Investigating the epidemiology of tuberculosis and the cost effectiveness of novel diagnostic screening pathways in migrants to the UK. (360G-Wellcome-097980_Z_11_Z)

£181,967

BACKGROUND: Tuberculosis is an important global public health problem and migrants to the UK have a disproportionately high burden of disease. AIM: This fellowship aims to investigate the epidemiology of tuberculosis in migrants to the UK; and examine the cost effectiveness of novel diagnostics and screening pathways for migrant tuberculosis control. OBJECTIVES: 1. Describe the epidemiology of tuberculosis in UK migrants, including: 1a. What is the prevalence of active pulmonary disea se in migrants at the time of new entrant screening? 1b. What is the future incidence in individuals without active disease on migration? 1c. What proportion of incident cases of tuberculosis are acquired in the UK? 2. Evaluate what combination of existing and novel diagnostic tests for active and latent tuberculosis would be most cost effective in UK migrants. METHODOLOGY: 1. Retrospective cohort study. Migrant screening, surveillance and strain typing databases will be probabilistic ally matched allowing the calculation of parameters in objective one. 2. A dynamic transmission model will be built to examine the combination of existing and novel diagnostic tests for active and latent tuberculosis that would be most cost effective. OPPORTUNITIES: To provide evidence for screening policy in a vulnerable population with a high burden of tuberculosis.

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Grant Details

Amount Awarded 181967
Applicant Surname Aldridge
Approval Committee International Interview Committee
Award Date 2012-03-29T00:00:00+00:00
Financial Year 2011/12
Grant Programme: Title Research Training Fellowship
Internal ID 097980/Z/11/Z
Lead Applicant Dr Robert Aldridge
Partnership Value 181967
Planned Dates: End Date 2015-08-26T00:00:00+00:00
Planned Dates: Start Date 2012-08-27T00:00:00+00:00
Recipient Org: Country United Kingdom
Region Greater London
Sponsor(s) Prof Andrew Phillips