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  • A radiographer reviews an abnormal chest x-ray and demonstrates the showing that suggests active tuberculosis disease.  An abnormal digital chest x-ray is shown on the screen in the NHS’s Mobile X-ray Unit (MXU).  The chest x-ray was taken as a public health screening for Tuberculosis (TB).  The van is parked outside a hostel in central London and the visit is part of a public health intervention for Active Case Finding for TB in hard to reach groups. The rates of TB in London are higher than any other Western European capital and is a major public health problem. TB is an infectious disease, but treatable and curable if diagnosed in time. Early diagnosis is a key to TB control and Active Case Finding is an important part of this.
    UK-Health-London-TB-Screening-5899.jpg
  • The NHS MXU van is parked up outside St Mungo's hostel near King's Cross.  One of the men staying at the hostel is shown his chest x-ray and excplained that he does not have TB by radiographer Diana.<br />
The rates of tuberculosis in London are higher than any other Western European capital and is a major health problem. Tuberculosis is highly contagious, it is treatable, but in the event of no treatment it is often deadly. The MXU, the Mobile X-ray Unit, is a facility run by the NHS. The MXU is a Tuberculosis screening service on wheels where people can have their chest x-rayed and within minutes be either cleared of TB - or in case of any TB symptoms showing up on the X-rays, be referred to a hospital for further tests and possible treatment. The MXU is aimed at hard to reach groups like homeless people, drug or alcohol abuser and prisoners. The van is the only one in the UK and operates around London where it visits hostels, prisons and community centres where groups of hard to reach clients usually gather. On the van is a team of nurses, radiographers, social and outreach workers and expert technicians. The MXU van is a part of the NHS department Find and Treat.
    IMG_4962_1.jpg
  • Seamus has had his lungs x-rayed and the x-ray shows no TB. The NHS Mobile X-ray Unit visiting St Pauls Church drop-in  in Onslow Square, London SW7. The rates of tuberculosis in London are higher than any other Western European capital and is a major health problem. Tuberculosis is highly contagious, it is treatable, but in the event of no treatment it is often deadly. The MXU, the Mobile X-ray Unit, is a facility run by the NHS. The MXU is a Tuberculosis screening service on wheels where people can have their chest x-rayed and within minutes be either cleared of TB - or in case of any TB symptoms showing up on the X-rays, be referred to a hospital for further tests and possible treatment. The MXU is aimed at hard to reach groups like homeless people, drug or alcohol abuser and prisoners. The van is the only one in the UK and operates around London where it visits hostels, prisons and community centres where groups of hard to reach clients usually gather. On the van is a team of nurses, radiographers, social and outreach workers and expert technicians.<br />
The MXU van is a part of the NHS department Find and Treat.
    IMG_5513_1.jpg
  • A homeless man has just had his chest x-rayed and radiographer Diana is reading the image on screen which comes up immediately after exposure. The rates of tuberculosis in London are higher than any other Western European capital and is a major health problem. Tuberculosis is highly contagious, it is treatable, but in the event of no treatment it is often deadly. The MXU, the Mobile X-ray Unit, is a facility run by the NHS. The MXU is a Tuberculosis screening service on wheels where people can have their chest x-rayed and within minutes be either cleared of TB - or in case of any TB symptoms showing up on the X-rays, be referred to a hospital for further tests and possible treatment. The MXU is aimed at hard to reach groups like homeless people, drug or alcohol abuser and prisoners. The van is the only one in the UK and operates around London where it visits hostels, prisons and community centres where groups of hard to reach clients usually gather. On the van is a team of nurses, radiographers, social and outreach workers and expert technicians. The MXU van is a part of the NHS department Find and Treat.
    IMG_5006_1.jpg
  • Richard getting ready for his x-ray. The NHS Mobile X-ray Unit visiting St Pauls Church drop-in  in Onslow Square, London SW7.The rates of tuberculosis in London are higher than any other Western European capital and is a major health problem. Tuberculosis is highly contagious, it is treatable, but in the event of no treatment it is often deadly. The MXU, the Mobile X-ray Unit, is a facility run by the NHS. The MXU is a Tuberculosis screening service on wheels where people can have their chest x-rayed and within minutes be either cleared of TB - or in case of any TB symptoms showing up on the X-rays, be referred to a hospital for further tests and possible treatment. The MXU is aimed at hard to reach groups like homeless people, drug or alcohol abuser and prisoners. The van is the only one in the UK and operates around London where it visits hostels, prisons and community centres where groups of hard to reach clients usually gather. On the van is a team of nurses, radiographers, social and outreach workers and expert technicians.<br />
The MXU van is a part of the NHS department Find and Treat.
    IMG_5382_1.jpg
  • Radiographer Diana is making a client comfortable and ready to have her x-ray. The woman is pregnant which is why she is wearing a green lead apron to protect her womb against radiation. The radiation levels are extremly low and pose no health hazzard. The rates of tuberculosis in London are higher than any other Western European capital and is a major health problem. Tuberculosis is highly contagious, it is treatable, but in the event of no treatment it is often deadly. The MXU, the Mobile X-ray Unit, is a facility run by the NHS. The MXU is a Tuberculosis screening service on wheels where people can have their chest x-rayed and within minutes be either cleared of TB - or in case of any TB symptoms showing up on the X-rays, be referred to a hospital for further tests and possible treatment. The MXU is aimed at hard to reach groups like homeless people, drug or alcohol abuser and prisoners. The van is the only one in the UK and operates around London where it visits hostels, prisons and community centres where groups of hard to reach clients usually gather. On the van is a team of nurses, radiographers, social and outreach workers and expert technicians. The MXU van is a part of the NHS department Find and Treat.
