#Multimorbidity with #tuberculosis is under-recognised. We followed nearly 2000 adults with #TB in 🇿🇦 for 18m. Multimorbidity was very common, and associated with large ⬆️ in risk of death. #idsky #TBsky 🧪🛟 doi.org/10.1371/jour... @uofgshw.bsky.social @tomwingfield.bsky.social
Tom Wingfield
@tomwingfield.bsky.social
Reader in Tuberculosis & Social Medicine, Hospital Doctor in Infectious Diseases, Liverpool School of Tropical Medicine, UK Committed to addressing health and socioeconomic inequalities. https://www.researchgate.net/profile/Tom-Wingfield-2
🔍 TB doesn't always present with the "classic" symptoms. A new study from England found that around one person per week dies with undiagnosed TB, with diagnosis only made after death. 📰 Read the study: thorax.bmj.com/content/earl... #Tuberculosis #EndTB
thorax.bmj.com
Hundreds of people in England have died before doctors diagnosed their tuberculosis (TB). "Dave, a retired dockworker, and long-term smoker develops a persistent cough, he dismisses as 'just a smoker’s cough'... Dave dies before the laboratory identifies tuberculosis (TB)." tinyurl.com/2m8jwn47
Hundreds of people in England have died before doctors diagnosed their tuberculosis
New research found 574 people were diagnosed with TB only after death, exposing delays in recognising a preventable and treatable disease.
theconversation.com
📢 New in @plosglobalpublichealth.org: In Indonesia, peer-led psychosocial support for people with TB reduced stigma and depression and improved QoL. Part of our larger #MRC PHIND-funded #TB-CAPS study with UI, POP-TB & partners. TB care must support people holistically. 🔗 doi.org/10.1371/jour...
Community-based, peer-led psychosocial support to address stigma and reduce depression among adults with tuberculosis in Indonesia: A prospective interventional cohort study
We co-developed and evaluated a community-based, peer-led psychosocial support intervention consisting of individual and peer-led group counselling, online group messaging, and community-based “TB-Tal...
doi.org
📢 Thanks @theguardian.com for reporting our new study in Thorax. In England, 574 people with TB were diagnosed only after death, 2010–2022: ~𝗼𝗻𝗲 𝗽𝗲𝗿𝘀𝗼𝗻/𝘄𝗲𝗲𝗸. Postmortem TB diagnosis is the ultimate diagnostic delay & should be a “never event”. 🔗 doi.org/10.1136/thor... Thanks @ukhsa.bsky.social
One person a week in England dies with undiagnosed TB, study finds
We #Start4All are excited to present our preliminary findings on performance, cost effectiveness, feasibility and acceptability of TB testing algorithms. - ~15000 participants - 7 countries - CRP, CAD, LAM, pooled & individual sputum Xpert & culture @lstmnews.bsky.social @stoptb.bsky.social
Join us for the Start4All Phase 1 webinar, presenting findings from a multi-country evaluation of innovative TB screening and diagnostic approaches in high-burden settings. 🎙️ 17 expert speakers 📅 29 June 🕞 3:30–5:10 PM CET 💻 Online Register ⬇️ https://tinyurl.com/yta7c2z9
Join us for the Start4All Phase 1 webinar, presenting findings from a multi-country evaluation of innovative TB screening and diagnostic approaches in high-burden settings. 🎙️ 17 expert speakers 📅 29 June 🕞 3:30–5:10 PM CET 💻 Online Register ⬇️ https://tinyurl.com/yta7c2z9
although UKHSA notification data showed that the majority of people diagnosed with TB in England are not UK-born and had an average age of 36, people diagnosed only after death were more likely to be older, male, UK-born, live outside London and have a history of drug or alcohol misuse. (2/3)
TB rates in England reached a 10-year high in 2024 (9.4 cases per 100,000)), highlighting the importance of considering TB in people who may not fit traditional risk profiles, ensuring more people receive timely, life-saving treatment. (3/3) @tomwingfield.bsky.social Read more: lstm.ac/4f47Kgb
One person a week dies with undiagnosed and untreated tuberculosis in England, study finds | LSTM
A national cohort study of Tuberculosis (TB) in England has found that, between 2010 and 2022, an average of nearly one person each week was diagnosed with TB after they had died.
lstm.ac
It is possible to die with and not because of or solely because of TB. It is possible to have cancer and have TB, which may have hastened an inevitable death. TB is a disease that takes advantage of hardship, in so many ways.
