Checkley Lab

Johns Hopkins University

PUBLIC HEALTH & PREV MEDICINE

Baltimore · United States

NIH-funded
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NIH R01 · 2025

Causality of Post-TB Lung Disease: Population-Level Evidence from Rural Uganda

PROJECT SUMMARY/ABSTRACT Tuberculosis (TB) is the leading single-agent cause of infectious mortality worldwide, including among people with HIV (PWH). TB survivors also continue to experience sequelae including post-TB lung disease (PTLD) and higher mortality. It remains uncertain, however, how much of these post-TB sequelae reflect TB itself versus underlying pre-TB risk factors and lung disease. For example, if a substantial burden of PTLD reflects pre-existing lung damage due to smoking – itself a risk factor for TB – then preventing TB may have minimal effect on this burden, and we should prioritize efforts to augment smoking cessation (including among people at risk for TB). By…

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