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London School of Hygiene & Tropical Medicine (University of London) Department of Infectious and Tropical Diseases Communications Officer International Agency for Prevention of Blindness (IAPB) VISION 2020: the Right to Sight International Centre for Eye Health Job Description Background The postholder is to work as part of the International Agency for the Prevention of Blindness (IAPB) on its joint initiative with the World Health Organisation (WHO), VISION 2020: The Right to Sight. VISION 2020’s mission is to eliminate the main causes of blindness in order to give all people in the world, particularly the millions of needlessly blind, the right to sight. This position will be concerned with both internal and external communications to members of IAPB and VISION 2020 together with promoting a greater awareness and understanding of the work of VISION 2020 globally, using international and trade media, the internet, PR materials and events. 1. The London School of Hygiene & Tropical Medicine The London School of Hygiene & Tropical Medicine has an internationally excellent reputation in public health and tropical medicine, is a leading postgraduate medical Institution in Europe and is Britain’s national school of public health. A special strength of the School’s research is its multi-disciplinary nature: leading researchers have backgrounds in public health medicine, epidemiology, clinical medicine, infectious diseases, chemotherapy, biochemistry, immunology, genetics, molecular biology, entomology, statistics, demography, health economics, public health engineering, medical anthropology, health promotion, environmental health management, and health policy. The mission of the London School of Hygiene & Tropical Medicine is to contribute to the improvement of health world-wide through the pursuit of excellence in research, postgraduate teaching and advanced training in national and international public health and tropical medicine, and through informing policy and practice in these areas. 2. Department of Infectious and Tropical Diseases The Department of Infectious and Tropical Diseases encompasses all of the laboratorybased research in the School as well as that on the clinical and epidemiological aspects of infectious and tropical diseases. It is headed by Hazel Dockrell, who is Professor of Immunology. The range of disciplines represented in the department is very broad and inter-disciplinary research is a feature of much of our activity. The spectrum of diseases studied is wide and there are major research groups with a focus on malaria, tuberculosis, HIV/AIDS and other sexually transmitted diseases, vaccine development and evaluation, and vector biology and disease control. The Department is organised into five large research units comprising: Pathogen Molecular Biology, Immunology, Disease Control and Vector Biology, Infectious Disease Epidemiology and Clinical Research. There is close interaction between scientists in different research teams. The Department has strong overseas links, which provide a basis for field studies and international collaborations in developed and developing countries. The teaching programme includes MSc courses, taught in-house and by distance learning, which are modular in structure, a variety of short-courses and an active doctoral programme (PhD and DrPH). Immunology Unit (Head: Prof. Eleanor Riley) Research in the Immunology Unit centres on analysis of the host response to infection at the molecular, cellular and population levels. The goals are to develop a greater understanding of basic mechanisms of immunological protection versus pathology, and to apply this knowledge to the development of immunological interventions and the identification of correlates of immune status. Our work involves application of state-ofthe-art cellular and molecular approaches to the in vitro analysis of pathogen-host cell interactions, to in vivo studies in models and to the study of immunity at the population level in disease endemic areas. Main areas of research include the regulation of acute and chronic inflammation; macrophage-pathogen interactions; cellular pharmacology; the production of cytokines during innate and acquired immune responses; T-cell function and antigen recognition; the mechanisms of immunopathology; the development of vaccines; and delivery systems for vaccines and drugs. Current research includes the role of acute phase proteins in resistance to infection, homeostasis and inflammatory disease, mechanisms of macrophage activation, control of cytokine synthesis and mammalian lectin interactions (J. Raynes); intracellular trafficking and secretory pathways of cells of the immune system (T. Ward); the role of innate responses in resistance to the bacterial pathogens, Mycobacterium tuberculosis and Burkholderia pseudomallei, activity and regulation of natural killer cells and their effect on macrophage activation and recruitment, regulation of chemokine receptors during infection and granulomatous tissue responses in the lung against Cryptococcus neoformans and Mycobacterium tuberculosis (G. Bancroft); correlates of protection against tuberculosis and studies of BCG vaccination, human CD8+ T-cell responses to mycobacterial antigens and synthetic peptides, use of whole blood assays in immunoepidemiology (H. Dockrell); cytokine and chemokine responses to leprosy, cellular composition and effects of steroids on skin and nerve lesions of reactional leprosy, identification of specific peptides for immunodiagnosis of leprosy (S. Young); innate and adative immunity to malaria including activation of natural killer cells, cytokine regulation in clinical immunity and immunopathology, regulation of antibody production and immunoglobulin class switching (E. Riley); transmission of Plasmodium falciparum malaria including antibody responses to gametocyte-infected erythrocyte surface antigens, effect of gamete antigen variability on transmission, gametocyte sequestration and development and gametocyticidal drug therapy (G. Targett, C. Sutherland); characterisation of protective immune mechanisms and defined antigens in attenuated vaccine