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Alex Richards

@alexandra-richards.bsky.social

Research Associate at University of Glasgow

308 Followers  |  202 Following  |  3 Posts  |  Joined: 21.10.2024  |  2.1011

Latest posts by alexandra-richards.bsky.social on Bluesky

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The potential impact of reductions in international donor funding on tuberculosis in low-income and middle-income countries: a modelling study We estimate substantial potential impacts on tuberculosis morbidity and mortality due to reductions in international donor funding. Expanded support from domestic and international donors is essential...

Sobering study on the devastating impact of aid cuts on tuberculosis incidence and mortality in low and middle income countries

Governments of highest TB burden nations will need to wake up and invest more!

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

14.07.2025 10:17 β€” πŸ‘ 61    πŸ” 37    πŸ’¬ 2    πŸ“Œ 3

Reduced international donor funding through not only the termination of #USAID, but also announced reductions in donor pledges to #TheGlobalFund from other countries, could lead to substantial potential impacts on #TB morbidity and mortality.

Read how in our new study in @lancetgh.bsky.social πŸ‘‡

15.07.2025 12:27 β€” πŸ‘ 7    πŸ” 4    πŸ’¬ 0    πŸ“Œ 0

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‘ 13    πŸ” 13    πŸ’¬ 0    πŸ“Œ 2
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‘ 6    πŸ” 2    πŸ’¬ 0    πŸ“Œ 1

Chatbots β€” LLMs β€” do not know facts and are not designed to be able to accurately answer factual questions. They are designed to find and mimic patterns of words, probabilistically. When they’re β€œright” it’s because correct things are often written down, so those patterns are frequent. That’s all.

19.06.2025 11:21 β€” πŸ‘ 36848    πŸ” 11368    πŸ’¬ 640    πŸ“Œ 964

World report on social determinants of health equity by the @who.int

"Conclusion: Equity is a political choice"

⬇️

This is a timely impressive report in both its breadth & depth πŸ‘

iris.who.int/bitstream/ha...

07.05.2025 07:41 β€” πŸ‘ 14    πŸ” 8    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
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Tuberculosis and the climate crisis in Latin America: a predicament of poverty, migration and displacement Tuberculosis (TB) has long been associated with poverty and displacement, through food insecurity, overcrowding, poor living conditions and reduced access to healthcare, which significantly increase t...

Climate-driven migration and displacement and their potential impact on TB in Latin America gh.bmj.com/content/10/4... @cfmcquaid.bsky.social @reinhouben.bsky.social @lshtm-tbmod.bsky.social

10.04.2025 13:59 β€” πŸ‘ 9    πŸ” 7    πŸ’¬ 0    πŸ“Œ 0
Line chart showing median number of TB deaths in 79 low- and middle-income countries from 2010 through 2040. A black line shows a decline from 1.25 million deaths in 2010 to just under 1 million deaths in 2024. A blue line shows the number of deaths staying constant through 2040 if 2024 funding and programmes are maintained. A red line shows the number of deaths increasing to 1.2 million in 2040 if US funding to national TB programmes is terminated.

Line chart showing median number of TB deaths in 79 low- and middle-income countries from 2010 through 2040. A black line shows a decline from 1.25 million deaths in 2010 to just under 1 million deaths in 2024. A blue line shows the number of deaths staying constant through 2040 if 2024 funding and programmes are maintained. A red line shows the number of deaths increasing to 1.2 million in 2040 if US funding to national TB programmes is terminated.

New pre-print modelling impact of US funding cuts on HIV, #TB, MCH and family planning. We estimate impact of termination of US funding to NTPs via #USAID & The Global Fund may lead to 2.2 (1.5-2.9) million excess TB deaths between 2025 and 2040, reversing over a decade of progress.

bit.ly/4lowp18

09.04.2025 08:32 β€” πŸ‘ 31    πŸ” 28    πŸ’¬ 2    πŸ“Œ 2

Our latest pre-print led by @alexandra-richards.bsky.social shows that improving #TB treatment coverage among men to the level achieved among women could reduce morbidity and mortality in men, women, and children. Further evidence of the need for gender-responsive TB prevention and care!

09.04.2025 07:57 β€” πŸ‘ 8    πŸ” 5    πŸ’¬ 1    πŸ“Œ 0

Great to be able to finally get this work out, closing out my time with @lshtm-tbmod.bsky.social

03.04.2025 13:14 β€” πŸ‘ 8    πŸ” 7    πŸ’¬ 0    πŸ“Œ 0
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GitHub - alexandrasrichards/group_timeline Contribute to alexandrasrichards/group_timeline development by creating an account on GitHub.

As I've adjusted the code to using ggplot and added some extra features, here is the link to my GitHub with the code and some (hopefully) simple instructions.
github.com/alexandrasri...

If anyone gives this a go, I'd love to see other examples!

