Alex Stockdale
@alexstockdale.bsky.social
Senior Clinical Lecturer in Infectious Diseases at the University of Liverpool and Malawi Liverpool Wellcome Research Programme.
Epidemiology, virology and implementation science.
Interested in eliminating hepatitis B as a public health threat in Africa.
Epidemiology, virology and implementation science.
Interested in eliminating hepatitis B as a public health threat in Africa.
Great to collaborate with colleagues in Ethiopia. A decentralised HBV programme achieved some good on-treatment results but half of patients lost to follow up. We need to work out how to better engage and retain patients in care. #idsky #hepsky
www.thelancet.com/journals/lan...
www.thelancet.com/journals/lan...
October 16, 2025 at 7:28 AM
Great to collaborate with colleagues in Ethiopia. A decentralised HBV programme achieved some good on-treatment results but half of patients lost to follow up. We need to work out how to better engage and retain patients in care. #idsky #hepsky
www.thelancet.com/journals/lan...
www.thelancet.com/journals/lan...
Published today. We found that hepatitis B was the leading cause of cirrhosis and HCC in southern Malawi. HCC is diagnosed at a very late stage. Huge opportunity to prevent liver-related death with community hepatitis B test and treat programmes. #hepsky #idsky
www.thelancet.com/journals/lan...
www.thelancet.com/journals/lan...
October 16, 2025 at 6:39 AM
Published today. We found that hepatitis B was the leading cause of cirrhosis and HCC in southern Malawi. HCC is diagnosed at a very late stage. Huge opportunity to prevent liver-related death with community hepatitis B test and treat programmes. #hepsky #idsky
www.thelancet.com/journals/lan...
www.thelancet.com/journals/lan...
Hepatitis B care must be overhauled to meet WHO 2030 elimination targets
news.liverpool.ac.uk/2025/08/19/g...
news.liverpool.ac.uk/2025/08/19/g...
Global study warns hepatitis B care must be overhauled to meet WHO 2030 elimination targets - University of Liverpool News
Global study warns hepatitis B care must be overhauled to meet WHO 2030 elimination targets
news.liverpool.ac.uk
August 19, 2025 at 2:59 PM
Hepatitis B care must be overhauled to meet WHO 2030 elimination targets
news.liverpool.ac.uk/2025/08/19/g...
news.liverpool.ac.uk/2025/08/19/g...
Our review just published in Lancet Gastro Hepatology. We looked at outcomes across the care cascade for people living with hepatitis B and found some serious gaps in care provision. We need to do better #hepsky #idsky #liversky. www.thelancet.com/journals/lan...
Service delivery models and care cascade outcomes for people living with chronic hepatitis B: a global systematic review and meta-analysis
Considerable attrition was seen across the chronic hepatitis B care cascade, with
low rates of retention especially in patients not on antiviral therapy. Assessment
for treatment eligibility and initi...
www.thelancet.com
August 17, 2025 at 10:27 AM
Our review just published in Lancet Gastro Hepatology. We looked at outcomes across the care cascade for people living with hepatitis B and found some serious gaps in care provision. We need to do better #hepsky #idsky #liversky. www.thelancet.com/journals/lan...
Introducing sumvar for R. A package to rapidly summarise and visualise variables with one-line commands, bringing the brilliant tab and sum functions from stata, to R. Install it from cran using install.packages(“sumvar”). #rstats
alstockdale.github.io/sumvar/
alstockdale.github.io/sumvar/
Summarise Continuous and Categorical Variables, Check for Duplicates and Missing Data
The sumvar package quickly explores continuous and categorical variables. sumvar aims to bring the ease and simplicity of the "sum" and "tab" functions from stata, to R.
alstockdale.github.io
June 14, 2025 at 8:34 AM
Introducing sumvar for R. A package to rapidly summarise and visualise variables with one-line commands, bringing the brilliant tab and sum functions from stata, to R. Install it from cran using install.packages(“sumvar”). #rstats
alstockdale.github.io/sumvar/
alstockdale.github.io/sumvar/
Just published. Our review estimated that vertical transmission of hepatitis B in the WHO African region could be eliminated with birth dose vaccination and maternal antiviral prophylaxis.
An exciting possibility- will we find the political will?
#idsky #hepsky
www.thelancet.com/journals/lan...
An exciting possibility- will we find the political will?
#idsky #hepsky
www.thelancet.com/journals/lan...
Vertical transmission of hepatitis B virus in the WHO African region: a systematic review and meta-analysis
Vertical transmission is an important contributor to HBV transmission in the WHO African
region. Scaling up of hepatitis B birth dose vaccination and antiviral prophylaxis
is urgently needed, which co...
www.thelancet.com
February 27, 2025 at 4:51 AM
Just published. Our review estimated that vertical transmission of hepatitis B in the WHO African region could be eliminated with birth dose vaccination and maternal antiviral prophylaxis.
An exciting possibility- will we find the political will?
#idsky #hepsky
www.thelancet.com/journals/lan...