    IMG_4996_1.jpg
  • Mohamed stands inside the x-ray unit in the van with the door closed. The exposure time is less than a second and the whole procedure takes only a few minutes. The x-rays shows he has clean and healthy lungs. The NHS Mobile X-ray Unit visiting St Pauls Church drop-in  in Onslow Square, London SW7.The rates of tuberculosis in London are higher than any other Western European capital and is a major health problem. Tuberculosis is highly contagious, it is treatable, but in the event of no treatment it is often deadly. The MXU, the Mobile X-ray Unit, is a facility run by the NHS. The MXU is a Tuberculosis screening service on wheels where people can have their chest x-rayed and within minutes be either cleared of TB - or in case of any TB symptoms showing up on the X-rays, be referred to a hospital for further tests and possible treatment. The MXU is aimed at hard to reach groups like homeless people, drug or alcohol abuser and prisoners. The van is the only one in the UK and operates around London where it visits hostels, prisons and community centres where groups of hard to reach clients usually gather. On the van is a team of nurses, radiographers, social and outreach workers and expert technicians.<br />
The MXU van is a part of the NHS department Find and Treat.
    IMG_5409_1.jpg
  • The NHS MXU van is parked up outside St Mungo's hostel near King's Cross. <br />
The rates of tuberculosis in London are higher than any other Western European capital and is a major health problem. Tuberculosis is highly contagious, it is treatable, but in the event of no treatment it is often deadly. The MXU, the Mobile X-ray Unit, is a facility run by the NHS. The MXU is a Tuberculosis screening service on wheels where people can have their chest x-rayed and within minutes be either cleared of TB - or in case of any TB symptoms showing up on the X-rays, be referred to a hospital for further tests and possible treatment. The MXU is aimed at hard to reach groups like homeless people, drug or alcohol abuser and prisoners. The van is the only one in the UK and operates around London where it visits hostels, prisons and community centres where groups of hard to reach clients usually gather. On the van is a team of nurses, radiographers, social and outreach workers and expert technicians. The MXU van is a part of the NHS department Find and Treat.
    IMG_4942_1.jpg
  • Richard given a clean bill of health after he has had his chest x-rayed. The NHS Mobile X-ray Unit visiting St Pauls Church drop-in  in Onslow Square, London SW7.The rates of tuberculosis in London are higher than any other Western European capital and is a major health problem. Tuberculosis is highly contagious, it is treatable, but in the event of no treatment it is often deadly. The MXU, the Mobile X-ray Unit, is a facility run by the NHS. The MXU is a Tuberculosis screening service on wheels where people can have their chest x-rayed and within minutes be either cleared of TB - or in case of any TB symptoms showing up on the X-rays, be referred to a hospital for further tests and possible treatment. The MXU is aimed at hard to reach groups like homeless people, drug or alcohol abuser and prisoners. The van is the only one in the UK and operates around London where it visits hostels, prisons and community centres where groups of hard to reach clients usually gather. On the van is a team of nurses, radiographers, social and outreach workers and expert technicians.<br />
The MXU van is a part of the NHS department Find and Treat.
    IMG_5394_1.jpg
  • Inside the MXU. George is taking the next client's name while radiographer Diana is getting another client ready in the actual x-ray enclosure. The rates of tuberculosis in London are higher than any other Western European capital and is a major health problem. Tuberculosis is highly contagious, it is treatable, but in the event of no treatment it is often deadly. The MXU, the Mobile X-ray Unit, is a facility run by the NHS. The MXU is a Tuberculosis screening service on wheels where people can have their chest x-rayed and within minutes be either cleared of TB - or in case of any TB symptoms showing up on the X-rays, be referred to a hospital for further tests and possible treatment. The MXU is aimed at hard to reach groups like homeless people, drug or alcohol abuser and prisoners. The van is the only one in the UK and operates around London where it visits hostels, prisons and community centres where groups of hard to reach clients usually gather. On the van is a team of nurses, radiographers, social and outreach workers and expert technicians. The MXU van is a part of the NHS department Find and Treat.
    IMG_4985_1_1.jpg
  • Robert has had his lungs x-rayed and comes back out from the x-ray unit on the van to discuss the results with radiographer Diana. The x-ray shows no TB. Robert is a keen painter and makes drawings from all over London. The NHS Mobile X-ray Unit visiting St Pauls Church drop-in  in Onslow Square, London SW7. The rates of tuberculosis in London are higher than any other Western European capital and is a major health problem. Tuberculosis is highly contagious, it is treatable, but in the event of no treatment it is often deadly. The MXU, the Mobile X-ray Unit, is a facility run by the NHS. The MXU is a Tuberculosis screening service on wheels where people can have their chest x-rayed and within minutes be either cleared of TB - or in case of any TB symptoms showing up on the X-rays, be referred to a hospital for further tests and possible treatment. The MXU is aimed at hard to reach groups like homeless people, drug or alcohol abuser and prisoners. The van is the only one in the UK and operates around London where it visits hostels, prisons and community centres where groups of hard to reach clients usually gather. On the van is a team of nurses, radiographers, social and outreach workers and expert technicians.<br />
The MXU van is a part of the NHS department Find and Treat.
    IMG_5565_1_1.jpg
  • Seamus has had his lungs x-rayed and the x-ray shows no TB. The NHS Mobile X-ray Unit visiting St Pauls Church drop-in  in Onslow Square, London SW7. The rates of tuberculosis in London are higher than any other Western European capital and is a major health problem. Tuberculosis is highly contagious, it is treatable, but in the event of no treatment it is often deadly. The MXU, the Mobile X-ray Unit, is a facility run by the NHS. The MXU is a Tuberculosis screening service on wheels where people can have their chest x-rayed and within minutes be either cleared of TB - or in case of any TB symptoms showing up on the X-rays, be referred to a hospital for further tests and possible treatment. The MXU is aimed at hard to reach groups like homeless people, drug or alcohol abuser and prisoners. The van is the only one in the UK and operates around London where it visits hostels, prisons and community centres where groups of hard to reach clients usually gather. On the van is a team of nurses, radiographers, social and outreach workers and expert technicians.<br />
The MXU van is a part of the NHS department Find and Treat.