models of schistosomiasis (Q. Bickle); pathogenesis of Epstein Barr virus, Kaposi's sarcoma virus and other human herpes virus 8-related diseases in the immunocompromised, tumour (B/T-cell) clonality and TCR gene usage, serological assays, prognostic markers and diagnostic pathology (A. Thomas); impact of concomitant viral, bacterial, protozoal and helminth infections on induction of immune responses and immunopathology and T cell regulation and induction of mucosal immune responses during intestinal nematode infections (H. Helmby); the identification and evaluation of novel drugs and drug delivery systems for leishmaniasis, trypanosomiasis and malaria, interaction between antiprotozoal drugs and the immune response (S. Croft, V. Yardley). Pathogen Molecular Biology Unit (Head: Professor Brendan Wren) Research in the PMB Unit focuses on the molecular biology and genetics of pathogens and their hosts in the context of improving the understanding and control of infectious diseases. Aspects of pathogen biology of interest include: (i) determining the mechanisms of infection of globally important viral, bacterial and parasitic pathogens; (ii) deciphering the genetic diversity of selected disease agents in natural populations and to determine its epidemiological impact, (iii) studying immune evasion mechanisms of particular disease agents, (iv) exploiting parasitic, bacterial and viral pathogens as model biological systems and (v) developing practical applications including improved diagnostic tests and the identification and characterisation of vaccine candidates and drug targets. PMBU currently has funding to investigate, amongst others, the malaria parasite (Plasmodium spp), Chagas disease (Trypanosoma cruzi), African sleeping sickness (Trypanosoma brucei), amoebic dysentery (Entamoeba), the Leishmania species, bacterial food borne pathogens (Campylobacter jejuni and Yersinia enterocolitica), gastric ulcers/cancer (Helicobacter pylori), plague (Yersinia pestis), paddy field meliodosis (Burkholderia pseudomallei), Tuberculosis (Mycobacterium tuberculosis), Blue tongue virus, Herpesviridae and SARS. The long-term aim of PMBU research is to gain a fully rounded understanding of the complex and dynamic ways by which pathogens modulate virulence and interact with the human host. Such a holistic approach will vastly increase the scope for the rational of design of long-term intervention strategies to reduce the burden of infectious disease. In recent years such a mission has been significantly enhanced by the availability of whole genome sequences. Members of the Unit are, or have been, involved in several pathogen genome projects including Herpes, Campylobacter jejuni, Yersinia pestis, Clostridium difficile, Entamoeba and Trypanosome species. The interpretation and exploitation of this basic information is the platform for numerous new avenues of research on pathogenesis, epidemiology and the evolution of virulence. Unit members have been proactive in exploiting the post genome bonanza and have recently gained significant funding under the Wellcome Trust and the BBSRC functional genomics initiatives, to functionally dissect Campylobacter, Plasmodium and Trypanosome species. A genome resource facility and bioinformatic suite are now operational and have greatly expedited genome data mining, population genetics, phylogenetic and microarray analyses. A dedicated centre for protein expression and fermentation is near completion. This multifunctional resource centre will help to translate the research lead that we have in pathogen genomics into practical applications and will facilitate research on the structural analysis of virulence determinants and the development of vaccine candidates and drug targets. More details of the PMB members and the PMB Unit can be found on http://www.lshtm.ac.uk/pmbu/ Infectious Disease Epidemiology Unit (Head: Prof Simon Cousens) The Infectious Disease Epidemiology Unit conducts research on the epidemiology and control of infectious diseases both in developing and industrialized countries. The research programme is broad, but there is a major focus on four areas: HIV and other sexually transmitted diseases (STDs), tuberculosis, maternal health and vaccinepreventable diseases. Professor Paul Fine and Professor Dockrell (Immunology Unit) lead a group working at the long established field site at Karonga, Malawi. This began as a large cohort study of leprosy followed by a large scale vaccine trial against that disease. Research has now broadened with immuno-epidemiological studies of BCG effects, helminths, HIV and filariasis. Dr Laura Rodrigues is one of the principal investigators of a large scale evaluation of a second dose of BCG in Brazil. She also studies the relationship between worms and atopy through collaborations in Ecuador and Gabon. In the UK her work focuses on gastrointestinal infections. Professor Andy Hall has a long standing interest in liver disease and hepatitis vaccination. Currently evaluations are being made of routine HBV programmes in Colombia and the Yemen. His UK work relates to adult influenza and pneumococcal vaccination, autism, and the social determinants of age at infection. The Maternal Health Group, headed by Dr Oona Campbell, conducts research on specific interventions and service content to improve maternity care in poor countries. The research includes studies with an emphasis on understanding the health policy and health system issues which obstruct the political will for change. This builds on the growing awareness that the international Safe Motherhood Initiative has neglected the wider picture by focusing primarily on technical aspects. Research activities also include the assessment of the effectiveness of specific interventions such as vitamin A supplementation or clinical audits, and the development and promotion of methods for monitoring and evaluating progress achieved by maternal health programmes. The wide programme of research activities is conducted in partnership with UK and international collaborators, including many developing country partners well placed to influence policy at the national level. The MRC Tropical Epidemiology Group (TEG) comprises