{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T20:27:59Z","timestamp":1792787279713,"version":"4.5.0"},"reference-count":32,"publisher":"BMJ","issue":"4","license":[{"start":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T00:00:00Z","timestamp":1791158400000},"content-version":"unspecified","delay-in-days":4,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003130","name":"Fonds Wetenschappelijk Onderzoek","doi-asserted-by":"publisher","award":["Odysseus (G0F8316N)"],"award-info":[{"award-number":["Odysseus (G0F8316N)"]}],"id":[{"id":"10.13039\/501100003130","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Global Health EDCTP3 Joint Undertaking and the Bill & Melinda Gates Foundation under the GenPath Africa project","award":["101103171"],"award-info":[{"award-number":["101103171"]}],"id":[{"id":"https:\/\/ror.org\/0456r8d26","id-type":"ROR","asserted-by":"crossref"}]},{"name":"TBM grants","award":["T001018N"],"award-info":[{"award-number":["T001018N"]}]},{"DOI":"10.13039\/100000200","name":"United States Agency for International Development","doi-asserted-by":"publisher","award":["Supporting, Mobilizing, and Accelerating Research"],"award-info":[{"award-number":["Supporting, Mobilizing, and Accelerating Research"]}],"id":[{"id":"10.13039\/100000200","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["bmjph"],"accepted":{"date-parts":[[2026,6,19]]},"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Comprehensive knowledge of resistance to the novel all-oral regimens for treatment of rifampicin-resistant tuberculosis (RR-TB) is important, but challenging variant detection by next-generation sequencing (NGS) in combination with variant interpretation software can diagnose resistance early. We aimed to generate a consensus on strategic issues for the implementation of NGS for routine RR-TB care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We employed a stakeholder consensus process informed by Delphi principles. First, stakeholders participated in an online survey to provide feedback on statements using a 3-point Likert scale and free text. Responses were then summarised and follow-up discussion fora with stakeholders were held to revise statements until a consensus was reached.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>Of the 116 invited stakeholders, 58 participated, representing RR-TB research (n=28), clinical care (n=11), diagnosis (n=5), RR-TB survivors and advocacy communities (n=5) from 14 countries in five of the six WHO regions. A consensus was rapidly reached for most statements with limited editorial changes needed. The debate mostly focused on statements covering performing sequencing at centralised facilities, acting on variants without statistical association with resistance in the WHO catalogue of mutations, strengthening WHO-endorsed regimens and the need for informed consent for the use of NGS for care and surveillance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interpretation<\/jats:title>\n                    <jats:p>The consensus-building process grounded in real-world experience from a diverse group of stakeholders generated 32 consensus statements covering five strategic domains. The blueprint generated is not a definite prescriptive framework but a document that can support policymakers when developing country-specific policies for NGS-guided precision medicine and RR-TB care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Sources of funding<\/jats:title>\n                    <jats:p>This work was supported by the Global Health EDCTP3 Joint Undertaking and the Bill &amp; Melinda Gates Foundation under the GenPath Africa project (101103171), the Research Foundation Flanders (FWO) Odysseus (G0F8316N) and TBM grants (T001018N).<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjph-2026-004957","type":"journal-article","created":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T13:30:20Z","timestamp":1791207020000},"page":"e004957","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Implementation of next-generation sequencing to guide care and public health action in settings with high burden of rifampicin-resistant tuberculosis: 32 stakeholder consensus statements generated using Delphi principles"],"prefix":"10.1136","volume":"4","author":[{"given":"Anzaan","family":"Dippenaar","sequence":"first","affiliation":[{"name":"Global Health