An exciting possibility- will we find the political will?
#idsky #hepsky
www.thelancet.com/journals/lan...
Reposted by Alex Stockdale
For the past 21 years the U.S. through PEPFAR has:
👉 Enabled 5.5 million babies to be born HIV-free
👉 Provided 20 million people with lifesaving HIV treatment
👉 Supported 7 million orphans and vulnerable children.
Ending this support will end lives.
#SaveHIVFunding
www.unaids.org/en/topic/PEP...
👉 Enabled 5.5 million babies to be born HIV-free
👉 Provided 20 million people with lifesaving HIV treatment
👉 Supported 7 million orphans and vulnerable children.
Ending this support will end lives.
#SaveHIVFunding
www.unaids.org/en/topic/PEP...
February 8, 2025 at 9:12 AM
For the past 21 years the U.S. through PEPFAR has:
👉 Enabled 5.5 million babies to be born HIV-free
👉 Provided 20 million people with lifesaving HIV treatment
👉 Supported 7 million orphans and vulnerable children.
Ending this support will end lives.
#SaveHIVFunding
www.unaids.org/en/topic/PEP...
👉 Enabled 5.5 million babies to be born HIV-free
👉 Provided 20 million people with lifesaving HIV treatment
👉 Supported 7 million orphans and vulnerable children.
Ending this support will end lives.
#SaveHIVFunding
www.unaids.org/en/topic/PEP...
Anticipatory obedience to an autocracy and why it must be resisted- a beautifully well written article. www.nytimes.com/2025/02/08/o...
Opinion | To Obey Trump or Not to Obey
The voluntarily surrender of the public’s power is how autocracies are built.
www.nytimes.com
February 9, 2025 at 8:16 AM
Anticipatory obedience to an autocracy and why it must be resisted- a beautifully well written article. www.nytimes.com/2025/02/08/o...
Reposted by Alex Stockdale
Extraordinarily cruel
People will get sick
Drug resistance will spike
It sounds as if PEPFAR could be terminated (not just “paused”)
Until now, PEPFAR enjoyed bipartisan support & has arguably been one of the most effective bilateral health aid programs ever
www.nytimes.com/2025/01/27/h...
People will get sick
Drug resistance will spike
It sounds as if PEPFAR could be terminated (not just “paused”)
Until now, PEPFAR enjoyed bipartisan support & has arguably been one of the most effective bilateral health aid programs ever
www.nytimes.com/2025/01/27/h...
Trump Administration Halts H.I.V. Drug Distribution in Poor Countries (Gift Article)
PEPFAR’s computer systems also are being taken offline, a sign that the program may not return, as Republican critics had hoped.
www.nytimes.com
January 28, 2025 at 2:03 AM
Extraordinarily cruel
People will get sick
Drug resistance will spike
It sounds as if PEPFAR could be terminated (not just “paused”)
Until now, PEPFAR enjoyed bipartisan support & has arguably been one of the most effective bilateral health aid programs ever
www.nytimes.com/2025/01/27/h...
People will get sick
Drug resistance will spike
It sounds as if PEPFAR could be terminated (not just “paused”)
Until now, PEPFAR enjoyed bipartisan support & has arguably been one of the most effective bilateral health aid programs ever
www.nytimes.com/2025/01/27/h...
Reposted by Alex Stockdale
31 December 1995. Still the perfect goodbye.
December 31, 2024 at 12:21 PM
31 December 1995. Still the perfect goodbye.
Reposted by Alex Stockdale
We thank the reviewer for their useful suggestions, which have greatly improved the paper
December 15, 2024 at 4:42 PM
We thank the reviewer for their useful suggestions, which have greatly improved the paper
Reposted by Alex Stockdale
The current system of peer review, am I right? 🧪
December 14, 2024 at 5:24 PM
The current system of peer review, am I right? 🧪
Reposted by Alex Stockdale
It's that time of year to bring out our @bmj.com xmas paper On the 12th Day of Christmas, a Statistician Sent to Me... from 2022 (w/ @richarddriley.bsky.social) with our list of commonly seen statistical faux pas🎄
www.bmj.com/content/379/...
#StatsSky #EpiSky
www.bmj.com/content/379/...
#StatsSky #EpiSky
December 5, 2024 at 3:00 PM
It's that time of year to bring out our @bmj.com xmas paper On the 12th Day of Christmas, a Statistician Sent to Me... from 2022 (w/ @richarddriley.bsky.social) with our list of commonly seen statistical faux pas🎄
www.bmj.com/content/379/...
#StatsSky #EpiSky
www.bmj.com/content/379/...
#StatsSky #EpiSky
Reposted by Alex Stockdale
In most places in the world, power from new renewables is now cheaper than power from new fossil fuels.
Why did renewables become so cheap so fast?
The answer: learning curves.
Why did renewables become so cheap so fast?
The answer: learning curves.
December 4, 2024 at 12:32 PM
In most places in the world, power from new renewables is now cheaper than power from new fossil fuels.
