Sign in

Tom Wingfield

@tomwingfield.bsky.social
181 followers 217 following 64 posts

Reader in Tuberculosis & Social Medicine, Hospital Doctor in Infectious Diseases, Liverpool School of Tropical Medicine, UK Committed to addressing health and socioeconomic inequalities. www.researchgate.net/profile/Tom-Wi…

PostsRepliesMedia
Reposted by Tom Wingfield
Peter MacPherson @petermacp.bsky.social · 06/08/2026
#Multimorbidity with #tuberculosis is under-recognised. We followed nearly 2000 adults with #TB in 🇿🇦 for 18m. Multimorbidity was very common, and associated with large ⬆️ in risk of death. #idsky #TBsky 🧪🛟 doi.org/10.1371/jour... @uofgshw.bsky.social @tomwingfield.bsky.social
072
Reposted by Tom Wingfield
MTBI @mtbi.bsky.social · 03/08/2026
🔍 TB doesn't always present with the "classic" symptoms. A new study from England found that around one person per week dies with undiagnosed TB, with diagnosis only made after death. 📰 Read the study: thorax.bmj.com/content/earl... #Tuberculosis #EndTB
thorax.bmj.com
032
Tom Wingfield @tomwingfield.bsky.social · 30/07/2026
Hundreds of people in England have died before doctors diagnosed their tuberculosis (TB). "Dave, a retired dockworker, and long-term smoker develops a persistent cough, he dismisses as 'just a smoker’s cough'... Dave dies before the laboratory identifies tuberculosis (TB)." tinyurl.com/2m8jwn47
theconversation.com
Hundreds of people in England have died before doctors diagnosed their tuberculosis
New research found 574 people were diagnosed with TB only after death, exposing delays in recognising a preventable and treatable disease.
152
Tom Wingfield @tomwingfield.bsky.social · 20/07/2026
📢 New in @plosglobalpublichealth.org: In Indonesia, peer-led psychosocial support for people with TB reduced stigma and depression and improved QoL. Part of our larger #MRC PHIND-funded #TB-CAPS study with UI, POP-TB & partners. TB care must support people holistically. 🔗 doi.org/10.1371/jour...
doi.org
Community-based, peer-led psychosocial support to address stigma and reduce depression among adults with tuberculosis in Indonesia: A prospective interventional cohort study
We co-developed and evaluated a community-based, peer-led psychosocial support intervention consisting of individual and peer-led group counselling, online group messaging, and community-based “TB-Tal...
021
Tom Wingfield @tomwingfield.bsky.social · 29/06/2026
📢 Thanks @theguardian.com for reporting our new study in Thorax. In England, 574 people with TB were diagnosed only after death, 2010–2022: ~𝗼𝗻𝗲 𝗽𝗲𝗿𝘀𝗼𝗻/𝘄𝗲𝗲𝗸. Postmortem TB diagnosis is the ultimate diagnostic delay & should be a “never event”. 🔗 doi.org/10.1136/thor... Thanks @ukhsa.bsky.social
030
Tom Wingfield @tomwingfield.bsky.social · 25/06/2026
We #Start4All are excited to present our preliminary findings on performance, cost effectiveness, feasibility and acceptability of TB testing algorithms. - ~15000 participants - 7 countries - CRP, CAD, LAM, pooled & individual sputum Xpert & culture @lstmnews.bsky.social @stoptb.bsky.social
030
Reposted by Tom Wingfield
The Union @theunion.org · 24/06/2026
Join us for the Start4All Phase 1 webinar, presenting findings from a multi-country evaluation of innovative TB screening and diagnostic approaches in high-burden settings. 🎙️ 17 expert speakers 📅 29 June 🕞 3:30–5:10 PM CET 💻 Online Register ⬇️ tinyurl.com/yta7c2z9
011
Reposted by Tom Wingfield
Liverpool School of Tropical Medicine @lstmnews.bsky.social · 24/06/2026
although UKHSA notification data showed that the majority of people diagnosed with TB in England are not UK-born and had an average age of 36, people diagnosed only after death were more likely to be older, male, UK-born, live outside London and have a history of drug or alcohol misuse. (2/3)
101
Reposted by Tom Wingfield
Liverpool School of Tropical Medicine @lstmnews.bsky.social · 24/06/2026
TB rates in England reached a 10-year high in 2024 (9.4 cases per 100,000)), highlighting the importance of considering TB in people who may not fit traditional risk profiles, ensuring more people receive timely, life-saving treatment. (3/3) @tomwingfield.bsky.social Read more: lstm.ac/4f47Kgb
lstm.ac
One person a week dies with undiagnosed and untreated tuberculosis in England, study finds | LSTM
A national cohort study of Tuberculosis (TB) in England has found that, between 2010 and 2022, an average of nearly one person each week was diagnosed with TB after they had died.
