that all concussions should be treated identically and towards a view that concussions can follow several recovery pathways, some of which must be monitored closely in the days to weeks following injury.