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How HeroRATs Are Saving Lives

How HeroRATS Are Saving LivesThere is a new solution to saving lives in countries with high rates of tuberculosis and the presence of landmines: rats. A nonprofit organization called APOPO is training these so-called HeroRATs to use their sense of smell and detect both landmines and tuberculosis. These African giant pouched rats receive training in Tanzania and Mozambique and then deploy across sub-Saharan Africa. The question is: why rats? HeroRATs are saving lives for a variety of reasons:

  • A strong sense of smell
  • Easily trainable and very intelligent
  • Impervious to most tropical diseases
  • Do not have the weight to cause landmines to go off
  • Cost-efficient to take care of
  • A lifespan of 6-8 years

Tuberculosis Detection

Tuberculosis is the world’s deadliest infectious disease. In many developing countries, the diagnosis method of smear microscopy is only 20-60% accurate, meaning that about half of the people with TB go undiagnosed. While the GeneXpert test is more accurate, it costs $17,000 for each device. HeroRATs are saving lives by rechecking human tested sputum samples. APOPO’s lab then rechecks the samples that the rats identify as positive.

APOPO says that these brave rodents increase clinic detection rates by 40%. A rat can go through 50 samples in just eight minutes. Incredibly, a rat can evaluate more samples in 10 minutes than a lab technician can in a whole day. This is all thanks to their intensive, nine-month training that utilizes operative conditioning; the rats learn to associate the smell of TB with a reward.

Landmine Detection

Not only do HeroRATs save lives by smelling tuberculosis in sputum, but they also receive the training to clear hazardous fields by sniffing dangerous explosives underground. Hidden landmines and bombs still endanger lives in 59 countries. The rats undergo training to associate the smell of the explosives with the sound of a click and a reward. Rather than metal detectors which detect scrap metal as well, HeroRATs can identify the actual scent of the explosives, leading to fewer false detections.

Since the landmines are “antipersonnel,” they target people through direct pressure or a wire. Fortunately, rats are too light to set these off. Since APOPO’s launch in 2006, the rats have cleared over 6 million square meters in Mozambique and uncovered 2,406 landmines and 992 bombs. It would take them only 30 minutes to check the area of a tennis court. In contrast, it would take a human deminer with a metal detector four days to do the same work.

Though rats may be unpopular, they are brilliant little heroes. Not only do landmines endanger lives, but they also hinder economic development in war-torn countries. Villages cannot access basic necessities like water and travel routes and cannot use the fertile land for farming. HeroRATs are saving lives, but they are improving livelihood as well.

It is possible they could be saving a different kind of life as well: that of pangolins. Pangolins are one of the world’s most poached animals. In Tanzania, HeroRATs are training to detect the scent of pangolin scales that smugglers transport into Asia. In the future, HeroRATs could also help limit smuggling and trafficking. These little heroes prove that innovation is not synonymous with technology; sometimes, even a rodent can save lives.

– Fiona Price
Photo: Flickr

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Sniffing Out the Problem: Rats Detect Tuberculosis in sub-Saharan Africa

Tuberculosis in sub-Saharan Africa
As tuberculosis (TB) kills more than a million people each year, a new strategy to detect the disease has emerged: using rats to identify TB positive samples. TB remains the world’s deadliest disease, infecting 10 million and killing 1.5 million people in 2018. Tuberculosis in sub-Saharan Africa is also the main cause of death for people living with HIV.

In Mozambique, where 13.2% of the population has HIV, more than half of the people with TB also have HIV. Along with malnutrition and other diseases, HIV reduces resistance to TB, so people living in poverty are especially susceptible to TB. Those experiencing poverty are also more likely to have fewer healthcare options and spend most of their lives in overcrowded conditions and poorly ventilated buildings where TB can easily spread. However, TB is treatable; it just needs to be caught in time. APOPO, a Belgian NGO, works to detect tuberculosis in sub-Saharan Africa by training rats to sniff it out.

How Can Rats Detect Tuberculosis?

For nine months, African giant pouched rats are trained to sniff out TB from samples of sputum — the mucus produced from coughs. Much like the Pavlov’s dog theory, trainers condition rats to associate the sound of a click with a reward; the rats only hear a click and receive a reward when they interact with TB positive samples. The rats have to hold their snouts over the sample for two to three seconds to indicate the positive sample. To “graduate” and become heroRATS — the official name for APOPOs rats — the rats go through a testing process where they have to detect every TB positive sample among rows of sputum.

Since 2007, APOPO has partnered with local clinics that send potential TB samples for the rats to check. Health clinics perform smear microscopy tests that often come up negative when they are actually positive. The heroRATS help to correct this problem by accurately identifying the TB positive samples. Their detection rats can check up to 100 TB samples in 20 minutes while the same task might take a lab technician up to four days. After the APOPO lab confirms the TB samples tested by the rats (using WHO methods), they alert the clinic about the results. So far, the rats have screened 580,534 TB samples and prevented 126,375 potential TB infections, raising TB detection rates of partner clinics by 40%.

The Relationship Between TB and Poverty

When medical professionals are unable to detect tuberculosis and treat it in time, the disease can augment poverty rates, making living conditions even worse for people who have it. Because TB is highly contagious, those with the disease are not allowed to go to work or school, leading to a loss of income and education. The stigma surrounding TB is also detrimental; people are often excluded from the community, so they can no longer rely on support from previous outlets. APOPO’s work to increase the TB test’s accuracy and speed helps those infected to know their correct results and then seek more immediate treatment.

Progress Detecting Tuberculosis in sub-Saharan Africa

The three main countries APOPO operates in  — Tanzania, Mozambique and Ethiopia —  are all considered high burden TB countries.

  • Tanzania: Tanzania has one of the highest TB burdens in the world at approximately 295 TB cases per 10,000 adults. With a poverty rate of 49.1%, almost half of Tanzanians are susceptible to TB’s spread. To help alleviate the effects of this disease, APOPO began in Tanzania in 2007 and has since expanded to 74 collaborating clinics across the country. A new testing facility in Dar es Salaam opened in 2016 and delivers results to clinics in 24 hours. Along with increasing accuracy, the APOPO facilities and rats boost the TB detection rate to around 35%.

  • Mozambique: After its success in Tanzania, in 2012 APOPO developed programs in Mozambique, where approximately 62.9% of the population lives in poverty. In partnership with Eduardo Mondlane University, APOPO built a new testing facility on the university’s grounds in Maputo. This center works with 20 local healthcare clinics and delivers results in 24 hours, which increases the probability of the patient starting treatment because it reduces the time and effort it takes to track down a patient to inform them of the results. Due to this partnership, the TB detection rate has increased by 53%.

  • Ethiopia: With a 30.8% poverty rate, Ethiopia ranks 10th for the highest TB burden in the world. To help identify these cases, APOPO is currently building a detection facility with the Armauer Hansen Research Institute. Additionally, this center will not only partner with clinics in Addis Ababa to test for TB, but will also screen up to 52,000 prison inmates and staff located in 35 prisons across Ethiopia. At the clinics, the goal is to increase identified TB cases by 35% while developing its program to create a long term impact in Ethiopia.

Armed with its innovative thinking — and its heroRATS — APOPO is making progress in detecting tuberculosis in sub-Saharan Africa and limiting its spread.

– Zoë Padelopoulos
Photo: Flickr