Institute, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7666-3263","authenticated-orcid":false,"given":"Vincent","family":"Rennie","sequence":"additional","affiliation":[{"name":"Global Health Institute, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8892-2904","authenticated-orcid":false,"given":"Rubeshan","family":"Perumal","sequence":"additional","affiliation":[{"name":"Medical Research Council-CAPRISA HIV-TB Pathogenesis and Treatment Research Unit, Centre for the AIDS Programme of Research in South Africa, University of KwaZulu-Natal, Durban, KZN, South Africa"},{"name":"Department of Pulmonology and Critical Care, School of Medicine, University of KwaZulu-Natal, Durban, KZN, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christoph","family":"Lange","sequence":"additional","affiliation":[{"name":"Clinical Infectious Diseases Department, Research Center Borstel, Germany; Clinical Tuberculosis Unit, German Center for Infection Research Hamburg-L\u00fcbeck-Borstel-Riems Site, Hamburg, Germany"},{"name":"Respiratory Medicine & International Health, University of L\u00fcbeck, L\u00fcbeck, SH, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael L","family":"Rich","sequence":"additional","affiliation":[{"name":"Division of Global Health Equity, Partners In Health, Boston, Massachusetts, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6557-9736","authenticated-orcid":false,"given":"Amanzhan","family":"Abubakirov","sequence":"additional","affiliation":[{"name":"Partners in Health, Almaty, Kazakhstan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-1634-211X","authenticated-orcid":false,"given":"Ashna","family":"Ashesh","sequence":"additional","affiliation":[{"name":"Survivors Against TB, New Delhi, DL, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7445-6620","authenticated-orcid":false,"given":"Emilyn Costa","family":"Conceicao","sequence":"additional","affiliation":[{"name":"SAMRC Centre for Tuberculosis Research, Division of Molecular Biology and Human Genetics, Faculty of Medicine and Health Sciences, University of Stellenbosch, Stellenbosch, WC, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6538-7192","authenticated-orcid":false,"given":"Helen","family":"Cox","sequence":"additional","affiliation":[{"name":"Burnet Institute, Melbourne, Victoria, Australia"},{"name":"University of Cape Town Institute of Infectious Disease and Molecular Medicine, Rondebosch, WC, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-1909-7397","authenticated-orcid":false,"given":"Miguel","family":"de Diego Fuertes","sequence":"additional","affiliation":[{"name":"Global Health Institute, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lynette","family":"Keneilwe Eyde","sequence":"additional","affiliation":[{"name":"Sustainable Access Platform for Affordable Medicines and Devices (SAPAM), Parktown, South Africa"},{"name":"Faculty of Law, University of Cape Town, Rondebosch, WC, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gunar","family":"G\u00fcnther","sequence":"additional","affiliation":[{"name":"Department of Pulmonology, Inselspital Universit\u00e4tsspital Bern, Bern, BE, Switzerland"},{"name":"Katutura State Hospital, Windhoek, Khomas Region, Namibia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melanie","family":"Grobbelaar","sequence":"additional","affiliation":[{"name":"SAMRC Centre for Tuberculosis Research, Division of Molecular Biology and Human Genetics, Faculty of Medicine and Health Sciences, University of Stellenbosch, Stellenbosch, WC, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6237-3898","authenticated-orcid":false,"given":"Tim H","family":"Heupink","sequence":"additional","affiliation":[{"name":"Global Health Institute, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5635-3134","authenticated-orcid":false,"given":"Pauline","family":"Howell","sequence":"additional","affiliation":[{"name":"Clinical HIV Research Unit (CHRU), Faculty of Health Sciences, Wits University Faculty of Health Sciences, Johannesburg, GP, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Farzana","family":"Ismail","sequence":"additional","affiliation":[{"name":"Centre for Tuberculosis, National Institute for Communicable Diseases, National Health Laboratory Service, Johannesburg, GP, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nabila","family":"Ismail","sequence":"additional","affiliation":[{"name":"SAMRC Centre for Tuberculosis Research, Division of Molecular Biology and Human Genetics, Faculty of Medicine and Health Sciences, University