In India, non-communicable diseases (NCDs) are responsible for almost 46.6% of the health burden, leading to more than 10 million deaths and over 500 million DALYs. Early screening and pre-emptive strategies for rare diseases, as well as innovative interventions for conditions like cancer and metabolic disorders, hold significant importance.
P4 (Predictive, Preventive, Personalised and Participatory) medicine aims to reduce the burden of common and rare diseases, manage quality of life, enhance wellness and health- longevity and provide personalised and affordable healthcare solutions. Since India has a diversity of populations with unique socio-cultural and dietary practices and plurality of medical systems the challenges are even more immense in achieving the above objectives. However, integration with traditional knowledge systems like Ayurveda and Yoga have distinct advantages and incorporating these with modern medicine using a common ontological framework could expand treatment options.
Digitally-driven solutions have the potential to enhance precision, scalability, and applicability across healthcare. While omics technologies have propelled precision medicine, their invasiveness and cost remain challenges. AI and IoT-enabled devices are indispensable for data collection and recommendation systems. Collecting an individual's genetic and baseline phenotypic data, alongside non-invasive monitoring in spatio-temporal dimensions, could not only enable predictions of dynamic disease patterns but also help monitor lifestyle and dietary interventions with an individualised and participatory approach. This is only possible in the backdrop of a Data Science driven participatory framework that enables population and individual risk stratification and early actionable precision health interventions. The talk would highlight some key takeaway points during traversing the route from understanding biological intelligence through phenomes, genomes and natural variations and need for getting into the bus for artificial intelligence.