One person died every 8 days in England with TB diagnosed only after death from 2010-2022. Children under 5 and the elderly were most at risk. The lack of diagnosis meant the window for treatment that might have saved lives was missed. thorax.bmj.com/content/earl...
Social and health factors associated with postmortem diagnosis of tuberculosis in England: a national, retrospective cohort study
Introduction People diagnosed with tuberculosis (TB) after death (postmortem) experience the ultimate diagnostic delay. We aimed to identify social and health factors associated with postmortem TB dia...
thorax.bmj.com
One person a week in England dies with TB that was never diagnosed, study finds www.bmj.com/content/393/...
One person a week in England dies with TB that was never diagnosed, study finds
Almost one person a week dies with or from tuberculosis (TB) without ever having received a diagnosis, an analysis of UK data has shown. This should be a “never event,” and more work is needed to ens...
bmj.com
📢 Our new Thorax @bmj.com study. In England, 574 people with TB were diagnosed only after death, 2010–2022: ~𝗼𝗻𝗲 𝗽𝗲𝗿𝘀𝗼𝗻 𝗲𝘃𝗲𝗿𝘆 𝘄𝗲𝗲𝗸. Postmortem TB diagnosis is the ultimate diagnostic delay & should be a “never event”. 🔗 doi.org/10.1136/thor... @lstmnews.bsky.social Thanks @ukhsa.bsky.social
What has economics got to do with global health? Quite a lot, as Professor Eve Worrall demonstrated in her inaugural lecture at LSTM. Watch it back - lstm.ac/ProEveWorrall
Inaugural Lecture: Professor Eve Worrall on Health Economics
Watch Professor Eve Worrall's inaugural lecture exploring how economics shapes global health policy, financing, decision-making and health outcomes.
lstm.ac
Very excited to be over halfway through this marathon swim to raise £3k for food support for people with TB in Nepal. Thanks to @bnmtnepal.bsky.social for your ongoing commitment to TB-affected people and communities. www.justgiving.com/crowdfunding... Please do share widely! #endTB #endhunger
Our friend Dr @tomwingfield.bsky.social is taking on a marathon swim to raise £3,000 for food support for people affected by TB in Nepal. Please donate 👇 and help people affected by TB recover with dignity. www.justgiving.com/crowdfunding...
It was also reported that 18% of the 739 people with MDR-TB tracked over a two-year period had died before or during treatment, with these deaths linked to older age, unemployment, HIV, being underweight and other chronic conditions. Read more: lstm.ac/43majEw Full study: lstm.ac/4fvxdAE
High rates of death amongst people with multidrug resistant TB both during and beyond treatment in Sierra Leone, research shows | Liverpool School of Tropical Medicine
A new study in Sierra Leone led by Liverpool School of Tropical Medicine has highlighted a high mortality rate among people with Multidrug-resistant tuberculosis (MDR-TB), including amongst those who…
lstm.ac
The study, published in The Lancet Regional Health – Africa, found that these were associated with a range of medical and social factors, including HIV, smoking and chronic lung disease. (2/3)
Multidrug-resistant tuberculosis (MDR-TB) continues to threaten efforts to end the global TB epidemic. A new study in Sierra Leone led by LSTM has highlighted a high mortality rate amongst people with MDR-TB, with around 1 in 10 dying within 12 months after successfully completing treatment. (1/3)
🧵 Our new @thelancet.com Regional Health Africa study from #SierraLeone: MORE THAN ONE IN FOUR PEOPLE WITH MDR/RR-TB DIED (𝟮𝟲%, 191/739) before treatment, during treatment, and to 12 months after "treatment success" (key figs 👇) TB care must extend beyond TB “cure”. 🔗 tinyurl.com/2p9zabwz #MDR-TB
Share this piece of good news with friends and family! 961 million more people gained access to safely managed drinking water between 2015 and 2024. Know more about how the world has progressed on access to water, sanitation and hygiene 👇 World Health Statistics Report 2026: https://bit.ly/4fiNpVV
1.4 billion more people are cooking clean! Access to clean cooking fuels and technologies soared between 2015 and 2024, helping families worldwide breathe easier and leave polluting methods behind. Read our new World Health Statistics Report 2026🔗 https://bit.ly/4fiNpVV
So...what would happen to the global TB epidemic if we "eliminated" undernutrition? Our paper out now @lancetgh.bsky.social, where we combined estimates from our review (doi.org/10.1093/ije/...) with population-specific BMI distributions to find out...(www.sciencedirect.com/science/arti...)