011
Reposted by Tom Wingfield
Infectious Diseases @infectiousdz.bsky.social · 23/06/2026
It is possible to die with and not because of or solely because of TB. It is possible to have cancer and have TB, which may have hastened an inevitable death. TB is a disease that takes advantage of hardship, in so many ways.
111
Reposted by Tom Wingfield
Infectious Diseases @infectiousdz.bsky.social · 23/06/2026
One person died every 8 days in England with TB diagnosed only after death from 2010-2022. Children under 5 and the elderly were most at risk. The lack of diagnosis meant the window for treatment that might have saved lives was missed. thorax.bmj.com/content/earl...
thorax.bmj.com
Social and health factors associated with postmortem diagnosis of tuberculosis in England: a national, retrospective cohort study
Introduction People diagnosed with tuberculosis (TB) after death (postmortem) experience the ultimate diagnostic delay. We aimed to identify social and health factors associated with postmortem TB dia...
164
Reposted by Tom Wingfield
Emma Wilkinson @emmajourno.bsky.social · 23/06/2026
One person a week in England dies with TB that was never diagnosed, study finds www.bmj.com/content/393/...
bmj.com
One person a week in England dies with TB that was never diagnosed, study finds
Almost one person a week dies with or from tuberculosis (TB) without ever having received a diagnosis, an analysis of UK data has shown. This should be a “never event,” and more work is needed to ens...
051
Tom Wingfield @tomwingfield.bsky.social · 23/06/2026
📢 Our new Thorax @bmj.com study. In England, 574 people with TB were diagnosed only after death, 2010–2022: ~𝗼𝗻𝗲 𝗽𝗲𝗿𝘀𝗼𝗻 𝗲𝘃𝗲𝗿𝘆 𝘄𝗲𝗲𝗸. Postmortem TB diagnosis is the ultimate diagnostic delay & should be a “never event”. 🔗 doi.org/10.1136/thor... @lstmnews.bsky.social Thanks @ukhsa.bsky.social
251
Reposted by Tom Wingfield
Liverpool School of Tropical Medicine @lstmnews.bsky.social · 18/06/2026
What has economics got to do with global health? Quite a lot, as Professor Eve Worrall demonstrated in her inaugural lecture at LSTM. Watch it back - lstm.ac/ProEveWorrall
lstm.ac
Inaugural Lecture: Professor Eve Worrall on Health Economics
Watch Professor Eve Worrall's inaugural lecture exploring how economics shapes global health policy, financing, decision-making and health outcomes.