    IMG_5520_1.jpg
  • The NHS Mobile X-ray Unit visiting St Pauls Church drop-in  in Onslow Square, London SW7.The rates of tuberculosis in London are higher than any other Western European capital and is a major health problem. Tuberculosis is highly contagious, it is treatable, but in the event of no treatment it is often deadly. The MXU, the Mobile X-ray Unit, is a facility run by the NHS. The MXU is a Tuberculosis screening service on wheels where people can have their chest x-rayed and within minutes be either cleared of TB - or in case of any TB symptoms showing up on the X-rays, be referred to a hospital for further tests and possible treatment. The MXU is aimed at hard to reach groups like homeless people, drug or alcohol abuser and prisoners. The van is the only one in the UK and operates around London where it visits hostels, prisons and community centres where groups of hard to reach clients usually gather. On the van is a team of nurses, radiographers, social and outreach workers and expert technicians.<br />
The MXU van is a part of the NHS department Find and Treat.
    IMG_5401_1.jpg
  • A couple of NHS clients and their social worker go back into the de-tox facility in Angel after they have had their chest x-rayed. The rates of tuberculosis in London are higher than any other Western European capital and is a major health problem. Tuberculosis is highly contagious, it is treatable, but in the event of no treatment it is often deadly. The MXU, the Mobile X-ray Unit, is a facility run by the NHS. The MXU is a Tuberculosis screening service on wheels where people can have their chest x-rayed and within minutes be either cleared of TB - or in case of any TB symptoms showing up on the X-rays, be referred to a hospital for further tests and possible treatment. The MXU is aimed at hard to reach groups like homeless people, drug or alcohol abuser and prisoners. The van is the only one in the UK and operates around London where it visits hostels, prisons and community centres where groups of hard to reach clients usually gather. On the van is a team of nurses, radiographers, social and outreach workers and expert technicians.<br />
The MXU van is a part of the NHS department Find and Treat.
    IMG_5030_1.jpg
  • A homeless man has just had his chest x-rayed and radiographer Diana is reading the image on screen which comes up immediately after exposure. She shows him his lungs and explains that he does not have TB. The rates of tuberculosis in London are higher than any other Western European capital and is a major health problem. Tuberculosis is highly contagious, it is treatable, but in the event of no treatment it is often deadly. The MXU, the Mobile X-ray Unit, is a facility run by the NHS. The MXU is a Tuberculosis screening service on wheels where people can have their chest x-rayed and within minutes be either cleared of TB - or in case of any TB symptoms showing up on the X-rays, be referred to a hospital for further tests and possible treatment. The MXU is aimed at hard to reach groups like homeless people, drug or alcohol abuser and prisoners. The van is the only one in the UK and operates around London where it visits hostels, prisons and community centres where groups of hard to reach clients usually gather. On the van is a team of nurses, radiographers, social and outreach workers and expert technicians. The MXU van is a part of the NHS department Find and Treat.
    IMG_5012_1.jpg
  • A homeless man has just had his chest x-rayed and radiographer Diana is reading the image on screen which comes up immediately after exposure. She shows him his lungs and explains that he does not have TB. The rates of tuberculosis in London are higher than any other Western European capital and is a major health problem. Tuberculosis is highly contagious, it is treatable, but in the event of no treatment it is often deadly. The MXU, the Mobile X-ray Unit, is a facility run by the NHS. The MXU is a Tuberculosis screening service on wheels where people can have their chest x-rayed and within minutes be either cleared of TB - or in case of any TB symptoms showing up on the X-rays, be referred to a hospital for further tests and possible treatment. The MXU is aimed at hard to reach groups like homeless people, drug or alcohol abuser and prisoners. The van is the only one in the UK and operates around London where it visits hostels, prisons and community centres where groups of hard to reach clients usually gather. On the van is a team of nurses, radiographers, social and outreach workers and expert technicians.The MXU van is a part of the NHS department Find and Treat.
    IMG_5008_1.jpg
  • Michael, one of the users at St Paul's drop-in has had his lungs x-rayed and the x-ray shows  no TB. Diana, the van's radiographer explains to hime how the lungs and heart connect inside the chest. The NHS Mobile X-ray Unit visiting St Pauls Church drop-in  in Onslow Square, London SW7. The rates of tuberculosis in London are higher than any other Western European capital and is a major health problem. Tuberculosis is highly contagious, it is treatable, but in the event of no treatment it is often deadly. The MXU, the Mobile X-ray Unit, is a facility run by the NHS. The MXU is a Tuberculosis screening service on wheels where people can have their chest x-rayed and within minutes be either cleared of TB - or in case of any TB symptoms showing up on the X-rays, be referred to a hospital for further tests and possible treatment. The MXU is aimed at hard to reach groups like homeless people, drug or alcohol abuser and prisoners. The van is the only one in the UK and operates around London where it visits hostels, prisons and community centres where groups of hard to reach clients usually gather. On the van is a team of nurses, radiographers, social and outreach workers and expert technicians.<br />
The MXU van is a part of the NHS department Find and Treat.
    IMG_5439_1_1.jpg
  • Mohamed with x-rays showing healthy lungs. Diana, the van's radiographer shows Mohamed the image of his x-rayed lungs and explains to him that he does not have TB. The NHS Mobile X-ray Unit visiting St Pauls Church drop-in  in Onslow Square, London SW7.The rates of tuberculosis in London are higher than any other Western European capital and is a major health problem. Tuberculosis is highly contagious, it is treatable, but in the event of no treatment it is often deadly. The MXU, the Mobile X-ray Unit, is a facility run by the NHS. The MXU is a Tuberculosis screening service on wheels where people can have their chest x-rayed and within minutes be either cleared of TB - or in case of any TB symptoms showing up on the X-rays, be referred to a hospital for further tests and possible treatment. The MXU is aimed at hard to reach groups like homeless people, drug or alcohol abuser and prisoners. The van is the only one in the UK and operates around London where it visits hostels, prisons and community centres where groups of hard to reach clients usually gather. On the van is a team of nurses, radiographers, social and outreach workers and expert technicians.<br />
The MXU van is a part of the NHS department Find and Treat.
