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Peter MacPherson

@petermacp.bsky.social

Professor of Global Public Health | Head of Public Health l University of Glasgow | Infections | #Tuberculosis | #HIV | #epidemiology | #episky | #IDSky | #TBsky πŸ§ͺπŸ›Ÿ

5,378 Followers  |  1,435 Following  |  222 Posts  |  Joined: 05.09.2023  |  2.0753

Latest posts by petermacp.bsky.social on Bluesky

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Nuclear War: A Scenario - Wikipedia

I recently read this book, and couldn’t sleep for weeks - absolutely terrifying. Glad this is being highlighted as a key threat to planetary health.

en.m.wikipedia.org/wiki/Nuclear...

06.08.2025 10:23 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
The front page of the preprint article, showing title and authors

The front page of the preprint article, showing title and authors

The abstract of the preprint

The abstract of the preprint

Forest plot showing primary and secondary trial outcomes, with non-inferiority margins

Forest plot showing primary and secondary trial outcomes, with non-inferiority margins

⚑️New preprint (not peer-reviewed)⚑️

In the SaDAPT trial with people with #HIV and #tuberculosis symptoms in πŸ‡²πŸ‡ΌπŸ‡±πŸ‡Έ, we investigated if antiretroviral therapy should be initiated immediately, or delayed until TB results available. ssrn.com/abstract=523...

Outcomes (incl. IRIS) similar across both arms.

01.05.2025 07:10 β€” πŸ‘ 5    πŸ” 6    πŸ’¬ 1    πŸ“Œ 0
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We are excited to share that the new @who.int Consolidated Guidelines - National TB Prevalence Surveys is out now!πŸŽ‰

πŸ‘Our KNCV colleagues, Petra de Haas and Edine Tiemersma, contributed to the development of this valuable resource for #TB care and prevention.

www.who.int/publications...

#TBSky

18.07.2025 11:10 β€” πŸ‘ 3    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0

Just saw the presentation at IAS. This is exactly the trial we needed. Previous attempts like SLATE missed the mark but you have done it, congratulations.

18.07.2025 11:05 β€” πŸ‘ 2    πŸ” 1    πŸ’¬ 1    πŸ“Œ 0

Thanks Tom!

18.07.2025 11:14 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
Josie - St Andrews University – Public Health consultant.
YouTube video by UofG MVLS Josie - St Andrews University – Public Health consultant.

Multimorbidity PhD Programme for Health Professionals - Fellowship applications for 2026 now open!

@uofgmvls.bsky.social

Find out more - tinyurl.com/2r8c2van

www.youtube.com/watch?v=VBmC...

14.07.2025 13:54 β€” πŸ‘ 3    πŸ” 2    πŸ’¬ 0    πŸ“Œ 1

Our work estimating the potential impacts of reductions in international donor funding for #TB is now out in @lancetgh.bsky.social:

bit.ly/3TDl28T

@raclark18.bsky.social @cfmcquaid.bsky.social @alexandra-richards.bsky.social @top-j.bsky.social @reinhouben.bsky.social @richardwhite321.bsky.social

14.07.2025 08:46 β€” πŸ‘ 12    πŸ” 13    πŸ’¬ 0    πŸ“Œ 2
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Really great plot. And as per other comments, would have fewer groups for the categorical.

In the context of meta-analysis of aggregate data, we had a lot of fun figuring out how to include age as a predictor in this paper www.sciencedirect.com/science/arti...

08.07.2025 14:07 β€” πŸ‘ 3    πŸ” 1    πŸ’¬ 1    πŸ“Œ 0
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πŸ“’in @lancetgh.bsky.social we show heavy catastrophic health expenditure burden in people with chronic respiratory disease symptoms,Meru #Kenya.πŸ” Of 296 adults,26% had #CHE (health costs>10% household expenses),CHE more likely in females & if seeking care accompanied or at sub-county/county hosps.

07.07.2025 13:58 β€” πŸ‘ 2    πŸ” 2    πŸ’¬ 1    πŸ“Œ 0
Text box describes the added value of TB systematic review and meta analysis and implications of all the available evidence.

Text box describes the added value of TB systematic review and meta analysis and implications of all the available evidence.

New study published in @thelancetph.bsky.social finds that from adolescence onwards, men have higher Mycobacterium #Tuberculosis infection rates than women, resulting in higher prevalence of immunoreactivity.

@petermacp.bsky.social @lshtm.bsky.social
doi.org/10.1016/S246...

07.07.2025 08:35 β€” πŸ‘ 2    πŸ” 1    πŸ’¬ 1    πŸ“Œ 0
Text box describes added value of TB systematic review and meta analysis and implications of all the available evidence.

Text box describes added value of TB systematic review and meta analysis and implications of all the available evidence.

