An independent foundation

Count us in.

Most of the world's people are barely present in the data behind modern medicine. Count Us In is the foundation through which the institutions that serve them take their place in discovery, on their own terms.

Data stays home. Records never leave their region.
Governance stays local. The Councils closest to the data decide.
Benefit returns. To the institutions and communities the data comes from.
A dotted map of the world showing how the programme is organised: four regions, Africa, Asia, Latin America and the Middle East, each divided into nodes of neighbouring countries.
Count Us In AfricaNorthWestCentralEastSouthern
Count Us In AsiaSouth AsiaSoutheast AsiaFar East
Count Us In LATAMMexicoCentral America and CaribbeanSouth America
Count Us In Middle EastMiddle East
How the programme is organised: four regions, each with its own Council, and within each region the nodes in which neighbouring institutions train together. Councils and nodes are constituted as institutions join.
Why it matters

The next generation of precision medicine will be built on data. Today that data reflects a minority of the world.

Foundation models of human biology learn from whoever has been measured. Most of humanity has barely been measured at all.

The result is medicine that works less well for most people: risk scores that lose accuracy, test results returned as "uncertain", dosing evidence that is thin for many of the patients who now receive the drug.

Representation is a scientific requirement and an ethical one. The Foundation exists so that being counted is something an institution chooses, on its own terms.

GWAS Diversity Monitor, University of Oxford, accessed September 2026. Martin et al., Nature Genetics 2019.

One hundred dots, one per participant in genome-wide association studies: eighty-eight sand-coloured for European ancestry, twelve copper for everyone else.
European ancestry, 88 of 100Everyone else, 12 of 100
Participants in genome-wide association studies, the reference data behind much of precision medicine. Continental African ancestry: fewer than one in three hundred.
What the Foundation is

A community of institutions, under one charter.

Count Us In Foundation is an independent non-profit, a Delaware non-stock corporation with its own board. It governs one global programme, run through regional and national Councils. Institutions accede to the charter and deal with the Foundation alone; no commercial party can approve access to their data.

We work with a growing collection of data partners around the world: hospitals and health systems, biobanks, research institutes, ministries of health and national genomics programmes.

The Founding Principles

Eight principles every Council decision must follow.

They cannot be changed without the unanimous consent of the Global Stewardship Council. Everything else in the charter can adapt.

Data sovereignty

Data and specimens stay under the control of the region and nation they come from.

Community benefit

The people whose biology makes the programme possible must benefit from it. Nobody takes part only as a source of data.

Scientific leadership

Each region's scientists lead the science from their data, with co-authorship and co-IP.

Transparency

Decisions, distributions and access approvals are documented and reported to every contributor.

Benefit maximisation

The Foundation works to get the most for contributors from everything the programme generates.

Resilience

Built to outlast any single institution or person. Contributors' rights under the charter persist.

Evidence-based growth

Well-characterised cohorts first. Growth on demonstrated benefit. Quality over scale.

Regenerative benefit

Income is reinvested in sequencing, training and infrastructure, so the programme deepens for everyone.

Joining

What it means to accede.

Accede to the charter

One agreement, with the Foundation. Your institution joins its regional or national Council with a seat and a vote.

Set your own terms

Within your participants' consent and your own ethics approvals. You hold a veto over any access to your data that no majority can override.

Keep your data home

Analysis runs in your environment or at an approved facility in your region. Where sequencing is needed, the Foundation funds it.

Receive what returns

Royalty-free use of the model trained on your node, co-authorship on the outputs your data contributes to, and a share of distributions.

What returns to you

Participation is more than contributing data.

Sovereignty, kept

Your data stays under your institution's control. No access proceeds without your consent.

Science, led from home

Co-authorship for the institutions whose data was used. Regional first authorship. Co-IP on scientific outputs.

Sequencing, funded

Deepening a cohort is the first call on programme income at every tier.

