Views from the London School of Hygiene & Tropical Medicine


New estimate suggests a quarter of the world’s population has latent tuberculosis

rein-cropped By Rein Houben, London School of Hygiene & Tropical Medicine, and Pete Dodd, University of Sheffield.   In rich countries, tuberculosis is sometimes thought of as a thing of the past, the disease that claimed Keats, Poe, Chopin. But globally, TB is today the number one infectious killer, causing an estimated 1.8m deaths in 2015. Read more

outside the  village doctor' clinic

Are ‘informal providers’ a short-term fix for India’s primary healthcare system?

tim_meenakshi By Meenakshi Gautham,  Research Fellow - IDEAS Country Coordinator, and Timothy Powell-Jackson,  Associate Professor in Health Economics at the London School of Hygiene & Tropical Medicine. India faces a ticking-time bomb when it comes to public health. In 2015 it reported 27% of all neonatal deaths and 21% of all child deaths in the world, and the country accounted for 20% of the global burden of disease in 2013. More than 70% of ailing persons sought care in the private health sector in 2014 and it is well known that a large proportion of this private sector is informal and unrecognised. Read more


How did England’s national immunisation programme adapt to large scale NHS reforms?

mounier-jack_sandra01_webBy Sandra Mounier-Jack, Senior Lecturer in Health Policy at the London School of Hygiene & Tropical Medicine.  In April 2013, the National Health Service (NHS) in England was subject to the biggest reorganisation since its creation in 1948.  NHS leaders famously described the changes as “so big you could see them from space”. In a very short space of time, new organisations were created, old ones abolished and responsibilities for public health were transferred from the NHS to local authorities. In the midst of these changes, we investigated what happened to the national immunisation programme. Read more


Evidence gaps in drug resistant infection need plugging to eliminate superbugs

By Clare Chandler, Co-Director of the Antimicrobial Resistance Centre and Susannah Woodd, Research Fellow Epidemiology at the London School of Hygiene & Tropical Medicine. Global leaders at the United Nations General Assembly have signed a declaration that their 193 countries will take steps to rid the world of antimicrobial resistance (AMR). It is only the fourth time in the history of the UN that a health topic has been on the General Assembly agenda. Read more


Got your underwear, bed sheets and vaccination? Why freshers could help eliminate measles

john_edmundsBy John Edmunds, Professor of Infectious Disease Modelling and Dean of Faculty of Epidemiology & Population at the London School of Hygiene & Tropical Medicine. It’s the time of year when hundreds of thousands of teenagers are beginning an exciting new chapter in their lives. Freshers’ week will see friendships fostered for life, but for some unfortunate students it will also mean experiencing something not quite as welcome. Close contact between large groups of young adults is the perfect breeding ground for infectious disease. Perhaps surprisingly, measles is one of them. Read more


Why can’t we save the world’s babies from sepsis? It’s down to a lack of data

libby_webBy Elizabeth Fitchett, Visiting Research Fellow, London School of Hygiene & Tropical Medicine, Paediatrics Academic Clinical Fellow, Institute of Child Health, UCL. Fast-acting, potentially fatal, and ruthlessly unpredictable - every health professional fears sepsis in their patients. Today, 13 September, is World Sepsis Day—a wake-up call to governments and society that the number of deaths from sepsis remains unacceptably high, and continues to increase at an alarming rate. Read more

Malawai Malnutriions study

We must not forget children who survive severe malnutrition

By Natasha Lelijveld, Research Fellow in the Nutrition Group at the London School of Hygiene & Tropical Medicine. Severe Acute Malnutrition (SAM) affects more than 19 million children under five each year worldwide and causes over 1 million deaths according to some estimates. The vast majority of these are from low-income countries, common catalysts being poverty, conflict and disease. The current drought in Ethiopia and South Sudan conflict are stark reminders that SAM remains a major global health problem. Read more

tanya abramsky gender norms conversation

Breaking negative attitudes to women is key to tackling HIV – here’s how to do it

By Tanya Abramsky, Research Fellow in Epidemiology at the London School of Hygiene & Tropical Medicine. “Women are supposed to be under men’s superiority in everything … you cannot respond when he says anything. You only have to do what he says”. That’s what one young woman told staff at Raising Voices, a Ugandan violence prevention charity, that she used to think before she became a community activist. Sadly, throughout many parts of the world, such views are still common.  Read more