    IMG_5417_1.jpg
  • Radiographer Diana is making a client comfortable and ready to have her x-ray. The woman is pregnant which is why she is wearing a green lead apron to protect her womb against radiation. The radiation levels are extremly low and pose no health hazzard. The rates of tuberculosis in London are higher than any other Western European capital and is a major health problem. Tuberculosis is highly contagious, it is treatable, but in the event of no treatment it is often deadly. The MXU, the Mobile X-ray Unit, is a facility run by the NHS. The MXU is a Tuberculosis screening service on wheels where people can have their chest x-rayed and within minutes be either cleared of TB - or in case of any TB symptoms showing up on the X-rays, be referred to a hospital for further tests and possible treatment. The MXU is aimed at hard to reach groups like homeless people, drug or alcohol abuser and prisoners. The van is the only one in the UK and operates around London where it visits hostels, prisons and community centres where groups of hard to reach clients usually gather. On the van is a team of nurses, radiographers, social and outreach workers and expert technicians. The MXU van is a part of the NHS department Find and Treat.
    IMG_4986_1.jpg
  • A female radiographer, Diana, reviews a young man’s digital chest x-ray checking for abnormalities associated with tuberculosis (TB) and other chest infections. The chest x-ray was performed on the NHS Mobile X-ray Unit (MXU) van screening for TB. The van is parked outside a hostel in central London and the visit is part of a public health intervention for Active Case Finding for TB in hard to reach groups. The rates of TB in London are higher than any other Western European capital and is a major public health problem. TB is an infectious disease, but treatable and curable if diagnosed in time. Early diagnosis is a key to TB control and Active Case Finding is an important part of this.
    UK-Health-London-TB-Screening-5879.jpg
  • An abnormal digital chest x-ray is shown on the screen in the NHS’s Mobile X-ray Unit (MXU).  The chest x-ray was taken as a public health screening for Tuberculosis (TB).  The van is parked outside a hostel in central London and the visit is part of a public health intervention for Active Case Finding for TB in hard to reach groups. The rates of TB in London are higher than any other Western European capital and is a major public health problem. TB is an infectious disease, but treatable and curable if diagnosed in time. Early diagnosis is a key to TB control and Active Case Finding is an important part of this.
    UK-Health-London-TB-Screening-5896.jpg
  • A man had a digital chest x-ray on the NHS Mobile X-ray Unit (MXU) van screening for tuberculosis. The van is parked outside a hostel in central London and the visit is part of a public health intervention for Active Case Finding for TB in hard to reach groups.
    UK-Health-London-TB-Screening-5864.jpg
  • A young woman has a digital chest x-ray on the NHS Mobile X-ray Unit (MXU) van screening for tuberculosis (TB). The van is parked outside a hostel in central London and the visit is part of a public health intervention for Active Case Finding for TB in hard to reach groups. The rates of TB in London are higher than any other Western European capital and is a major public health problem. TB is an infectious disease, but treatable and curable if diagnosed in time. Early diagnosis is a key to TB control and Active Case Finding is an important part of this.
    UK-Health-London-TB-Screening-5884.jpg
  • An Operation Asha trained counsellor uses the biometric patient record computer system to register a new Tuberculosis (TB) patient by scanning her finger print in a health clinic in Tehkhand Slum, Delhi, India. Operation Asha works to eliminate Tuberculosis (TB) in India.  They aim to improve patients’ adherence to long and difficult drug treatment programs by introducing eDOTs, a low-cost biometric system that requires only a basic laptop and mobile phone.  Internet access is not required and the system has been designed to be easily used by people with little education. DOTs refers to Directly Observed Therapy.
    India-TB-Health-Clinic-4039_1.jpg
  • An Operation Asha trained counsellor uses the biometric patient record computer system to register a new Tuberculosis (TB) patient by scanning their finger print in a health clinic in Tehkhand Slum, Delhi, India. Operation Asha works to eliminate Tuberculosis (TB) in India.  They aim to improve patients’ adherence to long and difficult drug treatment programs by introducing eDOTs, a low-cost biometric system that requires only a basic laptop and mobile phone.  Internet access is not required and the system has been designed to be easily used by people with little education. DOTs refers to Directly Observed Therapy.
    India-TB-Health-Clinic-4197_1.jpg
  • An Operation Asha trained counsellor uses the biometric patient record computer system to register a new Tuberculosis (TB) patient by scanning her finger print in a health clinic in Tehkhand Slum, Delhi, India. Operation Asha works to eliminate Tuberculosis (TB) in India.  They aim to improve patients’ adherence to long and difficult drug treatment programs by introducing eDOTs, a low-cost biometric system that requires only a basic laptop and mobile phone.  Internet access is not required and the system has been designed to be easily used by people with little education. DOTs refers to Directly Observed Therapy.
    India-TB-Health-Clinic-4045_1.jpg
  • An Operation Asha trained counsellor uses the biometric patient record computer system to register a new Tuberculosis (TB) patient by scanning her finger print in a health clinic in Tehkhand Slum, Delhi, India. Operation Asha works to eliminate Tuberculosis (TB) in India.  They aim to improve patients’ adherence to long and difficult drug treatment programs by introducing eDOTs, a low-cost biometric system that requires only a basic laptop and mobile phone.  Internet access is not required and the system has been designed to be easily used by people with little education. DOTs refers to Directly Observed Therapy.
    India-TB-Health-Clinic-4063_1.jpg
  • An Operation Asha trained counsellor uses the biometric patient record computer system to register a new Tuberculosis (TB) patient by scanning her finger print in a health clinic in Tehkhand Slum, Delhi, India. Operation Asha works to eliminate Tuberculosis (TB) in India.  They aim to improve patients’ adherence to long and difficult drug treatment programs by introducing eDOTs, a low-cost biometric system that requires only a basic laptop and mobile phone.  Internet access is not required and the system has been designed to be easily used by people with little education. DOTs refers to Directly Observed Therapy.
    India-TB-Health-Clinic-4052_1.jpg
  • An Operation Asha trained counsellor uses the biometric patient record computer system to register a new Tuberculosis (TB) patient by scanning her finger print in a health clinic in Tehkhand Slum, Delhi, India. Operation Asha works to eliminate Tuberculosis (TB) in India.  They aim to improve patients’ adherence to long and difficult drug treatment programs by introducing eDOTs, a low-cost biometric system that requires only a basic laptop and mobile phone.  Internet access is not required and the system has been designed to be easily used by people with little education. DOTs refers to Directly Observed Therapy.
