MTBI

@mtbi.bsky.social

Manhiça Tuberculosis Initiative. Working towards improving TB control through the development of new diagnostic tools, treatments & vaccines. We are a team based in between Barcelona at @isglobal.org and Manhiça @manhica_cism

Congratulations to a member of our MTBI group, Lucía Carratalá Castro, on the defense of her PhD thesis, entitled "New Approaches to Diagnose Tuberculosis in Children"! 👏

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New IJTLD Open study 🌍🫁 IGRA+ up to ~59% at baseline and >30% 12-month conversion in some sites. Clear signal of strong TB transmission heterogeneity. journals.theunion.org/content/ijtl...

Interferon-gamma release assay positivity in populations at high risk of TB infection

SUMMARYBACKGROUNDPhase 3 TB vaccine trials are challenging in low-incidence settings due to the need for large sample sizes and extended follow-up. This global, observational study evaluated population-based interferon-gamma release assay (IGRA) status – a measure of TB infection (TBI), as a proxy for TB incidence to identify trial sites in high-incidence areas.METHODSParticipants (15–34 years) were recruited from 45 sites in 14 countries. IGRA status at Day 1 and Month 12, association of IGRA status with age, and IGRA conversion (TBI) were assessed.RESULTSAmong 7,164 enrolled participants, Day 1 IGRA positivity varied across sites and within countries, with the highest prevalence observed in South Africa (58.7%, site 1006; 53.1%, site 1010; 51.9%, site 1007) and the Democratic Republic of Congo (50.0%, site 2303). IGRA positivity was generally higher among older participants. At Month 12, sites with highest IGRA conversion were observed in the Philippines (32.3%, site 1507) and Zambia (30.6%, site 1303).CONCLUSIONIn TB vaccine efficacy trials with clinical endpoints, selecting sites with the highest TB incidence is critical to optimise sample size and follow-up duration. Site-level IGRA status could inform site selection by identifying communities at increased risk of Mycobacterium tuberculosis infection.

journals.theunion.org

📍 Last week, MTBI joined the NUS–Lancet PRIME Commission on Pandemic Justice in Singapore, bringing together global experts to reimagine equitable, community-centered pandemic preparedness. Thanks to Helena Legido-Quigley, The Rt. Honorable Helen Clark, NUS & The Lancet Group! #PublicHealth #TB

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Seasonality of TB in Mozambique 📆 Globally, TB often peaks in spring/summer, but local patterns differ. In Maputo (2011–2016), TB notifications varied by quarter, yet models found no significant seasonal effect. Climate still shapes spatial TB risk nationwide. #TB #Mozambique

💵 WHO warns that global progress against tuberculosis is at risk. TB still affects 10.7M people and causes over 1.2M deaths each year. Funding remains far below targets, threatening recent gains. Sustained investment is critical to end TB. #EndTB #GlobalHealth #WHO

During World Science Day for Peace and Development, Dr. Dinis Nguenha from CISM shared that using the #Truenat portable molecular diagnostic system enabled 82% of TB patients to start treatment on the same day of diagnosis, improving care and reducing delays!

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👏 Dr. Belén Saavedra Cervera (ISGlobal & CISM) wowed audiences at the XXIX Jornadas sobre Tuberculosis 2025, presenting key findings on TB transmission in Manhiça through molecular epidemiology. Thanks to #CoMB, #uiTB & #fuiTB!

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🗨️ Our PhD student, Salome Valencia, presented today at the XXIX Jornadas Internacionales sobre Tuberculosis 2025, hosted by #CoMB, #uiTB & #fuiTB. She explored how armed conflict and social inequality shape #TB in Colombia. Grateful to all for fostering these vital discussions!

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TB isn’t a disease of the past — it’s still one of the world’s top infectious killers (WHO, 2024). ❌ Not limited to certain countries ❌ A positive test ≠ contagious ✅ TB is curable, but stigma + myths slow progress. #Tuberculosis #GlobalHealth

From new WHO guidance on TB & diabetes to innovations workshops, climate frameworks, and global commitments, 2025 is a pivotal year in the fight to #EndTB. Progress is happening, but action must continue. 🩺 #GlobalHealth