Global, regional, and national estimates of tuberculosis incidence averted by eliminating undernutrition in adults: a modelling study
Current efforts to reduce global tuberculosis incidence have proved insufficient, highlighting that urgent action is needed to address underlying modi…
sciencedirect.com
Why are men more affected by TB in Malawi? Higher exposure starts in adolescence-linked to smoking, alcohol use & high-risk environments. Good news:mobile, community TB testing is reaching more men & connecting them to care. Tackling TB in men protects whole communities: youtu.be/wMP4f05lgHM?...
Mphatso Phiri - Tackling TB in Young Men and the Effectiveness of Community Outreach in Malawi
YouTube video by LIGHT Consortium
youtu.be
Science can change lives. But only with public trust. New research by @moreincommonuk.bsky.social finds Britain broadly trusts science – but we can’t take that for granted. Find out more in our new report ⤵️ wellcome.org/insights/rep...
Britain talks trust in science | Reports | Wellcome
Drawing on research across Britain, this report explores public trust in science, how trust differs across different groups and how science can earn trust.
wellcome.org
🚀 New resource: the Start4All Pooled Sputum Testing Toolkit ("Poolkit!"). 🔗 lstmed.ac.uk/start4all/to... A practical, WHO‑aligned guide to pooled TB testing — developed with eight partners across seven high TB burden countries and funded by Unitaid. Launched yesterday at #ASLM! #Start4All #EndTB
A new pooled TB testing toolkit will help healthcare providers to reach the ‘missed millions’ who go undiagnosed with the disease each year. Read more: lstmed.ac.uk/news/new-poo... @tomwingfield.bsky.social
Pooled Testing Toolkit Expands TB Diagnosis | LSTM
New pooled testing toolkit developed by LSTM aims to expand TB diagnosis, reduce costs and help reach underserved communities with faster, accessible testing.
lstmed.ac.uk
Congratulations @petermacp.bsky.social! This is great news! :)
@petermacp.bsky.social has received an @nihr.bsky.social Global Health Research Professorship. He will work with partners in Malawi to investigate a new approach to artificial intelligence testing for tuberculosis #TB @uofgnews.bsky.social @uofgmvls.bsky.social www.gla.ac.uk/schools/heal...
🧪🌍 Join us this 16 April 2026 | 16:00 EAT for ASLM LabCoP Extended ECHO Session! 🔬 Explore pooled sputum testing for TB 📊 Insights from #Start4All 7-country study 💡 Boost efficiency & access to TB diagnosis! 👩🏽⚕️👨🏾⚕️ For labs, TB programs & global health pros! 🔗 Register: us02web.zoom.us/j/83062155922
In our latest paper in @plosmedicine.org, we explore trade-offs in diagnostic algorithm, coverage, and duration of community screening for #TB, highlighting the importance of symptom-agnostic approaches and the need for strategies to sustain impact when screening ends. plos.io/4tuD2SM
In this mathematical modelling study, Katherine Horton & co assess #TB community screening approaches & their estimated effects on TB incidence & mortality, concluding that methods that capture both infectious & non-infectious TB are needed to achieve sustained case reductions🧪 plos.io/4tuD2SM