of Stellenbosch, Stellenbosch, WC, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yousra","family":"Kherabi","sequence":"additional","affiliation":[{"name":"Infectious and Tropical Diseases Department, Hospital Bichat - Claude-Bernard, Paris, \u00cele-de-France, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9318-8289","authenticated-orcid":false,"given":"Marisa","family":"Klopper","sequence":"additional","affiliation":[{"name":"SAMRC Centre for Tuberculosis Research, Division of Molecular Biology and Human Genetics, Faculty of Medicine and Health Sciences, University of Stellenbosch, Stellenbosch, WC, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yulene","family":"Kock","sequence":"additional","affiliation":[{"name":"South Africa National Department of Health, Pretoria, GP, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mikanda K","family":"Kunda","sequence":"additional","affiliation":[{"name":"Partners In Health, Maseru, Lesotho"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2362-0187","authenticated-orcid":false,"given":"Johannes","family":"Loubser","sequence":"additional","affiliation":[{"name":"Biomedical Sciences, Stellenbosch University Faculty of Medicine and Health Sciences, Cape Town, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4382-2915","authenticated-orcid":false,"given":"Sneha","family":"Maru","sequence":"additional","affiliation":[{"name":"NYC Department of Health and Mental Hygiene, long island city, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brendon","family":"Mann","sequence":"additional","affiliation":[{"name":"SAMRC Centre for Tuberculosis Research, Division of Molecular Biology and Human Genetics, Faculty of Medicine and Health Sciences, University of Stellenbosch, Stellenbosch, WC, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7563-8231","authenticated-orcid":false,"given":"Stephanus Theron","family":"Malherbe","sequence":"additional","affiliation":[{"name":"Biomedical Sciences, University of Stellenbosch, Stellenbosch, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erika","family":"Mohr-Holland","sequence":"additional","affiliation":[{"name":"Specialised Health, Epidemiology Unit, City of Cape Town Health Department, Cape Town, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudia","family":"Mutaquiha","sequence":"additional","affiliation":[{"name":"The Mozambican National Tuberculosis Program, Maputo, Mozambique"},{"name":"Universidade Nova de Lisboa Instituto de Higiene e Medicina Tropical, Lisbon, Lisbon, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Felex","family":"Ndebele","sequence":"additional","affiliation":[{"name":"The Aurum Institute, Parktown, GP, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-3836-1011","authenticated-orcid":false,"given":"Tendai","family":"Nkomo","sequence":"additional","affiliation":[{"name":"National TB Control Program, Eswatini Ministry of Health, Manzini, Eswatini"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lawrence","family":"Oyewusi","sequence":"additional","affiliation":[{"name":"Partners In Health, Maseru, Lesotho"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anja","family":"Reuter","sequence":"additional","affiliation":[{"name":"DST\/NRF Centre of Excellence for Biomedical Tuberculosis Research; South African Medical Research Council Centre for Tuberculosis Research; Division of Immunology, Department of Biomedical Sciences, Faculty of Medicine and Health Sciences, University of Stellenbosch, Stellenbosch, WC, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Assel","family":"Stambekova","sequence":"additional","affiliation":[{"name":"Partners in Health, Almaty, Kazakhstan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8569-0183","authenticated-orcid":false,"given":"Felicia Bernita","family":"Hunter","sequence":"additional","affiliation":[{"name":"Biomedical Sciences, Stellenbosch University Faculty of Medicine and Health Sciences, Cape Town, Western Cape, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zarir","family":"Udwadia","sequence":"additional","affiliation":[{"name":"P. D. Hinduja National Hospital and Medical Research Centre, Mumbai, India, Mumbai, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Furin","sequence":"additional","affiliation":[{"name":"Harvard Medical School, Boston, Massachusetts, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tulio","family":"de Oliveira","sequence":"additional","affiliation":[{"name":"Stellenbosch University, Stellenbosch, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robin Mark","family":"Warren","sequence":"additional","affiliation":[{"name":"Stellenbosch University, Stellenbosch, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annelise","family":"Van Rie","sequence":"additional","affiliation":[{"name":"Global Health Institute, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,10,5]]},"reference":[{"key":"2026100506300882000_4.4.e004957.1","unstructured":"Organization, W.H . Global tuberculosis report 2024. 