    India-TB-Health-Clinic-4068_1.jpg
  • Two nurses try to reassure an anxious patient who is scared of needles and is reluctant to have a blood test as part of a tuberculosis (TB) contact screening exercise in a young people’s hostel in Central London, UK.
    UK-Health-London-TB-Screening-5601.jpg
  • A tuberculosis contact tracing nurse prepares a young females arm for a blood test.  This is part of public health screening event in response from some recent TB cases being diagnosed in a homeless hostel in central London, UK.
    UK-Health-London-TB-Screening-5646.jpg
  • A male public health TB nurse smiles at a young female patient as her prepares her for a blood test  during a tuberculosis contact tracing screening in a hostel in central London, UK.
    UK-Health-London-TB-Screening-5590.jpg
  • A nurse writes patients details on a blood sample bottle which will be sent for QuantiFERON-TB Gold test for latent tuberculosis testing, also know as Interferon gamma release assay (IGRA).
    UK-Health-London-TB-Screening-5578.jpg
  • A nurse writes patients details on a blood sample bottle which will be sent for QuantiFERON-TB Gold test for latent tuberculosis testing, also know as Interferon gamma release assay (IGRA).
    UK-Health-London-TB-Screening-5828.jpg
  • The London TB Extended Contact Tracing Team conduct TB contact assessments for residents in a young people’s hostel which has recently had a few cases of tuberculosis.
    UK-Health-London-TB-Screening-5821.jpg
  • A tuberculosis contact tracing nurse prepares a young females arm for a blood test.  This is part of public health screening event in response from some recent TB cases being diagnosed in a homeless hostel in central London, UK.
    UK-Health-London-TB-Screening-5664.jpg
  • A TB Nurse Specialist checks for a BCG vaccination scar on a young man’s arm.  This is part of a tuberculosis incident screening exercise conducted in a young people’s hostel in central London, Uk, after a few residents were diagnosed with TB infection.
    UK-Health-London-TB-Screening-5534.jpg
  • Two orange tablets of antibiotic medication.  These tablets are Rifinah 300/150 and is a combination of Rifampicin and Isoniazid used as first line treatment for tuberculosis.
    UK-Health-TB-medication-9023.jpg
  • A patient swallows Tuberculosis (TB) medication in Delhi, India. The treatment for TB is a minimum 6 month course of combination antibiotics that must been taken everyday, otherwise fatal drug resistance can develop.  The medication is free and provided by the government. TB is an infectious disease and a huge public health issue often associated with poverty.  TB is completely curable, however TB rates are increasing and India suffers from the highest burden of TB in the world.
    India-TB-Health-Clinic-4642_1.jpg
  • Empty blister-packs of patients Tuberculosis (TB) daily medication in a health clinic in Tehkhand Slum, Delhi, India.  The treatment for TB is a minimum 6 month course of combination antibiotics that must been taken everyday, otherwise fatal drug resistance can develop.  The medication is free and provided by the government. TB is an infectious disease and a huge public health issue often associated with poverty.  TB is completely curable, however TB rates are increasing and India suffers from the highest burden of TB in the world.
    India-TB-Health-Clinic-3992_1.jpg
  • A patient’s daily drugs placed into a medicine pot to treat tuberculosis in a TB clinic in London, England, UK.  The patient attends the clinic everyday to receive their tablets as part of a Directly Observed Therapy medicine schedule.  The treatment comprises of a cocktail of antibiotics and taken for at least 6 months.
    UK-Health-TB-medication-8978.jpg
  • Patients wait outside  a health clinic in Tehkhand Slum, Delhi, India.<br />
Operation Asha works to eliminate Tuberculosis (TB) in India.  They aim to improve patients’ adherence to long and difficult drug treatment programs by introducing eDOTs, a low-cost biometric system that requires only a basic laptop and mobile phone.  Internet access is not required and the system has been designed to be easily used by people with little education. DOTs refers to Directly Observed Therapy.
    India-TB-Health-Clinic-4077_1.jpg
  • 4 medication capsules of antibiotic Rifampicin used to treat bacterial infections including tuberculosis in a London TB clinic, England, UK.
    UK-Health-TB-medication-8991.jpg
  • A patient swallows Tuberculosis (TB) medication in Delhi, India. The treatment for TB is a minimum 6 month course of combination antibiotics that must been taken everyday, otherwise fatal drug resistance can develop.  The medication is free and provided by the government. TB is an infectious disease and a huge public health issue often associated with poverty.  TB is completely curable, however TB rates are increasing and India suffers from the highest burden of TB in the world.
    India-TB-Health-Clinic-4655_1.jpg
  • An Indian patient holds their daily Tuberculosis (TB) medication in the palm of their hand in a slum in Delhi, India. The treatment for TB is a minimum 6 month course of combination antibiotics that must been taken everyday, otherwise fatal drug resistance can develop.  The medication is free and provided by the government. TB is an infectious disease and a huge public health issue often associated with poverty.  TB is completely curable, however TB rates are increasing and India suffers from the highest burden of TB in the world.
    India-TB-Health-Clinic-4636_1.jpg
  • An Operation Asha female worker uses the fingerprint scanner to access the biometric patient record computer system at a health clinic in Meethapur slum, Delhi, India. Operation Asha works to eliminate Tuberculosis (TB) in India.  They aim to improve patients’ adherence to long and difficult drug treatment programs by introducing eDOTs, a low-cost biometric system that requires only a basic laptop and mobile phone.  Internet access is not required and the system has been designed to be easily used by people with little education. DOTs refers to Directly Observed Therapy.
    India-TB-Health-Clinic-4631_1.jpg
  • A young Indian child taking her daily medication tablets for Tuberculosis (TB) which are being dispensed by a Directly Observed Therapy (DOT) worker.  The treatment for TB is a minimum 6 month course of combination antibiotics that must been taken everyday, otherwise fatal drug resistance can develop.  The medication is free and provided by the government. TB is an infectious disease and a huge public health issue often associated with poverty.  TB is completely curable, however TB rates are increasing and India suffers from the highest burden of TB in the world.  Health clinic in Tehkhand Slum, Delhi, India.