043
Reposted by Tom Wingfield
The Lancet @thelancet.com · 07/06/2026
Who's really in the loop? Rethinking oversight in AI-assisted health care 🔗 spkl.io/633277BQYt
Figure Oversight in AI used in health care: from symbolic reassurance to substantive accountability
0143
Tom Wingfield @tomwingfield.bsky.social · 05/06/2026
Very excited to be over halfway through this marathon swim to raise £3k for food support for people with TB in Nepal. Thanks to @bnmtnepal.bsky.social for your ongoing commitment to TB-affected people and communities. www.justgiving.com/crowdfunding... Please do share widely! #endTB #endhunger
130
Reposted by Tom Wingfield
Liverpool School of Tropical Medicine @lstmnews.bsky.social · 19/05/2026
It was also reported that 18% of the 739 people with MDR-TB tracked over a two-year period had died before or during treatment, with these deaths linked to older age, unemployment, HIV, being underweight and other chronic conditions. Read more: lstm.ac/43majEw Full study: lstm.ac/4fvxdAE
lstm.ac
High rates of death amongst people with multidrug resistant TB both during and beyond treatment in Sierra Leone, research shows | Liverpool School of Tropical Medicine
A new study in Sierra Leone led by Liverpool School of Tropical Medicine has highlighted a high mortality rate among people with Multidrug-resistant tuberculosis (MDR-TB), including amongst those who…
022
Reposted by Tom Wingfield
Liverpool School of Tropical Medicine @lstmnews.bsky.social · 19/05/2026
The study, published in The Lancet Regional Health – Africa, found that these were associated with a range of medical and social factors, including HIV, smoking and chronic lung disease. (2/3)
111
Reposted by Tom Wingfield
Liverpool School of Tropical Medicine @lstmnews.bsky.social · 19/05/2026
Multidrug-resistant tuberculosis (MDR-TB) continues to threaten efforts to end the global TB epidemic. A new study in Sierra Leone led by LSTM has highlighted a high mortality rate amongst people with MDR-TB, with around 1 in 10 dying within 12 months after successfully completing treatment. (1/3)
122
Tom Wingfield @tomwingfield.bsky.social · 19/05/2026
🧵 Our new @thelancet.com Regional Health Africa study from #SierraLeone: MORE THAN ONE IN FOUR PEOPLE WITH MDR/RR-TB DIED (𝟮𝟲%, 191/739) before treatment, during treatment, and to 12 months after "treatment success" (key figs 👇) TB care must extend beyond TB “cure”. 🔗 tinyurl.com/2p9zabwz #MDR-TB
153
Reposted by Tom Wingfield
WHO @who.int · 13/05/2026
Share this piece of good news with friends and family! 961 million more people gained access to safely managed drinking water between 2015 and 2024. Know more about how the world has progressed on access to water, sanitation and hygiene 👇 World Health Statistics Report 2026: bit.ly/4fiNpVV
Access to safe drinking water reached 961 million more* people.
* Between 2015 and 2024.

Image shows a young girl drinking a glass of water against a bright blue background.
08519
Reposted by Tom Wingfield
WHO @who.int · 13/05/2026
1.4 billion more people are cooking clean! Access to clean cooking fuels and technologies soared between 2015 and 2024, helping families worldwide breathe easier and leave polluting methods behind. Read our new World Health Statistics Report 2026🔗 bit.ly/4fiNpVV
Clean cooking fuels and technologies are available for 1.4 billion more* people.
*Between 2015 and 2024.

Image shows the illustration of a man cooking against a bright orange background.
14110
Reposted by Tom Wingfield
Finn McQuaid @cfmcquaid.bsky.social · 12/05/2026
So...what would happen to the global TB epidemic if we "eliminated" undernutrition? Our paper out now @lancetgh.bsky.social, where we combined estimates from our review (doi.org/10.1093/ije/...) with population-specific BMI distributions to find out...(www.sciencedirect.com/science/arti...)
sciencedirect.com
Global, regional, and national estimates of tuberculosis incidence averted by eliminating undernutrition in adults: a modelling study
Current efforts to reduce global tuberculosis incidence have proved insufficient, highlighting that urgent action is needed to address underlying modi…
1910
Reposted by Tom Wingfield
The LIGHT Consortium @lightontb.bsky.social · 27/04/2026
Why are men more affected by TB in Malawi? Higher exposure starts in adolescence-linked to smoking, alcohol use & high-risk environments. Good news:mobile, community TB testing is reaching more men & connecting them to care. Tackling TB in men protects whole communities: youtu.be/wMP4f05lgHM?...
