How a UNC Cancer Program Grew Into a Pathology Hub in Malawi

07/01/2026
Podcast

July 1, 2026

UNC Project-Malawi Cancer

Streptomyces Megacluster Encodes Synergistic Biotin-targeting Antibiotics

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Tailoring Your CV Based on Your Career Paths

The Culture Clash that Shaped Me

Elizabeth McMahon

How

a

pathology

lab

became

a

cornerstone

for

cancer

care

in

one

of

the

poorest

countries

in

Africa.

A

CAP26

speaker

gives

us

a

sneak

peek.

Plus,

new

discoveries

about

the

fighters

against

drug-resistant

bacteria

living

in

your

garden

soil.

This

is

Path

News

Network

Daily

edition

from

the

College

of

American

Pathologists.

I'm

Elizabeth

McMahon.

It's

Wednesday,

July

1st.

Imagine

building

a

pathology

lab

from

scratch

in

one

of

Sub-Saharan

Africa's

poorest

countries.

It's

a

challenge

CAP

member

Dr.

Yuri

Fedoriw

and

colleagues

from

the

University

of

North

Carolina

Chapel

Hill

took

on

in

Malawi,

a

country

of

about

18

million

people,

where

about

7%

of

the

population

is

HIV

positive.

Today,

the

vision

that

started

in

2011

in

an

abandoned

building

is

now

the

country's

only

public

pathology

lab

with

cancer

research

at

its

center.

In

Malawi,

persistent

levels

of

HIV

are

fertile

ground

for

HIV-related

and

associated

cancers

such

as

lymphoma.

Dr.

Fedoriw

says

the

UNC

cancer

program

has

grown

into

a

hub

for

clinical

studies,

diagnostics,

and

care,

but

there

are

limitations.

Dr. Yuri Fedoriw

But

certainly

from

a

diagnostic

perspective,

we

try

to

bin

it

into

categories

that

are

clinically

meaningful

with

the

therapies

available.

Elizabeth McMahon

Dr.

Fedoriw,

Global

Cancer

Pathology

Director

for

the

UNC

Institute

for

Global

Health

and

Infectious

Diseases,

will

share

the

cancer

program

story

at

the

CAP

26

plenary

session

on

October

5th

in

Las

Vegas.

He

says

collaboration

with

Malawi's

Ministry

of

Health

has

been

critical

to

the

program's

success,

which

includes

training

new

generations

of

clinicians

and

researchers.

Dr. Yuri Fedoriw

There's

now

a

medical

school

that

opens

its

first

residency

at

the

site

of

our

laboratory

now.

And

so

we

have

a

essentially

an

MMED

program

or

a

residency

program

in

pathology

that

is

now

in

its

second

year.

And

that

is

something

we're

again

very

proud

of.

Elizabeth McMahon

When

he's

not

in

Malawi,

Dr.

Fedoriw

checks

in

for

weekly

telepathology

conferences

with

three

Malawian

pathologists

who

run

the

lab.

Eventually,

the

pathology

program

will

become

an

autonomous

operation,

though

its

research

will

serve

patients

far

beyond

sub-Saharan

Africa.

He

says

this

remarkable

chapter

of

his

career

has

given

him

new

perspective

on

the

power

of

pathology.

Dr. Yuri Fedoriw

As

a

pathologist,

the

impact

of

pathology

is

so

easy

to

lose

sight

of

in

the

state

sometimes.

And

there

it's

like

that

it's

the

centerpiece

of

cancer

care.

And

so

that's

true

in

Malawi,

that's

true

in

that

African

continent,

which

is

enormous.

And

and

uh

and

I

think

that

that

that's

something

that

I

think

has

been

the

most

kind

of

exciting

is

seeing

the

impact

on

outcomes,

directly

seeing

the

impact

on

outcomes

uh

for

the

work

that

we've

done.

Elizabeth McMahon

Recent

discoveries

in

a

common

soil

bacteria

called

streptomyces

are

generating

promise

for

new

antibiotics

that

can

act

against

drug-resistant

bacteria.

The

most

recent

study,

led

by

researchers

from

McMaster

University

in

Canada,

reports

on

a

megacluster

of

genes

found

in

streptomyces

bacteria.

The

cluster's

five

compounds,

four

antibiotics

and

a

protein,

target

different

stages

of

the

production

of

biotin,

or

vitamin

B7,

which

is

essential

for

bacteria

cell

growth.

It's

much

harder

for

bacteria

to

develop

resistance

when

antibiotics

attack

multiple

parts

of

its

metabolic

process.

In

a

related

development,

University

of

Illinois

Chicago

scientists

have

introduced

an

antibiotic

called

manikomycin,

also

found

in

streptomyces.

Manikomycin

targets

a

bacteria's

protein-making

ribosome

and

stops

the

process.

Both

sets

of

researchers

emphasize

there's

a

lot

more

to

be

learned

and

improved

before

these

discoveries

can

be

used

as

medicines.

The

studies

were

published

in

the

journal

Nature.

When's

the

last

time

you

freshened

up

your

CV?

And

no,

LinkedIn

updates

don't

count.

If

you're

on

the

job

hunt

or

just

need

practical

pointers

on

how

to

tailor

your

CV

to

the

professional

path

you're

targeting,

the

CAP's

July

14th

webinar

will

help.

The

session

will

emphasize

how

employers

and

reviewers

interpret

CVs

and

which

experiences

are

most

valued

across

practice

settings.

Participants

will

compare

and

contrast

CVs

prepped

for

academics,

private

industry,

and

clinical

settings,

and

learn

about

mistakes

common

on

each.

So

dust

off

your

document

and

register

for

the

CV

course

under

the

calendar

of

events

on

the

CAP

homepage.

And

finally,

how

can

women

climb

the

leadership

ladder

in

pathology?

Carving

out

a

clear

niche

is

important,

says

CAP

member

Dr.

Christina

Magi-Galluzzi,

who's

also

president

of

the

United

States

and

Canadian

Academy

of

Pathology.

In

a

new

interview

in

the

Pathologist

magazine,

Dr.

Magi-

Gall/uzzi

shares

her

assent

to

national

leadership,

noting

that

those

who

advance

often

do

excellent

work

in

essential

areas

of

a

field

that

get

attention.

Being

intentional

is

key,

she

says.

Be

strategic

about

saying

yes

and

no,

choose

commitments

that

align

with

your

long-term

direction,

and

remember

that

leadership

often

involves

moving

from

doing

the

work

to

shaping

how

well

it's

done.

And

just

like

being

a

new

parent,

Dr.

Magi-
Galluzzi

says

you

may

not

feel

fully

ready

to

take

a

leadership

role.

Growth

comes

from

being

slightly

ahead

of

your

comfort

zone,

she

says,

learning

in

real

time

and

allowing

yourself

to

evolve

into

the

role

rather

than

waiting

for

a

perfect

sense

of

preparedness.

That's

all

for

today's

Daily

Edition.

Be

sure

to

check

the

show

notes

for

more

information

on

today's

stories.

Got

a

story

you'd

like

us

to

cover

on

the

Daily

Edition?

Write

to

us

at

stories

at

Cap.org.

We're

back

at

5

a.m.

Eastern

for

another

episode

of

the

Daily

Edition.

I'm

Elizabeth

McMahon.

Have

a

great

day.