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Screening for latent tuberculosis and gastrointestinal parasite infections in Gurkha recruits: research driving policy change
  1. Matthew K O'Shea1,5,
  2. T E Fletcher2,5,
  3. D Tupper3,
  4. D Ross4 and
  5. D Wilson5
  1. 1Nuffield Department of Medicine, The Jenner Institute, University of Oxford, Oxford, UK
  2. 2Liverpool School of Tropical Medicine, Liverpool, UK
  3. 3Medical Centre, Vimy Barracks, Catterick, UK
  4. 4Army Health Unit, Former Army Staff College, Camberley, UK
  5. 5Royal Centre for Defence Medicine (Academia and Research), Birmingham, UK
  1. Correspondence to Col Duncan Wilson, Royal Centre for Defence Medicine (Academia and Research), Medical Directorate, Joint Medical Command, ICT Building, Birmingham Research Park, Birmingham B15 2SQ, UK; SGJMCMEDD-MilMedProfessor{at}


Nepalese Gurkha soldiers are recruited from a country endemic for a number of infectious diseases, including tuberculosis and gastrointestinal parasites. This article describes a prospective cohort study which investigated screening strategies for these infections among Gurkha recruits arriving in the UK to begin basic training. Several recommendations were made as a result of the study which were supported for early implementation and subsequently fully adopted. Military screening and treatment policies have been directly influenced by this research which also has translational application to similar migrant civilian populations.

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