youtu.be
Mphatso Phiri - Tackling TB in Young Men and the Effectiveness of Community Outreach in Malawi
YouTube video by LIGHT Consortium
012
Reposted by Tom Wingfield
Wellcome Trust @wellcometrust.bsky.social · 17/04/2026
Science can change lives. But only with public trust. New research by @moreincommonuk.bsky.social finds Britain broadly trusts science – but we can’t take that for granted. Find out more in our new report ⤵️ wellcome.org/insights/rep...
wellcome.org
Britain talks trust in science | Reports | Wellcome
Drawing on research across Britain, this report explores public trust in science, how trust differs across different groups and how science can earn trust.
0177
Tom Wingfield @tomwingfield.bsky.social · 17/04/2026
🚀 New resource: the Start4All Pooled Sputum Testing Toolkit ("Poolkit!"). 🔗 lstmed.ac.uk/start4all/to... A practical, WHO‑aligned guide to pooled TB testing — developed with eight partners across seven high TB burden countries and funded by Unitaid. Launched yesterday at #ASLM! #Start4All #EndTB
020
Reposted by Tom Wingfield
Liverpool School of Tropical Medicine @lstmnews.bsky.social · 16/04/2026
A new pooled TB testing toolkit will help healthcare providers to reach the ‘missed millions’ who go undiagnosed with the disease each year. Read more: lstmed.ac.uk/news/new-poo... @tomwingfield.bsky.social
lstmed.ac.uk
Pooled Testing Toolkit Expands TB Diagnosis | LSTM
New pooled testing toolkit developed by LSTM aims to expand TB diagnosis, reduce costs and help reach underserved communities with faster, accessible testing.
011
Tom Wingfield @tomwingfield.bsky.social · 15/04/2026
Congratulations @petermacp.bsky.social! This is great news! :)
010
Tom Wingfield @tomwingfield.bsky.social · 13/04/2026
🧪🌍 Join us this 16 April 2026 | 16:00 EAT for ASLM LabCoP Extended ECHO Session! 🔬 Explore pooled sputum testing for TB 📊 Insights from #Start4All 7-country study 💡 Boost efficiency & access to TB diagnosis! 👩🏽‍⚕️👨🏾‍⚕️ For labs, TB programs & global health pros! 🔗 Register: us02web.zoom.us/j/83062155922
100
Reposted by Tom Wingfield
Katherine Horton @kchorton.bsky.social · 09/04/2026
In our latest paper in @plosmedicine.org, we explore trade-offs in diagnostic algorithm, coverage, and duration of community screening for #TB, highlighting the importance of symptom-agnostic approaches and the need for strategies to sustain impact when screening ends. plos.io/4tuD2SM
11310
Reposted by Tom Wingfield
The Union @theunion.org · 10/04/2026
Are you an early career researcher? 🌍 Get recognised at the Union World Conference on Lung Health 2026 📅 Submit by 13 April 🔗 theunion.org/early-career-researche… #EarlyCareerResearch #UnionConf2026
011
Reposted by Tom Wingfield
The Lancet @thelancet.com · 01/04/2026
On April 16, join experts as they discuss a series of Cases in Global Social Medicine published in The Lancet. The cases centre real clinical cases from around the world that together form a practical social medicine toolkit. Register to attend ➡️ spkl.io/63323AF9xb
Promotional card for an event entitled Social Forces/Clinical cases - Breaking boundaries with The Lancet's Cases in Global Social Medicine and Michael Marmot. The event is taking place on 16th April 2026 at 4.30pm - 6.30pm PT at Goldman Theater, David Brower Center, Berkeley. Image is a headshot of Michael Marmot.