    India-TB-Health-Clinic-4359_1.jpg
  • A young pediatric patient holds their daily Tuberculosis (TB) medication in the palm of their hand in a slum in Delhi , India. The treatment for TB is a minimum 6 month course of combination antibiotics that must been taken everyday, otherwise fatal drug resistance can develop.  The medication is free and provided by the government. TB is an infectious disease and a huge public health issue often associated with poverty.  TB is completely curable, however TB rates are increasing and India suffers from the highest burden of TB in the world.
    India-TB-Health-Clinic-4347_1.jpg
  • A young Indian child is given daily medication tablets for Tuberculosis (TB) which are being dispensed by a Directly Observed Therapy (DOT) worker.  The treatment for TB is a minimum 6 month course of combination antibiotics that must been taken everyday, otherwise fatal drug resistance can develop.  The medication is free and provided by the government. TB is an infectious disease and a huge public health issue often associated with poverty.  TB is completely curable, however TB rates are increasing and India suffers from the highest burden of TB in the world.  Health clinic in Tehkhand Slum, Delhi, India.
    India-TB-Health-Clinic-4342_1.jpg
  • An 8 year old Indian boy is given his daily medication tablets for Tuberculosis (TB) which are being dispensed to him by a Directly Observed Therapy (DOT) worker.  The treatment for TB is a minimum 6 month course of combination antibiotics that must been taken everyday, otherwise fatal drug resistance can develop.  The medication is free and provided by the government. TB is an infectious disease and a huge public health issue often associated with poverty.  TB is completely curable, however TB rates are increasing and India suffers from the highest burden of TB in the world.  Health clinic in Tehkhand Slum, Delhi, India.
    India-TB-Health-Clinic-4262_1.jpg
  • A biometric patient record computer system in a health clinic in Tehkhand Slum, Delhi, India.<br />
Operation Asha works to eliminate Tuberculosis (TB) in India.  They aim to improve patients’ adherence to long and difficult drug treatment programs by introducing eDOTs, a low-cost biometric system that requires only a basic laptop and mobile phone.  A patient is identified by their scanned finger print.  It has been designed so that people with little education can use the system.
    India-TB-Health-Clinic-4084_1.jpg
  • Women walking past  a health clinic in Tehkhand Slum, Delhi, India.<br />
Operation Asha works to eliminate Tuberculosis (TB) in India.  They aim to improve patients’ adherence to long and difficult drug treatment programs by introducing eDOTs, a low-cost biometric system that requires only a basic laptop and mobile phone.  Internet access is not required and the system has been designed to be easily used by people with little education. DOTs refers to Directly Observed Therapy.
    India-TB-Health-Clinic-4026_1.jpg
  • Empty blister-packs of patients Tuberculosis (TB) daily medication in a health clinic in Tehkhand Slum, Delhi, India.  The treatment for TB is a minimum 6 month course of combination antibiotics that must been taken everyday, otherwise fatal drug resistance can develop.  The medication is free and provided by the government. TB is an infectious disease and a huge public health issue often associated with poverty.  TB is completely curable, however TB rates are increasing and India suffers from the highest burden of TB in the world.
    India-TB-Health-Clinic-4014_1.jpg
  • Sarah Murphy, TB Nurse Specialist for Public Health England’s London TB Extended Contact Tracing Team (LTBEx) whilst doing a health assessment on a young person as part of tuberculosis contact screening in a community secondary school in London. UK
    UK-Public-Health-Fighting-TB_-0855.jpg
  • One soft capsules of medication Rifampicin used as first line treatment for tuberculosis within a combination of other antibiotic medications.
    UK-Health-TB-medication-9003.jpg
  • A patient’s hand reaches for their daily tuberculosis medication in a TB clinic in London, England, United Kingdom.   These tablets are the antibiotic Rifampicin which is the first line treatment for TB.
    UK-Health-TB-medication-8987.jpg
  • An Operation Asha female worker uses the fingerprint scanner to access the biometric patient record computer system at a health clinic in Meethapur slum, Delhi, India. Operation Asha works to eliminate Tuberculosis (TB) in India.  They aim to improve patients’ adherence to long and difficult drug treatment programs by introducing eDOTs, a low-cost biometric system that requires only a basic laptop and mobile phone.  Internet access is not required and the system has been designed to be easily used by people with little education. DOTs refers to Directly Observed Therapy.
    India-TB-Health-Clinic-4673_1.jpg
  • A young Indian child taking her daily medication tablets for Tuberculosis (TB) which are being dispensed by a Directly Observed Therapy (DOT) worker.  The treatment for TB is a minimum 6 month course of combination antibiotics that must been taken everyday, otherwise fatal drug resistance can develop.  The medication is free and provided by the government. TB is an infectious disease and a huge public health issue often associated with poverty.  TB is completely curable, however TB rates are increasing and India suffers from the highest burden of TB in the world.  Health clinic in Tehkhand Slum, Delhi, India.
    India-TB-Health-Clinic-4354_1.jpg
  • A blister-pack of a patient’s Tuberculosis (TB) daily medication in a health clinic in Tehkhand Slum, Delhi, India.  The treatment for TB is a minimum 6 month course of combination antibiotics that must been taken everyday, otherwise fatal drug resistance can develop.  The medication is free and provided by the government. TB is an infectious disease and a huge public health issue often associated with poverty.  TB is completely curable, however TB rates are increasing and India suffers from the highest burden of TB in the world.
    India-TB-Health-Clinic-3974_1.jpg
  • A reaction to the Mantoux PPD skin test is measured with a clinical ruler.  The test was administered as part of contact tracing to identify Latent TB Infection for someone who has been in close contact with a case of infectious tuberculosis. London, UK.
    UK-Public-Health-Fighting-TB_-0004.jpg
  • A reaction to the Mantoux PPD skin test is measured with a clinical ruler.  The test was administered as part of contact tracing to identify Latent TB Infection for someone who has been in close contact with a case of infectious tuberculosis. London, UK.