New study published in @thelancetph.bsky.social finds that from adolescence onwards, men have higher Mycobacterium #Tuberculosis infection rates than women, resulting in higher prevalence of immunoreactivity.

@petermacp.bsky.social @lshtm.bsky.social

doi.org/10.1016/S246...

07.07.2025 08:39 β€” πŸ‘ 2    πŸ” 2    πŸ’¬ 1    πŸ“Œ 0

Super stuff @petermacp.bsky.social @lightontb.bsky.social team!

02.07.2025 21:45 β€” πŸ‘ 2    πŸ” 2    πŸ’¬ 0    πŸ“Œ 0

New systematic review led by @hannahrickman.bsky.social shows annual risk of Mycobacterium #tuberculosis conversion in men and women diverges during adolescence and remains higher among men throughout adulthood.

www.thelancet.com/journals/lan...

02.07.2025 14:57 β€” πŸ‘ 5    πŸ” 6    πŸ’¬ 0    πŸ“Œ 0
infographic highlighting the key points from the paper published in the Lancet: Sex differences in the risk of Mycobacterium tuberculosis infection: a systematic review and meta-analysis of population-based immunoreactivity surveys

infographic highlighting the key points from the paper published in the Lancet: Sex differences in the risk of Mycobacterium tuberculosis infection: a systematic review and meta-analysis of population-based immunoreactivity surveys

NEW STUDY! πŸ“£

A large global study found men are more likely to be exposed to TB than women.

The reason? Likely social behaviours:
β€’ More time in crowded indoor spaces
β€’ Delays in seeking care

READ MORE ‡️
πŸ”— www.thelancet.com/journals/lan...

@petermacp.bsky.social @hannahrickman.bsky.social

02.07.2025 14:36 β€” πŸ‘ 4    πŸ” 5    πŸ’¬ 0    πŸ“Œ 2

Brilliant analysis that reinforces the need for concerted efforts to address gender-related barriers to TB diagnosis and treatment for men and adolescent boys. Essentially, men are more likely to acquire TB because they are more likely to be exposed to other people (mostly men) with TB.

01.07.2025 16:04 β€” πŸ‘ 4    πŸ” 3    πŸ’¬ 0    πŸ“Œ 0
The first page of the Lancet Public Health manuscripts

The first page of the Lancet Public Health manuscripts

Two graphs showing a) prevalence of MTB immunoreactivity by sex and age and b) ARTI by sex and age

Two graphs showing a) prevalence of MTB immunoreactivity by sex and age and b) ARTI by sex and age

Figure showing male-to-female prevalence ratio in MTB immunoreactivity

Figure showing male-to-female prevalence ratio in MTB immunoreactivity

In meta analysis of data from nearly half a million people, we found that men have higher M. #tuberculosis immunoreactivity risk than women.

Likely to be key driver of
sex differences in global tuberculosis morbidity & mortality

@hannahrickman.bsky.social πŸ›ŸπŸ§ͺ

authors.elsevier.com/sd/article/S...

01.07.2025 15:13 β€” πŸ‘ 5    πŸ” 2    πŸ’¬ 0    πŸ“Œ 1
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The end of tuberculosis that wasn’t In the 1980s, many thought tuberculosis was on the path to elimination. In reality, more were dying from the disease than ever.

In the 1980s, many thought tuberculosis was on the path to elimination. In reality, more were dying from the disease than ever.

The second article in our series on Tuberculosis: ourworldindata.org/the-end-of-t...

01.07.2025 06:52 β€” πŸ‘ 38    πŸ” 17    πŸ’¬ 0    πŸ“Œ 0
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Tuberculosis still kills around 1.3 million people every year.

It was once a massive killer in Europe and the US, but not anymore. How did these countries manage to tackle it?

Our first article on TB in a three-part series: ourworldindata.org/tuberculosis...

09.06.2025 06:17 β€” πŸ‘ 79    πŸ” 24    πŸ’¬ 7    πŸ“Œ 0

🧡1/8 The UK’s approach to international development needs a reset. In a new @bmj.com piece, @kentbuse.bsky.social & I argue for a principles-based strategy to rebuild global solidarity and credibility. Here’s a quick breakdown. πŸ‘‡

03.06.2025 10:57 β€” πŸ‘ 18    πŸ” 8    πŸ’¬ 1    πŸ“Œ 1
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Tuberculosis and climate change: analytical framework and knowledge gaps This report explores the intersection of tuberculosis (TB) and climate change, highlighting how climate-related challenges such as food and water insecurity, displacement, and disrupted healthcare acc...

TB & climate change: @who.int report out now, building on an analytical framework we developed to explore the intersections and implications for the TB epidemic. Key message? TB should be considered a climate-sensitive disease www.who.int/publications...