2024."},{"key":"2026100506300882000_4.4.e004957.2","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(23)00498-X"},{"key":"2026100506300882000_4.4.e004957.3","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1016\/j.cmi.2025.09.003","article-title":"High rates of acquired resistance to fluoroquinolones, bedaquiline and linezolid in patients failing treatment against drug-resistant tuberculosis in the Republic of Moldova","volume":"32","author":"Chesov","year":"2026","journal-title":"Clin Microbiol Infect"},{"key":"2026100506300882000_4.4.e004957.4","doi-asserted-by":"crossref","first-page":"315","DOI":"10.5588\/ijtldopen.25.0240","article-title":"Clinical best practices for caring for people with expanded resistance to newer TB drugs","volume":"2","author":"Nkomo","year":"2025","journal-title":"IJTLD Open"},{"key":"2026100506300882000_4.4.e004957.5","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1164\/rccm.202506-1489OC","article-title":"Transmission of bedaquiline-resistant Mycobacterium tuberculosis in KwaZulu-Natal, South Africa","volume":"212","author":"Sobol","year":"2026","journal-title":"Am J Respir Crit Care Med"},{"key":"2026100506300882000_4.4.e004957.6","unstructured":"Organization WH . Catalogue of Mutations in Mycobacterium Tuberculosis Complex and Their Association with Drug Resistance. 2nd edn. 2023."},{"key":"2026100506300882000_4.4.e004957.7","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(24)00586-3"},{"key":"2026100506300882000_4.4.e004957.8","doi-asserted-by":"crossref","DOI":"10.3390\/tropicalmed10050129","article-title":"The Case for Genomic Surveillance in Africa","volume":"10","author":"Ochola","year":"2025","journal-title":"Trop Med Infect Dis"},{"key":"2026100506300882000_4.4.e004957.9","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2022-066651","article-title":"Complexities and benefits of adopting next-generation sequencing-based tuberculosis diagnostics: a qualitative study among stakeholders in low and high-income countries","volume":"13","author":"Grandjean Lapierre","year":"2023","journal-title":"BMJ Open"},{"key":"2026100506300882000_4.4.e004957.10","unstructured":"Organization WH . The use of next-generation sequencing for the surveillance of drug-resistant tuberculosis. An Implementation Manual; Geneva, 2023."},{"key":"2026100506300882000_4.4.e004957.11","unstructured":"Organization WH . The use of next-generation sequencing technologies for the detection of mutations associated with drug resistance in mycobacterium tuberculosis complex: technical guide. Geneva, 2018."},{"key":"2026100506300882000_4.4.e004957.12","unstructured":"Organization WH . WHO Operational Handbook on Tuberculosis. Module 3: Diagnosis - Rapid Diagnostics for Tuberculosis Detection. 3rd edn. Geneva, 2024."},{"key":"2026100506300882000_4.4.e004957.13","unstructured":"Department of Health, R.o.S.A . National tb recovery plan 3.0. 2024."},{"key":"2026100506300882000_4.4.e004957.14","doi-asserted-by":"crossref","DOI":"10.1093\/jacamr\/dlae037","article-title":"Prediction of pyrazinamide resistance in Mycobacterium tuberculosis using structure-based machine-learning approaches","volume":"6","author":"Carter","year":"2024","journal-title":"JAC Antimicrob Resist"},{"key":"2026100506300882000_4.4.e004957.15","doi-asserted-by":"crossref","unstructured":"Rivi\u00e8re E , Safarpour M , Meysman P , et al . Predicting mmpr-based bedaquiline resistance using sequence- and structure-based features. Microbiology [Preprint]. doi:10.1101\/2022.12.19.521152","DOI":"10.1101\/2022.12.19.521152"},{"key":"2026100506300882000_4.4.e004957.16","doi-asserted-by":"crossref","first-page":"152","DOI":"10.1016\/j.micpath.2019.02.003","article-title":"Structural basis for isoniazid resistance in KatG double mutants of Mycobacterium tuberculosis","volume":"129","author":"Rabha","year":"2019","journal-title":"Microb