Public health physician and social epidemiologist passionate about addressing inequities in health and wellbeing through practice, research, and advocacy https://www.researchgate.net/profile/Matthew-Saunders-3?ev=hdr_xprf
Matthew Saunders
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Climate change and tuberculosis: www.thelancet.com/journals/lan.... Podcast with @cfmcquaid.bsky.social here: open.spotify.com/episode/28jr...
Estimating the PAF for a continuous measure is conceptually tricky, but 2024 estimates from WHO use a risk ratio which excludes several large studies, pools together different populations, and uses different comparators.
with @cfmcquaid.bsky.social @tbtakenseriously.bsky.social Peter Cegielski @raclark18.bsky.social @jaseddon.bsky.social Leo Martinez Madhavi & Anurag Bhargava @richardwhite321.bsky.social @reinhouben.bsky.social @tb-lshtm.bsky.social @cmmid-lshtm.bsky.social @lshtm-tbmod.bsky.social
We think our recent review provides a better estimate of the RR leading to a much higher PAF, demonstrating the importance of addressing undernutrition to prevent TB.
academic.oup.com/ije/article/...
“Wow, I saw in the last GTB report undernutrition is much less important for TB than we previously thought” I hear you say…
Well, no. We think this is an underestimate, & as much as 28% of TB could be attributable to undernutrition – see our latest comment here: www.thelancet.com/journals/lan...
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 (academic.oup.com/ije/article/...) with population-specific BMI distributions to find out...(www.thelancet.com/journals/lan...
Our framework that informed the @who.int TB & climate change policy brief out now in @lancetrespirmed.bsky.social, exploring the intersections and implications of climate change for the TB epidemic. Key message? TB should be considered a climate-sensitive disease
www.thelancet.com/journals/lan...
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...)
New comment:
Tuberculosis and undernutrition: improving estimates to reinforce the policy imperative
www.thelancet.com/journals/lan...
www.thelancet.com
Almost a quarter of global tuberculosis incidence in adults could be averted by eliminating
undernutrition, approximately two-and-a-half times higher than current estimates.
These findings highlight t...
🧵 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
Matthew Saunders
Matthew Saunders
Matthew Saunders
Matthew Saunders
Matthew Saunders
Matthew Saunders
Current efforts to reduce global tuberculosis incidence have proved insufficient, highlighting that urgent action is needed to address underlying modi…