30.05.2025 08:30 β€” πŸ‘ 34    πŸ” 26    πŸ’¬ 1    πŸ“Œ 0
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Amid all the bad news in Global Health, perhaps some good news? A first analysis on the risk of false positive diagnoses in community-screening for tuberculosis using Xpert shows our clinic-based data is likely (very) wrong and overestimates false positives by >80%: tinyurl.com/yfecute9.

27.05.2025 14:50 β€” πŸ‘ 25    πŸ” 10    πŸ’¬ 3    πŸ“Œ 1
Title and abstract page of the manuscript

Title and abstract page of the manuscript

Bar graphs showing prevalence of TB multimorbidity, stratified by key variables

Bar graphs showing prevalence of TB multimorbidity, stratified by key variables

Graphs showing hazard of death among people with TB multimorbidity

Graphs showing hazard of death among people with TB multimorbidity

πŸŽ‰New preprint led by Greta Wood🚨

Among ~2000 adults with #TB in πŸ‡ΏπŸ‡¦ #multimorbidity was extremely common (86%) and strongly predictive of death at 15 months

Need for screening and management. πŸ§ͺπŸ›ŸπŸ¦ 

papers.ssrn.com/sol3/papers....

@tomwingfield.bsky.social
@uofgshw.bsky.social
@lstmnews.bsky.social

22.05.2025 16:59 β€” πŸ‘ 4    πŸ” 2    πŸ’¬ 0    πŸ“Œ 0
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Job Opportunity at LSHTM: Research Fellow The London School of Hygiene & Tropical Medicine (LSHTM) is a world-leading centre for research and postgraduate education in public and global health. Our mission is to is to improve health and healt...

Are you interested in #TB and have experience in #modelling infectious diseases?

Come join us in the TB Modelling Group at #LSHTM!

We're advertising for a 1 year Research Fellow position, with a closing date of 30 May 2025 πŸ‘‰ jobs.lshtm.ac.uk/vacancy.aspx...

16.05.2025 15:05 β€” πŸ‘ 9    πŸ” 13    πŸ’¬ 1    πŸ“Œ 1
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Perceived Gender Equitable Norms and Previous Tuberculosis Testing in Malawi: A Secondary Analysis of a Cluster-based Prevalence Survey Substantial evidence demonstrates that men have a higher prevalence of tuberculosis (TB) and decreased use of TB services compared to women. Gender roles and norms contribute to these disparities by i...

New pre-print on perceptions of #gender equitable norms and #TB testing history in Malawi, led by @elizabeth-digi.bsky.social with @esnightingale.bsky.social @petermacp.bsky.social Helena Feasey, Rebecca Soko, Vincent Phiri, Liz Corbett @kchorton.bsky.social

www.medrxiv.org/content/10.1...

06.05.2025 17:58 β€” πŸ‘ 4    πŸ” 5    πŸ’¬ 1    πŸ“Œ 0
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Today’s walk was around Loch Ard.

05.05.2025 12:00 β€” πŸ‘ 4    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0

It is is indeed! Well about 2km north. Beautiful spot.

04.05.2025 11:13 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 2    πŸ“Œ 0
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Loch Lomond looking spectacular this morning

04.05.2025 10:59 β€” πŸ‘ 40    πŸ” 1    πŸ’¬ 2    πŸ“Œ 0

What is the best #Rstats colour & why is it β€˜mediumseagreen’?

01.05.2025 13:45 β€” πŸ‘ 4    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0
The front page of the preprint article, showing title and authors

The front page of the preprint article, showing title and authors

The abstract of the preprint

The abstract of the preprint

Forest plot showing primary and secondary trial outcomes, with non-inferiority margins

Forest plot showing primary and secondary trial outcomes, with non-inferiority margins

⚑️New preprint (not peer-reviewed)⚑️

In the SaDAPT trial with people with #HIV and #tuberculosis symptoms in πŸ‡²πŸ‡ΌπŸ‡±πŸ‡Έ, we investigated if antiretroviral therapy should be initiated immediately, or delayed until TB results available. ssrn.com/abstract=523...

Outcomes (incl. IRIS) similar across both arms.

01.05.2025 07:10 β€” πŸ‘ 5    πŸ” 6    πŸ’¬ 1    πŸ“Œ 0
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The potential impact of reductions in international donor funding on tuberculosis in low- and middle-income countries Background Tuberculosis services in many settings rely heavily on international donor funding. In 2025, the United States Agency for International Development (USAID) was dismantled, and other countri...

#Tuberculosis prevention and care relies heavily on international donor funding in many settings. In our latest preprint, we examine the potential impact of reductions in international donor funding for #TB - by the US and by other major donor countries. 1/8

www.medrxiv.org/content/10.1...

27.04.2025 06:16 β€” πŸ‘ 45    πŸ” 24    πŸ’¬ 3    πŸ“Œ 3

@petermacp is following 20 prominent accounts