Pathog"},{"key":"2026100506300882000_4.4.e004957.17","doi-asserted-by":"publisher","DOI":"10.1111\/mmi.13606"},{"key":"2026100506300882000_4.4.e004957.18","doi-asserted-by":"crossref","first-page":"809","DOI":"10.1016\/S2213-2600(25)00194-8","article-title":"Bedaquiline, delamanid, linezolid, and clofazimine for rifampicin-resistant and fluoroquinolone-resistant tuberculosis (endTB-Q): an open-label, multicentre, stratified, non-inferiority, randomised, controlled, phase 3 trial","volume":"13","author":"Guglielmetti","year":"2025","journal-title":"Lancet Respir Med"},{"key":"2026100506300882000_4.4.e004957.19","unstructured":"Shabalala AJZ , Nukeri Z , Kachingwe E , et al . Boost Drug-Resistant TB Testing: Optimizing the Drug-Resistant TB Reflex Testing Algorithm in South Africa, N.T.C.M.P. National Institute for Communicable Diseases, NDOH, 2024."},{"key":"2026100506300882000_4.4.e004957.20","unstructured":"Qiagen. qiaseq xhyb mycobacterium tuberculosis panel. 2025. Available: https:\/\/www.qiagen.com\/us\/products\/next-generation-sequencing\/metagenomics\/targeted-metagenomics\/qiaseq-xhyb-mycobacterium-tuberculosis-panel"},{"key":"2026100506300882000_4.4.e004957.21","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0290496","article-title":"Determining cost and placement decisions for moderate complexity NAATs for tuberculosis drug susceptibility testing","volume":"18","author":"Malhotra","year":"2023","journal-title":"PLoS One"},{"key":"2026100506300882000_4.4.e004957.22","doi-asserted-by":"crossref","unstructured":"de Nooy A , Vally Omar S , Ockhuisen T , et al . Cost-effectiveness of targeted next generation sequencing for tb drug-resistance testing as an alternative to the standard of care in south africa. Health Economics [Preprint] 2025. doi:10.1101\/2025.03.13.25323893","DOI":"10.1101\/2025.03.13.25323893"},{"key":"2026100506300882000_4.4.e004957.23","doi-asserted-by":"crossref","DOI":"10.3389\/fpubh.2024.1498094","article-title":"Genomics costing tool: considerations for improving cost-efficiencies through cross scenario comparison","volume":"12","author":"Marklewitz","year":"2024","journal-title":"Front Public Health"},{"key":"2026100506300882000_4.4.e004957.24","doi-asserted-by":"crossref","first-page":"796","DOI":"10.1093\/cid\/ciw817","article-title":"Combatting Global Infectious Diseases: A Network Effect of Specimen Referral Systems","volume":"64","author":"Fonjungo","year":"2017","journal-title":"Clin Infect Dis"},{"key":"2026100506300882000_4.4.e004957.25","doi-asserted-by":"publisher","DOI":"10.1373\/clinchem.2014.223404"},{"key":"2026100506300882000_4.4.e004957.26","doi-asserted-by":"publisher","DOI":"10.3934\/publichealth.2022018"},{"key":"2026100506300882000_4.4.e004957.27","unstructured":"Collier J . The patient\u2019s right to know. World Health; 1994.18\u20139."},{"key":"2026100506300882000_4.4.e004957.28","doi-asserted-by":"crossref","DOI":"10.1186\/s13073-020-00800-y","article-title":"Transparency, trust, and community welfare: towards a precision public health ethics framework for the genomics era","volume":"12","author":"Juengst","year":"2020","journal-title":"Genome Med"},{"key":"2026100506300882000_4.4.e004957.29","doi-asserted-by":"crossref","first-page":"222","DOI":"10.5588\/ijtld.20.0886","article-title":"Whole-genome sequencing for TB source investigations: principles of ethical precision public health","volume":"25","author":"Van Rie","year":"2021","journal-title":"int j tuberc lung dis"},{"key":"2026100506300882000_4.4.e004957.30","doi-asserted-by":"publisher","DOI":"10.5662\/wjm.v11.i4.116"},{"key":"2026100506300882000_4.4.e004957.31","doi-asserted-by":"publisher","DOI":"10.1073\/pnas.1203517109"},{"key":"2026100506300882000_4.4.e004957.32","doi-asserted-by":"publisher","DOI":"10.1038\/nature04153"}],"container-title":["BMJ Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmjph-2026-004957","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T13:30:25Z","timestamp":1791207025000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmjpublichealth.bmj.com\/lookup\/doi\/10.1136\/bmjph-2026-004957"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10]]},"references-count":32,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2026,10,5]]},"published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1136\/bmjph-2026-004957"],"URL":"https:\/\/doi.org\/10.1136\/bmjph-2026-004957","relation":{},"ISSN":["2753-4294"],"issn-type":[{"value":"2753-4294","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10]]}}}