18.03.2025 13:21 β€” πŸ‘ 2    πŸ” 0    πŸ’¬ 2    πŸ“Œ 0

A year ago, I was tasked with creating a timeline for @lshtm-tbmod.bsky.social and we came across this amazing example of a way to keep track of a group with a long history.
We now have a record of our history going back to 2011, and I hope that this can stay alive and continuously updated as well!

18.03.2025 13:21 β€” πŸ‘ 14    πŸ” 4    πŸ’¬ 1    πŸ“Œ 0
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Trump Is Ceding Ground to a Deadly Enemy By retracting foreign aid, the president could make tuberculosis untreatable again.

Trump Is Ceding Ground to a Deadly Enemy, an essay by me adapted from my book Everything Is Tuberculosis.

www.theatlantic.com/health/archi...

15.03.2025 15:46 β€” πŸ‘ 995    πŸ” 151    πŸ’¬ 11    πŸ“Œ 6

PhD position (London, UK)
Quantify the effects of climate change on TB
with @cfmcquaid.bsky.social @reinhouben.bsky.social @laragosce.bsky.social
at @cmmid-lshtm.bsky.social @tb-lshtm.bsky.social @lshtm.bsky.social
More details: http://iddjobs.org/jobs/2253

07.02.2025 19:23 β€” πŸ‘ 2    πŸ” 7    πŸ’¬ 0    πŸ“Œ 0
Contamination effects in cluster randomised trials of TB interven...: Ingenta ConnectBACKGROUNDMETHODSRESULTSCONCLUSION

Hot off the press! πŸ”₯ Our new systematic review digs deep into #TB cluster randomised trials, exploring how contamination can influence results, and offers insights for improving trial design #TBSky #IDSky #MedSky doi-org.ez.lshtm.ac.uk/10.5588/ijtl...

04.02.2025 15:53 β€” πŸ‘ 14    πŸ” 11    πŸ’¬ 1    πŸ“Œ 0

The advert is now live here:
jobs.lshtm.ac.uk/EPH-EPED-202...

Until August 2027 we would be working on data analysis and modelling to try and untangle the dynamics of #AMR by age and sex exploring electronic health records πŸ§«πŸ“‘πŸ‘©β€πŸ’». Get in touch if any questions!

03.02.2025 09:12 β€” πŸ‘ 11    πŸ” 14    πŸ’¬ 0    πŸ“Œ 1

I’m hiring! watch this space for a 2yr position on modelling and data analysis to determine how #AMR varies by age and sex @lshtm.bsky.social

31.01.2025 14:49 β€” πŸ‘ 11    πŸ” 6    πŸ’¬ 0    πŸ“Œ 2
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Within-country heterogeneity in patterns of social contact relevant for tuberculosis infection transmission, prevention, and care Mycobacterium tuberculosis (Mtb) transmission is driven by variable social, environmental, and biological factors, including the number and duration of indoor contacts. Social contact data can provide...

Reducing #TB burden requires understanding local contexts. Our new preprint emphasizes the importance of considering social contact patterns for interventions like active case finding, infection prevention & control, & cluster trial design #TBsky #IDsky #GlobalHealth

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

23.01.2025 03:31 β€” πŸ‘ 18    πŸ” 6    πŸ’¬ 0    πŸ“Œ 0
Sex Differences in the Risk of Mycobacterium Tuberculosis Infection: A Systematic Review and Meta-Analysis of Population-Based Immunoreactivity Surveys Background: Tuberculosis (TB) killed 1Β·25 million people globally in 2023. Men have a 1Β·7-fold higher TB incidence than women, but it is not known to what exten

New preprint (with all pre-print caveats!) tinyurl.com/589ffhu4 on Mtb infection risk by sex & age.
Men are at higher risk of #tuberculosis v women- but unclear how much driven by higher infection vs progression to disease. We meta-analysed Mtb immunoreactivity surveys to find out more🧡 #tbsky

10.01.2025 08:19 β€” πŸ‘ 32    πŸ” 18    πŸ’¬ 2    πŸ“Œ 3
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Modelling the epidemiological and economic impact of digital adherence technologies with differentiated care for tuberculosis treatment in Ethiopia Background Digital adherence technologies (DATs) with associated differentiated care are potential tools to improve tuberculosis (TB) treatment outcomes and reduce associated costs for both patients a...

Our ASCENT modelling paper on Digital Adherence Technologies (DAT) for TB treatment is now out in BMJ Global Health gh.bmj.com/content/9/12... DATs may have limited epidemiological impact but can reduce costs and have important budgetary implications. @cfmcquaid.bsky.social @lshtm-tbmod.bsky.social

10.12.2024 12:42 β€” πŸ‘ 9    πŸ” 9    πŸ’¬ 0    πŸ“Œ 1

@alexandra-richards is following 20 prominent accounts