So welcome back to our Impact
investment series Impact Investing
Under the Microscope. Now for this
second installment of our series,
we are talking about genomics
and social inclusion.
And I have two excellent
speakers with me here today,
Jesper Fund, manager of the Better
Health Solutions Strategy,
and later Tembeka
Stimela Dakpo Fund manager
of our Diversity and Inclusion
Fund. Now let's start
with genomics first.
In a nutshell, genomics has
the potential to revolutionize
health care, and we have
some really interesting
company examples with us here today.
So, Jess, I have a couple of questions
for you. What is the human genome
and what role does genomics play?
So the human body comprises of trillions
of cells now in all
living cells, with the exception
of a few, you carry two copies of your
entire genome. You can
think of the genome as
a book made up of many short stories,
which we can refer to as
genes. Now that the letters we call
them bases and you might
remember from school
biology, we refer to four chemical bases,
A, C, G and T. Now
the entire genome is 3 billion bases
long. Now, the first
human genome was sequenced as
part of the Human
Genome Project. It took 13 years
and cost billions of dollars.
Today it can be done in a matter
of hours and cost 2 to $300. And cost
is a really important element
of the equation here, because lower
cost sequencing means more
researchers are able to afford
to incorporate genetic sequencing within
their projects, as well as health
care systems. They're able to afford
to leverage the technology
to improve medical outcomes.
Jess When we focus on the health
care side, what role does
the genome then play in treating diseases
or diagnosing diseases?
Yeah, so so we can split
the market into kind of two
broad sections. You've got
the, the part which is helping
researchers conduct cutting
edge research and then the part
which is helping help
health care professionals with
clinical outcomes. And it's
important to recognize that
the research portion
feeds into the clinical
applications. If we were just
to focus on the clinical side
for a second, we can take
rare diseases as an example.
Now around 300 million
people globally suffer from rare
diseases. There are around
7000 rare diseases that
have been
classified. If we look at Europe,
on average, it takes five years to get
diagnosed with a genetic disease.
And unfortunately, in 50%
of cases, patients don't receive
a diagnosis. Genetic
sequencing can really help
with the diagnosis here. If we take
a disease such as Huntington's
disease, this is where the three
chemical bases
C a G are repeated in the genome.
If that repeat happens 40
times in a row, someone can be
said to have Huntington's disease
and genomics. Genetic
sequencing plays a really
important role in quicker diagnostics,
diagnosis and accurate diagnosis, and that
can lead to earlier intervention.
Thanks, Jess. If you now take this
back to impact investing, do you have
a couple of company examples for us?
Yeah, definitely. So we hold a number
of investments that we believe
will really benefit
from the genomic revolution
to which which I can
talk about Illumina and Oxford
Nanopore Now both of these
companies benefit from the razor
razor blade model. So once they place
a sequencer with a customer,
they benefit from a recurring profitable
revenue stream
through the sale of consumables
and services. If we take
us listed Illumina
now, they're the market
leader. We estimate them to have around
70% market share. They really
lead when it comes
to high throughput sequencing. They have
20,000 sequencers installed globally
and they can sequence 20,000
human genomes a year
through their latest sequencer,
which is kind of an n fold of what prior
sequences can do. If we look
at UK listed Oxford
Nanopore now, their focus
really is on long read
technology. Long read technology provides
deeper and richer data.
So the Human Genome Project,
which concluded in 2003 that actually
only read 90% of the genome, it was only
in the last it was only
last year that we were able to read
the remaining dark genome. So that's
20 years later and that's with
the help of long read
technology, the Oxford Nanopore
smallest sequencer
costs as little as 2,000
USD. This means more
researchers can afford to include
it as part of their projects,
and costs play
a crucial role. In the accessibility.
Lower costs mean
more researchers can afford
to include genetics and sequencing
within their research
projects. Lower costs
also ensure health care systems
can afford to leverage the technology
to improve medical outcomes.
If you take a bit of a wider view and step
away from health care, we've looked
at therapies, we've looked at diagnostics.
But if you take a wider
view, are there other uses for genomics?
Yeah, there's a ton. So within
agriculture, food security, water safety,
environmental testing,
even areas such as biodiversity
conservation, if we just
take agriculture for a second.
The ability to sequence
the genome of a plant can
help understand the characteristics.
This can be
then be used when when trying
to crossbreed
particular varieties. The aim with the aim
to produce plants which actually
they're more nutritious.
The yield is higher.
Perhaps they require less water,
less inputs. They're more resistance
to to disease. We think
we're really scratching
the surface when it comes
to leveraging genetic
sequencing within
health care, let alone the areas
outside health care. But we're
confident that genetic
sequencing will play a really
important role in the advancement
-of society.