Why did renewables become so cheap so fast?
The answer: learning curves.
Why did renewables become so cheap so fast?
The answer: learning curves.
Reposted by Alex Stockdale
Tenets of Infectious Diseases:
1. Source control, source control, source control
2. Stuff sticks to metal (and other material)
3. The drug has to get in to work (GI absorption, tissue penetration, presence of walled-off collection, etc.)
4. Antibiotics should not be anxiolytics
1. Source control, source control, source control
2. Stuff sticks to metal (and other material)
3. The drug has to get in to work (GI absorption, tissue penetration, presence of walled-off collection, etc.)
4. Antibiotics should not be anxiolytics
November 27, 2024 at 9:29 PM
Tenets of Infectious Diseases:
1. Source control, source control, source control
2. Stuff sticks to metal (and other material)
3. The drug has to get in to work (GI absorption, tissue penetration, presence of walled-off collection, etc.)
4. Antibiotics should not be anxiolytics
1. Source control, source control, source control
2. Stuff sticks to metal (and other material)
3. The drug has to get in to work (GI absorption, tissue penetration, presence of walled-off collection, etc.)
4. Antibiotics should not be anxiolytics
Reposted by Alex Stockdale
We often worry about the wrong things.
People killed annually by
Sharks 10
Elephants 100
Hippos 500
Snails 10,000
Dogs 25,000
Snakes 50,000
People 475,000
Mosquitoes 725,000
🧪
People killed annually by
Sharks 10
Elephants 100
Hippos 500
Snails 10,000
Dogs 25,000
Snakes 50,000
People 475,000
Mosquitoes 725,000
🧪
November 24, 2024 at 3:07 AM
We often worry about the wrong things.
People killed annually by
Sharks 10
Elephants 100
Hippos 500
Snails 10,000
Dogs 25,000
Snakes 50,000
People 475,000
Mosquitoes 725,000
🧪
People killed annually by
Sharks 10
Elephants 100
Hippos 500
Snails 10,000
Dogs 25,000
Snakes 50,000
People 475,000
Mosquitoes 725,000
🧪
Reposted by Alex Stockdale
A person on a bicycle is by far the most energy-efficient among animals and machines per distance traveled relative to body weight. The bicycle is magic.
www.jstor.org/stable/24923...
www.jstor.org/stable/24923...
November 24, 2024 at 11:12 PM
A person on a bicycle is by far the most energy-efficient among animals and machines per distance traveled relative to body weight. The bicycle is magic.
www.jstor.org/stable/24923...
www.jstor.org/stable/24923...
Chuffed to have been awarded an NIHR Global Health research grant with Maud Lemoine and Gibril Ndow.
We’re going to evaluate universal tenofovir for all pregnant women living with hepatitis B to prevent vertical transmssion in Malawi and The Gambia over the next 4 years. #idsky #hepsky
We’re going to evaluate universal tenofovir for all pregnant women living with hepatitis B to prevent vertical transmssion in Malawi and The Gambia over the next 4 years. #idsky #hepsky
November 23, 2024 at 11:10 AM
Reposted by Alex Stockdale
🚨 Antibiotic Treatment for 7 versus 14 Days in Patients with Bloodstream Infections
BALANCE trial publication is here !
#IDsky #Medsky
@idjclub.bsky.social
www.nejm.org/doi/full/10....
BALANCE trial publication is here !
#IDsky #Medsky
@idjclub.bsky.social
www.nejm.org/doi/full/10....
Antibiotic Treatment for 7 versus 14 Days in Patients with Bloodstream Infections | NEJM
Bloodstream infections are associated with substantial morbidity and mortality. Early, appropriate antibiotic therapy is important, but the duration of treatment is uncertain. In a multicenter, non...
www.nejm.org
November 20, 2024 at 1:10 PM
🚨 Antibiotic Treatment for 7 versus 14 Days in Patients with Bloodstream Infections
BALANCE trial publication is here !
#IDsky #Medsky
@idjclub.bsky.social
www.nejm.org/doi/full/10....
BALANCE trial publication is here !
#IDsky #Medsky
@idjclub.bsky.social
www.nejm.org/doi/full/10....
Reposted by Alex Stockdale
Posting this because these images are making the rounds again. Plus, someone told me it was the best thing I ever did, and I was flattered.
p.s. only possible since I've been directly involved with several papers that meet these exact criteria, so mea culpa
blogs.jwatch.org/hiv-id-obser...
p.s. only possible since I've been directly involved with several papers that meet these exact criteria, so mea culpa
blogs.jwatch.org/hiv-id-obser...
November 19, 2024 at 3:47 AM
Posting this because these images are making the rounds again. Plus, someone told me it was the best thing I ever did, and I was flattered.
p.s. only possible since I've been directly involved with several papers that meet these exact criteria, so mea culpa
blogs.jwatch.org/hiv-id-obser...
p.s. only possible since I've been directly involved with several papers that meet these exact criteria, so mea culpa
blogs.jwatch.org/hiv-id-obser...