    UK-Public-Health-Fighting-TB_-0002.jpg
  • Rimactane 300 mg tablets in a blister pack.  This drug is manufactured by Sandoz and contains Rifampicin antibiotic used as first line treatment for tuberculosis in combination with other medication.
    UK-Health-TB-medication-9034.jpg
  • A white medication tablet of Pyrazinamide 500mg used to treat tuberculosis.  The drug is an antibiotic largely bacteriostatic, but can be bacteriocidal.
    UK-Health-TB-medication-9014.jpg
  • Four medication capsules of antibiotic Rifampicin used to treat bacterial infections including tuberculosis in a London TB clinic, England, UK.
    UK-Health-TB-medication-8998.jpg
  • 4 medication capsules of antibiotic Rifampicin used to treat bacterial infections including tuberculosis in a London TB clinic, England, UK.
    UK-Health-TB-medication-8984.jpg
  • An Operation Asha female worker uses the fingerprint scanner to access the biometric patient record computer system at a health clinic in Meethapur slum, Delhi, India. Operation Asha works to eliminate Tuberculosis (TB) in India.  They aim to improve patients’ adherence to long and difficult drug treatment programs by introducing eDOTs, a low-cost biometric system that requires only a basic laptop and mobile phone.  Internet access is not required and the system has been designed to be easily used by people with little education. DOTs refers to Directly Observed Therapy.
    India-TB-Health-Clinic-4671_1.jpg
  • A young patient holds their daily Tuberculosis (TB) medication in the palm of their hand in a slum in Delhi , India. The treatment for TB is a minimum 6 month course of combination antibiotics that must been taken everyday, otherwise fatal drug resistance can develop.  The medication is free and provided by the government. TB is an infectious disease and a huge public health issue often associated with poverty.  TB is completely curable, however TB rates are increasing and India suffers from the highest burden of TB in the world.
    India-TB-Health-Clinic-4343_1.jpg
  • An 8 year old Indian boy is given his daily medication tablets for Tuberculosis (TB) which are being dispensed to him by a Directly Observed Therapy (DOT) worker.  The treatment for TB is a minimum 6 month course of combination antibiotics that must been taken everyday, otherwise fatal drug resistance can develop.  The medication is free and provided by the government. TB is an infectious disease and a huge public health issue often associated with poverty.  TB is completely curable, however TB rates are increasing and India suffers from the highest burden of TB in the world.  Health clinic in Tehkhand Slum, Delhi, India.
    India-TB-Health-Clinic-4246_1.jpg
  • A patient holds their daily Tuberculosis (TB) medication in the palm of their hand in a slum in Delhi , India. The treatment for TB is a minimum 6 month course of combination antibiotics that must been taken everyday, otherwise fatal drug resistance can develop.  The medication is free and provided by the government. TB is an infectious disease and a huge public health issue often associated with poverty.  TB is completely curable, however TB rates are increasing and India suffers from the highest burden of TB in the world.
    India-TB-Health-Clinic-4204_1.jpg
  • Sarah Murphy, TB Nurse Specialist for Public Health England’s London TB Extended Contact Tracing Team (LTBEx) whilst doing a health assessment on a teenage school girl as part of tuberculosis contact screening in a community secondary school in London. UK
    UK-Public-Health-Fighting-TB_-0811.jpg
  • The Mantoux PPD skin test is drawn up into a syringe, this test is used during tuberculosis contact tracing to identify cases of Latent TB Infection. London, UK.
    UK-Public-Health-Fighting-TB_-0742.jpg
  • Medication tablets for tuberculosis in a TB clinic in London, England, UK. The red and grey tablets are Rifampicin and white tablets are Pyrazinamide.  They have to be taken together to treat the bacterial infection and prevent drug resistance.
    UK-Health-TB-medication-8979.jpg
  • A patient swallows Tuberculosis (TB) medication in Delhi, India. The treatment for TB is a minimum 6 month course of combination antibiotics that must been taken everyday, otherwise fatal drug resistance can develop.  The medication is free and provided by the government. TB is an infectious disease and a huge public health issue often associated with poverty.  TB is completely curable, however TB rates are increasing and India suffers from the highest burden of TB in the world.
    India-TB-Health-Clinic-4657_1.jpg
  • A Tuberculosis treatment record card for a 6 year old Indian girl in a health clinic in Tehkhand Slum, Delhi, India.  The young child will receive at least 6-months treatment course of combination antibiotics that must been taken everyday, otherwise fatal drug resistance can develop.  The medication is free and provided by the government. TB is an infectious disease and a huge public health issue often associated with poverty.  TB is completely curable, however TB rates are increasing and India suffers from the highest burden of TB in the world with many pediatric cases.
    India-TB-Health-Clinic-4310_1.jpg
  • A patient holds their daily Tuberculosis (TB) medication in the palm of their hand in a slum in Delhi , India. The treatment for TB is a minimum 6 month course of combination antibiotics that must been taken everyday, otherwise fatal drug resistance can develop.  The medication is free and provided by the government. TB is an infectious disease and a huge public health issue often associated with poverty.  TB is completely curable, however TB rates are increasing and India suffers from the highest burden of TB in the world.
    India-TB-Health-Clinic-4234_1.jpg
  • Empty blister-packs of patients Tuberculosis (TB) daily medication in a health clinic in Tehkhand Slum, Delhi, India.  The treatment for TB is a minimum 6 month course of combination antibiotics that must been taken everyday, otherwise fatal drug resistance can develop.  The medication is free and provided by the government. TB is an infectious disease and a huge public health issue often associated with poverty.  TB is completely curable, however TB rates are increasing and India suffers from the highest burden of TB in the world.
    India-TB-Health-Clinic-3997_1.jpg
  • Sarah Murphy, TB Nurse Specialist and lead nurse for Public Health England’s London TB Extended Contact Tracing Team (LTBEx) whilst doing tuberculosis contact screening in a community secondary school in London, UK.
