Research Highlights

How the Ebola outbreak can shape innovation in research for emerging and epidemic infections

How the Ebola outbreak can shape innovation in research for emerging and epidemic infections

Posted 13/09/2017

Amanda Rojek and Peter Horby published a review aimed at clinicians who may treat patients with Ebola Virus Disease. This review outlines advances in understanding the clinical presentation, outcomes and long term sequelae of the disease, and outlines the status of experimental vaccines and treatments.

How can we implement paediatric care practices in Kenyan hospitals?

How can we implement paediatric care practices in Kenyan hospitals?

Posted 08/09/2017

Changing the practices of health care workers in multiple hospitals in low-income settings is a major contemporary challenge that requires people to think about the complex set of influences that affect clinicians’ behaviour. In this report, Professor Mike English describes a multi-layered strategy utilising a new implementation typology linked to overarching theories of change.

Geographic resource allocation based on cost effectiveness

Geographic resource allocation based on cost effectiveness

Posted 05/09/2017

Can faster progress be made in the fight against malaria by targeting interventions to where they will have the most impact? Health economists and mathematical modellers from the Mahidol-Oxford Tropical Medicine Research Unit have developed an approach to use maps of disease risk together with models of the transmission of disease and the costs and effectiveness of malaria interventions to help local decision makers design more impactful malaria control and elimination programmes.

Influence of number and timing of malaria episodes during pregnancy on prematurity and birthweight

Influence of number and timing of malaria episodes during pregnancy on prematurity and birthweight

Posted 25/08/2017

In more than 50,000 pregnancies where 16% of women had malaria infection, the odds of small for gestational age and preterm birth following falciparum, and vivax malaria, were quantified. These newborn effects have life-long implications and efforts to effectively prevent malaria in pregnancy must be pursued.

Clinical Trials of Therapeutics for the Prevention of Congenital Zika Virus Disease: Challenges and Potential Solutions

Clinical Trials of Therapeutics for the Prevention of Congenital Zika Virus Disease: Challenges and Potential Solutions

Posted 22/08/2017

Selecting and trialling therapeutics for preventing congenital Zika disease is challenging. The target product should be low risk, acceptable to the mother, highly effective in preventing adverse fetal outcomes, and practical for widespread clinical use in resource-limited settings. Professor Peter Horby and fellow researchers discuss strategies for addressing these challenges in a recent paper.

Effect of transmission intensity on hotspots and micro-epidemiology of malaria in sub-Saharan Africa

Effect of transmission intensity on hotspots and micro-epidemiology of malaria in sub-Saharan Africa

Posted 18/08/2017

Malaria transmission is patchy at local levels, and when a group of houses is located in a high transmission patch this is labelled a "hotspot". Looking at 19 studies in 7 African Countries, we see that hotspots are the norm, and especially prominent when malaria transmission falls.

Migration histories of multidrug-resistant tuberculosis patients from the Thailand-Myanmar border, 2012–2014

Migration histories of multidrug-resistant tuberculosis patients from the Thailand-Myanmar border, 2012–2014

Posted 14/08/2017

Through history and attributes of migration of Multi Drug Resistant Tuberculosis patients before diagnosis and treatment, and spatial analysis of their travelling patterns, the study highlights links between human migration and dispersal of multi-drug resistant Tuberculosis across wide geographic areas. It confirms needs for interventions suited to migrants’ life circumstances.

Developing guidelines in low-income and middle-income countries: lessons from Kenya

Developing guidelines in low-income and middle-income countries: lessons from Kenya

Posted 01/08/2017

For more than a decade, Professor Mike English and his team have worked with the Kenyan Ministry of Health and professionals to develop national clinical guidelines. This paper describes how this approach has become both more rigorous and more collaborative while offering lessons to other LMIC on how to develop high quality guidelines with limited resources.

Comparative genomics of Cryptococcus neoformans associated with meningitis and HIV in Vietnam

Comparative genomics of Cryptococcus neoformans associated with meningitis and HIV in Vietnam

Posted 25/07/2017

Professor Jeremy Day and fellow researchers from OUCRU, in collaboration with colleagues from the Genome Institute Singapore, have published the first whole genome sequences of Vietnamese isolates of the yeast Cryptococcus neoformans, in an attempt to better understand the genes that enable some families of this usually accidental pathogen to cause disease in people with normal immune systems.

Online mapping database for Plasmodium vivax clinical trials

Online mapping database for Plasmodium vivax clinical trials

Posted 18/07/2017

The WWARN Vivax Surveyor provides an interactive map that summarises the prevalence and degree of chloroquine resistance in Plasmodium vivax parasites across the world. This tool provides a clear and standardised visualisation of vivax clinical trials to date to inform key international, regional and national monitoring strategies.