The model of your node

Royalty-free use of the model trained on your node, for research, clinical use and training, for as long as you take part.

Capacity, protected

At least a tenth of distributable income at every tier goes to training, infrastructure and ethics capacity.

The right to leave

Any institution or region may withdraw. Prior consent and authorised uses are respected; no one else's rights are affected.

Four concentric rings: the contributing institution at the centre, then the National Council, the Regional Council and the Global Stewardship Council. Authority sits in the inner rings. Institution a seat, a vote, a veto National Council consent, community, participation Regional Council access, benefit-sharing, the region's nodes Global Stewardship Council guardian of the principles, minimum standards
Authority sits closest to the data. The outer ring sets floors, never ceilings.
Governance

Authority sits closest to the data.

One Foundation, three tiers of Council. Regional and National Councils decide access, benefit-sharing and ethics in their own jurisdiction. The Global Stewardship Council guards the principles and sets minimum standards.

  • Data Access Committees at each tier review every application. No single party can approve access alone.
  • Community Advisory Boards in each participating geography, and an independent global ethics committee.
  • Reserved matters need unanimity: changing a principle, dissolving the Foundation, moving assets out, or restricting an institution's use of its own data.
  • On dissolution, assets pass only to institutions that share the mission. Never to a commercial entity.

Regions and nodes

Within each region, contributors train together in nodes: groups of neighbouring institutions whose populations overlap. What returns to a contributor is the model of its own node, which reflects its neighbours and the migrant populations it serves.

Count Us In AfricaCount Us In AsiaCount Us In LATAMCount Us In Middle East
Where income goes

The charter fixes the order.

Income comes from grants, philanthropy, approved data access and a defined share of licensing under the Partnership Agreement. Each Council applies the same order to the income attributed to its tier.

Order of spending at every tier: first sequencing and omics, second a protected capacity-building floor of at least ten per cent, third distributions to contributing institutions, fourth lean Foundation operations. 1Sequencing and omicsthe first call on incomeat every tier 2Capacity buildinga protected floor ofat least ten per cent 3Contributing institutionsdistributions in proportionto contribution 4Foundation operationslean, reviewedevery year
Independence

Participation is not a commercial arrangement.

You are not selling your data. You are choosing to make it part of a governed programme, and you define what that means for your institution.

Model development and licensing are carried out by the programme's commercial partner under a written Partnership Agreement approved by the Foundation. That partner holds no programme data, cannot approve access to any institution's data, and recuses itself from any Council vote in which it has an interest. If it changes hands, its obligations transfer, and the Global Stewardship Council may appoint another operator.

Scientific datasets produced by the programme, such as population variant atlases, are published openly. They are not commercial products of the Foundation or of any partner.

The charter and governance schedule are available to prospective contributors on request.

For funders

Fund the sequencing that changes the map.

Support goes to the first two priorities in the charter: data generation for cohorts never sequenced at depth, and the capacity for their institutions to lead the science.

  • Directed giving is honoured. Funds for a specific region, nation or programme go to that Council and are stewarded under its priorities.
  • Every distribution is reported to contributing institutions.
  • Repayable advances for sequencing are possible on Council-approved terms, never at the expense of capacity building or distributions.
  • It is regenerative. Authorised use of programme models returns income that funds further sequencing, so a grant today keeps a cohort producing for years.
Who this is for

Institutions that hold representation to be non-negotiable.

Data custodians

Hospitals, biobanks, research institutes and ministries of health, keeping full stewardship of their data.

National programmes

Health bodies and genomics initiatives that want the science and the skills to stay in the country.

Funders and philanthropy

Grant-makers and multilateral bodies whose support goes to sequencing and capacity, under a protected floor for both.

Researchers and industry

Those who need findings that hold across populations, and who engage through the Councils, never around them.

If your institution should be counted, start with a conversation.

Exploring participation, contributing a cohort, constituting a national programme, or supporting the mission: no commitment is needed to begin.