This is heartbreaking- not only for the cuts but also that the systems are clearly not working to get people on treatment in the govt clinics which are still working. Zambia does have ART still available in stock and so people can continue their ART…. But as always the health system is kafkaesque….

Fascinating session with great talks from Vietnam, Nigeria and Thaïland. POC CRP could easily be deployed but why isn’t it?

#WorldTBDay tomorrow, don't miss our joint WTBD Symposium with @ucltb.bsky.social You may still be able to join us in person www.eventbrite.co.uk/e/world-tb-d... or if not, online. It's going to be an amazing event! #WTBD2025 #Commit #Invest #Deliver

Trump and Co are giving the term "structural violence" a whole new meaning

This by Michael Rosen is terrifying and apt for the times we live in now.

This excellent piece alerted me to the poem.

READ THIS: Clinical trials versus the real world in tuberculosis control Editorial from @thelancet.bsky.social Infectious Diseases. Could not agree more with many of the challenges outlined here in relation to clinical trials. https://buff.ly/4i8LJ0d

#UnionConf2024 Disappointing results from EXULTANT trial which found no increase in TB diagnosed with universal sputum, urine (Xpert &LAM) and stool Xpert compared to standard algorithm in hospitalized patients with HIV. Most were symptomatic so absolute benefit only 4% extra (powered for 7%)

#UnionConf2024 intriguing talk on serum LAM with some promising results. Very small numbers and no details on what the test complexity will be but watch this space…..

#UnionConf2024 Fascinating talk by Arjan Van Laarhoven showing possible different endotypes in TB meningitis which could suggest individualised treatment needed to reduce mortality

Can an electronic stethoscope with AI predict disease severity? Seems that there is an interesting initial signal that needs further testing out…. #UnionConf2024

#UnionConf2024 great sessions in TBScience🧪this morning on heterogeneity in TB. Why are men more susceptible? Does ancestry play a role? And who resists infection?

It’s time for access for all. #UnionConf2024

#UnionConf2024 Why are 1.3m people still dying of TB? Despite increasing access to TB drugs we need to do more. Lots of wins getting drug prices down but battles take time and effort- people die waiting! Great talk by Christopher Perrin #IDsky #GHsky #TBsky 🧪🛟😷🩺

Lots of discussion on phase 3 TB vaccine trials at #UnionConf2024. We desperately need more trial sites but hearing stories of sites/countries feeling abused by sponsors as delays in site initiation/IP and competitive recruitment mean “less favored” sites likely to end up out of pocket.

At #UnionConf2024 at StopTB (are they on Balt?) New tools meeting. Great to hear Indonesia planning for TB vaccines- roll out and manufacturing plans….💪🧪🛟🩺😷

So am at #Unionconf2024 in Bali Indonesia. Will try to post highlights. Anyone else on blusky here? Union and TB world seem to be behind and still on X……🙄

So in the early days of COVID, pre vaccines, Zambart took part in COPCOV- a trial of chloroquine/ hydroxychloroquine as prevention. I know you all think you know the answers but here is the paper journals.plos.org/plosmedicine.... Read it before you comment….. 🧪 #ID