    UK-Public-Health-Fighting-TB_-0383.jpg
  • Diana, a female radiographer, sits and reviews a patient’t medical notes on the Mobile X-ray Unit (MXU).  The MXU van is parked outside a hostel in central London and the visit is part of a public health intervention for Active Case Finding for TB in hard to reach groups.  The rates of TB in London are higher than any other Western European capital and is a major public health problem. TB is an infectious disease, but treatable and curable if diagnosed in time. Early diagnosis is a key to TB control and Active Case Finding is an important part of this.
    UK-Health-London-TB-Screening-5905.jpg
  • Three blood sample bottles packed in a QuantiFERON-TB Gold box.  The blood tests are used to detect latent TB infection in patients as is know as Interferon gamma release assay (IGRA).
    UK-Health-London-TB-Screening-5570.jpg
  • A Consultant in Communicable Disease Control interviews a young muslim woman as part of a TB contact tracing intervention in central London, UK.
    UK-Health-London-TB-Screening-5522.jpg
  • A young man shows the tattoos on his arms whilst a healthcare professional checks for a BCG scar during a public health intervention in a young people’s homeless hostel in Central London, UK.
    UK-Health-London-TB-Screening-5757.jpg
  • A Consultant in Communicable Disease Control interviews a young man as part of a TB contact tracing intervention in central London, UK.
    UK-Health-London-TB-Screening-5692.jpg
  • A TB Nurse Specialist Public Health Nurse interviews a patient to identify risk factors for TB exposure during a contact tracing screening exercise in a young people’s hostel in central London, UK.
    UK-Health-London-TB-Screening-5518.jpg
  • A young man walks past the National Health Service (NHS)’s Mobile X-ray Unit (MXU) which is parked outside a youth hostel in central London. The van is a public health initiative for Active Case Finding for TB in hard to reach groups.  The rates of TB in London are higher than any other Western European capital and is a major public health problem. TB is an infectious disease, but treatable and curable if diagnosed in time. Early diagnosis is a key to TB control and Active Case Finding is an important part of this.
    UK-Health-London-TB-Screening-5927.jpg
  • A TB Specialist Public Health Nurse interviews a patient to identify risk factors for TB exposure during a contact tracing screening exercise in a young people’s hostel in central London, UK.
    UK-Health-London-TB-Screening-5502.jpg
  • The National Health Service (NHS)’s Mobile X-ray Unit (MXU) parked on a central London street, UK.  The van is a public health initiative for Active Case Finding for TB in hard to reach groups.  The rates of TB in London are higher than any other Western European capital and is a major public health problem. TB is an infectious disease, but treatable and curable if diagnosed in time. Early diagnosis is a key to TB control and Active Case Finding is an important part of this.
    UK-Health-London-TB-Screening-5911.jpg
  • Two TB nurses feel for a vein on a patient’s arm in preparation to do a blood test for TB in London, UK.
    UK-Health-London-TB-Screening-5607.jpg
  • A nurse prepares a patient for a blood test in a public health TB screening event in London, UK.
    UK-Health-London-TB-Screening-5733.jpg
  • Sarah Murphy, TB Nurse Specialist, performs an intra-dermal injection of the Mantoux PPD skin test on a young person’s forearm to screen for Latent TB infection. London, UK.
    UK-Public-Health-Fighting-TB_-0744.jpg
  • Sarah Murphy, TB Nurse Specialist and Lead Nurse for Public Health England’s London TB Extended Contact Tracing Team (LTBEx) gives an assembly to a large group of school pupils to raise awareness of TB and explain the contact tracing process before they are offered screening fo possible TB exposure. London, UK.
    UK-Public-Health-Fighting-TB_-0657.jpg
  • Sarah Murphy, TB Nurse Specialist and Lead Nurse for Public Health England’s London TB Extended Contact Tracing Team (LTBEx) gives an assembly to a large group of school pupils to raise awareness of TB and explain the contact tracing process before they are offered screening fo possible TB exposure. London, UK.
    UK-Public-Health-Fighting-TB_-0554.jpg
  • Protest against the proposed cull of badgers June 1st 2013, led by a flashmob of dancers dressed with badger heads and black and white costumes.
    bad_0216_1.jpg
  • Protest against the proposed cull of badgers June 1st 2013. A couple with badger facepaint pose holding a balloon with a picture of a badger saying 'Not guilty'.
    bad_0101_1.jpg
  • Protest against the proposed cull of badgers June 1st 2013. A demonstrator holds a placard saying 'Bovine TB. Badgers didn't cause the problem, killing them won't solve it'.
    bad_0071_1.jpg
  • Protest against the proposed cull of badgers June 1st 2013. A man with his face painted as a badger , with a badger glove puppet and wearing a t-shirt saying anti-speciesism
    bad_0026_1.jpg
  • Sarah Murphy, TB Nurse Specialist for London TB Extended Contact Tracing (LTBEX) team, interviews a teenage girl who has had been identified as having contact with a case of infectious TB, so has been offered contact screening involving a health assessment and Mantoux skin test.  The contact tracing is being done in the school to increase uptake amongst the pupils. London, UK.
    UK-Public-Health-Fighting-TB_-0955.jpg
  • Sarah Murphy, TB Nurse Specialist, performs an intra-dermal injection of the Mantoux PPD skin test on a young person’s forearm to screen for Latent TB infection. London, UK.
    UK-Public-Health-Fighting-TB_-0805.jpg
  • Nafisatu Samuray, nurse for London TB Extended Contact Tracing (LTBEX) team, interviews a teenage boy who has had been identified as having contact with a case of infectious TB, so has been offered TB contact screening involving a health assessment and Mantoux skin test.  The contact tracing is being done in the school to increase uptake amongst the school pupils. London, UK.
    UK-Public-Health-Fighting-TB_-0716.jpg
  • Protest against the proposed cull of badgers June 1st 2013 led by a flashmob of dancers dressed with badger heads and black and white costumes, and with Brian May, Queen guitarist .
    bad_0244_1.jpg
  • Protest against the proposed cull of badgers June 1st 2013. A demonstrator dressed as a cow  holds a placard saying 'Cows against the cull. Vaccinate'.
    bad_0076_1.jpg
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