Active Infection & Immunity Public Health & Healthcare

Creating evidence to support tuberculosis (TB) national and global decision- makers in reducing the global burden of TB

In plain English

AI plain-English summary

Tuberculosis kills more people globally than any other infectious disease, and drug-resistant strains are driving up both death rates and economic costs. Researchers in India, South Africa, Brazil, Indonesia, and the UK are building a computer model to help governments and global health agencies decide which combination of treatments, vaccines, and other interventions will save the most lives for the money available. New TB vaccines for adolescents and adults are now in late-stage trials, but no one knows how best to roll them out alongside existing drugs and diagnostics. The model will estimate the health impact, cost-effectiveness, and budget consequences of different options, then feed that evidence directly to decision-makers in countries that together account for 40 percent of global TB cases, as well as to the WHO, GAVI, and the Global Fund. If the model works, it could help these organisations shift from guesswork to data-driven planning, accelerating the decline of a disease that still kills over a million people each year.

View original technical description
TB is a leading global cause of death. Drug-resistant (DR)-TB causes a disproportionately large health and economic burden. New adolescent/adult TB vaccines are in phase 2b/3 trials, but implementation will be challenging, as is identifying the optimal choice of anti-TB interventions to make the best use of limited resources. In strong collaboration, we (India, South Africa, Brazil, Indonesia, UK) will create evidence to strengthen capacity and sustainably support high tuberculosis (TB) burden countries (HBC) and global decision-makers in reducing the global burden of TB, by using modelling tools to address key questions on drug-resistant (DR-)TB, new TB vaccines and other interventions, and extend and apply a state-of-the-art TB model, to estimate the relative health, cost-effectiveness, and budget impact, of new and existing interventions, as well as their optimal combination. The evidence created in the project will strengthen capacity and sustainably inform national and global decision-makers, including the governments of India, South Africa, Brazil and Indonesia (representing 40% of global TB), WHO, GAVI, and GFATM, to more rapidly reduce the global burden of TB.

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Researchers

Auliya A. Suwantika (EPMC Awardee)Gwenan Knight (EPMC Awardee)Julio Croda (EPMC Awardee)Marcio Natividade (EPMC Awardee)Mmamapudi Kubjane (EPMC Awardee)Nugroho Soeharno (EPMC Awardee)Rein Houben (EPMC Awardee)Richard White (EPMC Awardee)Salome Charalambous (EPMC Awardee)Sarika Mehra (EPMC Awardee)Sri Rezeki Hadinegoro (EPMC Awardee)

Related Research

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Original classification

Discretionary Award

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