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Led by DGHI professors and infectious disease experts Gregory Gray and Gayani Tillekeratne, this project involves testing samples from patients with pneumonia at hospitals in several countries, including Malaysia, Kenya and Sri Lanka. Samples will be evaluated on site, and through further testing at Duke labs, for the presence of several different viruses, including the coronavirus that causes COVID-19. The goal of the study is to establish a network of hospitals for surveillance of emerging viral respiratory pathogens, which would serve as an early warning system to identify novel zoonotic pre-pandemic viruses. Central to this program is building capacity for virus detection in partner laboratories in a sustainable way that provides actionable information for local clinicians and public health experts.