-Yeah, clearly
interesting health care
side and also in the wider area.
So thanks, Jess. That's really
a great introduction to genomics.
Thank you. So now we are coming
to the second part
of today's episode.
We'll be talking about social
inclusion. Now, clearly
there have been good advancements
in social inclusion over the last
couple of years, but more needs
to be done. And this is particularly
true in the wake of the Covid
19 pandemic, which has
disproportionately affected
more vulnerable and poorer parts
of the population. Now,
for this part of the episode,
I'm delighted to be
joined by Tembeka Darboe,
a fund manager of the Diversity
and Inclusion Fund.
Welcome to Kew
Gardens. Tembeka. Thank you.
-Suzanne.
-Now, when we talk about
social exclusion and social
inclusion, can we focus
first a bit on the challenges
and the complexities that we're
facing in terms of social exclusion,
-please?
-Yeah, certainly. I mean, you touched on
some of them, especially given the global
pandemic. But if we take
that and we also take the current
cost of living
crisis, we have seen a widening
gap in income and wealth
inequality and that has
partly erased some of the gains
that have been made over the past two
decades. And unfortunately,
a lot of this is actually tends
to disproportionately
impact women and ethnic
minorities. So gender
inequality on its own
is estimated to cost
the global economy around
$160 trillion in human
capital loss. And in major
economies such as
the US, racial
inequality is estimated to cost.
That economy around 1
trillion, which is close to 4 to 6%
of GDP over the next
decade. So clearly that's
those are areas that need
to be tackled, especially amidst
the crisis that we're currently in.
From the investment side, I think
it's more about more equitable
allocation of capital
towards social issues. Clearly
it is important to be
looking at climate and environmental
topics, but those as well tend
to disproportionately impact more
vulnerable societies, and this could
be as a result of lack of infrastructure.
So the inability to deal with
natcat related climate climate related
natcat activity, it could
also be the proximity
towards polluted
areas as examples. And then
finally, when we think about affordable
credit, something like Bank
Rakyat is a micro lender in Indonesia that
provides, you know, micro
lending products that enable
people to be able to supplement
their income or to be able to grow
-their businesses.
-Now, clearly quite
challenging areas here and complexities
we have to consider when we look
at the more positive side then
what are potential
solutions to drive more social
-inclusion?
-I think infrastructure is probably one of
the most vital ways that that can be done
and it can be anything
between physical infrastructure.
So that could be digital
or mobile infrastructure that
allows people to better be
able to connect or the unbanked
populations to have
access to mobile payments
systems as examples. And then
of course, you've also
got, you know, financial infrastructure.
So providing greater access to affordable
credit or micro loans as a way that
people can empower
themselves through other
supplementing their income or by growing
their small businesses.
These are the ways
that, you know, one could think
about driving greater
social inclusion in different.
Society's thanks to Becca.
I think it's really good
and encouraging to see that there
are several allies to get to more social
inclusion. Now, given that
this series is about impact investing.
Do we have a couple of examples
that you can bring to life?
Well, yeah. I think
one of the good examples that
come to mind would be Helios Towers,
which is a mobile Towers
business operating primarily
within Africa. So we're
talking regions such as
the DRC or Tanzania, where mobile
penetration could be lower than 50%.
And by by enabling, you know,
tower usage and the ability
for these populations to tap
into mobile communications, again,
it helps them empower
themselves through those
tools. Another example
could be an affordable housing
company such as Kittitas,
which builds second hand homes,
or rather it refurbishes
second hand homes. And in a society like
Japan, where 85% of the housing
stock is actually new
build by providing second
hand homes, you can provide them
significantly
cheaper prices, which is close
to half that of a new
build and also at lower mortgage
rates versus the rural
rents that people would have
to pay otherwise. Again, you know,
seeing social inclusion come
through in that way and then finally,
you know, thinking about affordable
credit. Bank Rakyat
is a micro lender in Indonesia that has
really, you know, provided a platform
for which people could have
access to credit.
And it reaches close to 35
million people with what it does.
And so this really just gives
you an example of the various
ways that one could invest
-when thinking about social inclusion.
-Thanks, Rebecca. It's really
encouraging to see so many
different examples to drive more social
-inclusion.
-Yeah, absolutely.
So this brings the second
episode to an end. We've covered
genomics and social
inclusion in this one, and in case
you've missed it, we already had a first
episode where we talked about impact
investing one on one, and I can
already announce that we have a third
episode coming up where we focus
on green hydrogen. So stay
tuned.