132
Reposted by Tom Wingfield
Medical Research UK @medicalresearchuk.bsky.social · 01/04/2026
🚨Are you funded by the Foundation or the MRC (@ukri.org) & want to share your findings in ways that influence policy & practice? The latest round of our Changing Policy & Practice Awards is now open - including applications from researchers who already hold CPP funding! 👉 bit.ly/40ccYiN
011
Reposted by Tom Wingfield
Adam P. Roberts @gcagatgcaatg.bsky.social · 01/04/2026
Pleased to share our new paper on the metagenomics of #noma, a devastating #NTD of children. Brilliant collaborative work with researchers at the University of Liverpool, Médecins Sans Frontières and the Noma Children’s Hospital, Sokoto, Nigeria. journals.plos.org/plosntds/art...
journals.plos.org
Shotgun metagenomic analysis of the oral microbiomes of children with noma
Author summary Noma is a rapidly progressing necrotic disease that destroys the tissues of the mouth and face, mainly affecting children living in abject poverty. Although antibiotic treatment can be ...
071
Reposted by Tom Wingfield
The Lancet Global Health @lancetgh.bsky.social · 31/03/2026
Have you read our huge new #OpenAccess Series of papers on energy and health in LMICs yet? From the health burden of polluting household cooking fuels to equitable and reliable electricity access in health-care facilities, energy is a health intervention. www.thelancet.com/series-do/en...
thelancet.com
Energy and health in low-income and middle-income countries
Reliable and affordable clean energy is essential for modern living and powering economies. Access to clean energy has increased substantially in low-income and middle-income countries over the past t...
042
Reposted by Tom Wingfield
Alex Richards @alexandra-richards.bsky.social · 30/03/2026
A year after my last day with @lshtm-tbmod.bsky.social my work on modelling the impact of increasing men's access to care and reducing excess risk of TB has gone live @commsmed.nature.com www.nature.com/articles/s43...
nature.com
Modelling the impact of increasing tuberculosis treatment coverage and addressing determinants of risk in men - Communications Medicine
Richards et al. use a compartmental transmission model of tuberculosis to understand the impact of strategies to improve men’s access to care and to reduce men’s excess risk of TB. In all four countri...
056
Reposted by Tom Wingfield
Peter MacPherson @petermacp.bsky.social · 30/03/2026
New study led by @alexandra-richards.bsky.social. Reducing men’s TB risk and improving treatment access could have big impacts on #TB incidence and deaths for men, women, and children. www.nature.com/articles/s43... @kchorton.bsky.social @uofgshw.bsky.social @lightontb.bsky.social
Bar charts showing impact of interventions on TB incidence for men, women, and childrenGraphs showing impact of interventions on TB notifications in 4 countries
079
Tom Wingfield @tomwingfield.bsky.social · 27/03/2026
Postdoc opportunity in TB diagnostics + implementation science! Join @lstmnews.bsky.social on @unitaid.bsky.social funded #Start4All, co-led @stoptb.bsky.social 🌏 UK Bangladesh Cameroon Kenya Nigeria Viet Nam 🔬 Shape real-world TB diagnosis 📊 Influence global policy 👉 Apply: tinyurl.com/5ah2m693
app.vacancy-filler.co.uk
Post Doctoral Research Associate | Liverpool School of Tropical Medicine
Salary: £39,906 - £41,064 annum Full-Time, Fixed-term appointment to 31st August 2027   Based in Liverpool, hybrid (minimum of 3 days on site per week)Liverpool School of Tropical Medicine (LSTM) is a...
020
Reposted by Tom Wingfield
We Are TB @wearetb.bsky.social · 24/03/2026
It’s World TB Day and we are so grateful for the support We Are TB and Somos TB has received over the years from our partners in the fight against tuberculosis. We affirm our dedication and solidarity with people fighting this disease everywhere. Yes we can! #EndTB
A graphic featuring a photo of advocates on stairs.
094
Tom Wingfield @tomwingfield.bsky.social · 25/03/2026
Well done all teams - really important findings. Well done Dr Stacy Ross and team at Royal Liverpool amongst many others!
000
Reposted by Tom Wingfield
Liverpool School of Tropical Medicine @lstmnews.bsky.social · 24/03/2026
Today is World TB Day. Last month, we revealed how research from the LSTM-led Start4All project helped to shape new WHO guidelines on pooled TB testing. Read more: lstm.ac/4aOPaX6
011
Reposted by Tom Wingfield
Liverpool School of Tropical Medicine @lstmnews.bsky.social · 24/03/2026
LSTM’s Dr Tom Wingfield and Fatima Karmadwala delivered their talk, 'Fighting Poverty and Stigma to Defeat TB', to mark World TB Day. Last presented during last year's British Science Festival, the talk explored how TB continues to be a major global health challenge.
031
Reposted by Tom Wingfield
Jack Goodall @jackwgoodall.bsky.social · 24/03/2026
I've made a website for clinically relevant infection research: jackwgoodall.github.io/infection_up... It's in its early days but it has summaries of recent infection papers that caught my eye, an OpenAlex feed of recent infection papers from high impact journal and a resources section #IDSky
jackwgoodall.github.io
135
Reposted by Tom Wingfield
Peter MacPherson @petermacp.bsky.social · 24/03/2026
This #WorldTBday is a honour to be in Blantyre, Malawi, where we kicked off recruitment into the @wellcometrust.bsky.social funded ZAMSA-TB study. The team are developing new epidemiological methods to measure future vaccine effectiveness in the community.
083
Reposted by Tom Wingfield
Australasian Clinical Tuberculosis Network @actnet.bsky.social · 24/03/2026
Our first TBPod episode of 2026 is live! 🎧 Dr Peter MacPherson breaks down HIV–TB care, urban TB trends & diagnostic advances. Listen below! www.buzzsprout.com/851944/episo...
buzzsprout.com
Shifting TB Landscapes: Dr Peter MacPherson on HIV–TB Care & Diagnostic Innovation - The TBPod
Dr Peter MacPherson, Professor of Global Public Health at the University of Glasgow, joins Dr Jack Callum to discuss his research on HIV–TB care and shifting TB epidemiology. He discusses findings fro...
043
Reposted by Tom Wingfield
Birat Nepal Medical Trust @bnmtnepal.bsky.social · 24/03/2026
"Test Early. Cure early. End TB."✊ Our Banke team in action! #WorldTBDay2026 #YesWeCanEndTB
011
Tom Wingfield @tomwingfield.bsky.social · 23/03/2026
👇🎉 Out now!!
010
Tom Wingfield @tomwingfield.bsky.social · 23/03/2026
#WTBD talk today: Fatima and I will be talking about ending TB by fighting poverty and stigma. See you at 12.30pm GMT on link below!
000
Tom Wingfield @tomwingfield.bsky.social · 13/03/2026
🎙 New episode coming! Ahead of #WorldTBDay, I spoke with Fatima Karmadwala, a survivor of multidrug-resistant TB, for the LSTM In Conversation podcast. Her powerful story highlights why person-centred care is vital to ending TB. 📅 Out 23 March 🎧 Apple Podcasts • Spotify #EndTB #TB #GlobalHealth
022
Tom Wingfield @tomwingfield.bsky.social · 13/03/2026
🌍 TB is preventable and curable — yet still one of the world’s leading infectious killers. For #WorldTBDay, Fatima Karmadwala & I will be speaking on “Fighting poverty and stigma to defeat TB.” 🗓 23 March | ⏰ 12:30 GMT 📍 Liverpool School of Tropical Medicine 💻 Online: tinyurl.com/23ata5vt
243