statisticians and epidemiologists who conduct research on the public health problems of developing countries. The TEG was established in 1973, and receives its core support from the UK Medical Research Council (MRC). Professor Richard Hayes and Professor Peter Smith are the joint grantholders and, in addition, the Group comprises a number of senior lecturers, lecturers or research fellows in medical statistics and/or epidemiology. The main focus of the Group's research is on the major infectious diseases of developing countries, notably HIV and other sexually transmitted diseases (STD), tuberculosis and malaria. There is a particular emphasis on rigorously designed intervention trials. The Group also conducts research on statistical and epidemiological methods. A major function of the TEG is to provide statistical and epidemiological support to the overseas units of the MRC in The Gambia and Uganda. The TEG also collaborates with a large number of other research groups in Africa, Asia and Latin America. An MRC Co-operative Group, with Professor Richard Hayes and Dr David Ross from the unit, has been set up to promote work on the epidemiology and control of HIV and related infections in collaboration with the Department of STD, at University College Hospital, the MRC Clinical Trials Unit and colleagues in the Clinical Research Unit. In Mwanza, Tanzania, over 9000 schoolchildren have been recruited to a randomized trial, which is measuring the impact of an adolescent sexual health intervention on HIV incidence. MRC funding has been secured to conduct quantitative and qualitative research on the sexual behaviour of adolescents in rural Mwanza. A multicentre study of heterogeneity in the HIV epidemic in four African cities has been completed. There were few differences in sexual behaviour between high and low prevalence cities, but fewer men were circumcised and there was a higher prevalence of ulcerative STDs in high prevalence cities. The Unit has carried out a meta-analysis, which supports the role of male circumcision in reducing the risk of HIV acquisition. There is particular interest in the role of HSV2 in transmission of HIV since vaccination is a possibility. Clinical Research Unit (Head: Dr Diana Lockwood) The Clinical Research Unit addresses infectious diseases of major public health importance in developing countries. Activities include trials of new therapies, vaccines and educational interventions; the development of new diagnostic tests; studies to elucidate the immunological and molecular correlates of pathogenesis and protective immunity, and to identify genetic polymorphisms conferring protection or susceptibility to infectious diseases; health services research which aims to identify the most efficient and cost-effective way to deliver health care; and health policy analysis. In addition to our many overseas collaborations, we have close links with the Hospital for Tropical Diseases, in new, purpose-built accommodation on the main UCL Hospital campus, five minutes walk from the School. The Wellcome Trust Bloomsbury Centre for Clinical Tropical Medicine is based in the Unit, and currently supports five Clinical Training Fellows and two Career Development Fellows, most of whom are based overseas. Much of the Unit's research concerns HIV and related infections; in particular, the interaction between HIV infection and other sexually transmitted diseases, and between HIV infection and tuberculosis. We have longstanding and fruitful collaborations addressing these issues in Tanzania, Zambia, Uganda and South Africa. Brian Greenwood FRS is leading an initiative to strengthen malaria research in the School through new collaborative links in Africa. Research and teaching on blinding diseases in developing countries has been greatly strengthened by the recruitment of Allen Foster, who is Medical Director of CBM International, an NGO with programmes for the prevention of blindness and disability in over 100 countries; our research on trachoma has played an important part in framing the strategies adopted by the WHO and the new International Trachoma Initiative for the elimination of blinding trachoma by the year 2020. Disease Control and Vector Biology Unit (Head: Dr Clive Davies) This multidisciplinary Unit includes epidemiologists, entomologists, anthropologists and social scientists, clinical scientists, public health engineers, and geographers. This range of expertise provides us with a battery of tools for focusing on the control of diseases that are insect-borne, water-borne or associated with poor hygiene – mostly in developing countries. Much of the research can be categorised as: evaluating disease control interventions; investigating implementation strategies - including working with the private sector; understanding the factors underlying household behaviour in relation to family health; or determining how control resources can be targeted most efficiently. Particular attention is paid to research directed at current health policy issues, including the gap between policy and practice. Notably, the Unit houses the DFID Resource Centre for Water and Environmental Health (WELL). WELL and the new Hygiene Centre make up the Unit's Environmental Health Group, which plays a leadership role in research and operational support for hygiene promotion, water supply and sanitation. The Unit also houses the largest research group in LSHTM working on malaria control, including the DIFD Malaria Knowledge Programme and many staff in the Gates Malaria Partnership. The Unit’s valuable mosquito colonies are used for testing . repellent products and insecticides in the laboratory. The Unit also includes a major grouping of researchers using spatial analysis in public health. 3. Teaching The School offers 22 one year full-time taught courses leading to the Master of Science (MSc) degree of the University of London and the Diploma of the London School of Hygiene and Tropical Medicine (DLSHTM). The Department of Infectious and Tropical Diseases runs or contributes substantially to ten of these courses and the “Immunology of Infectious Diseases” course is run from within the Immunology Unit. In addition, the Department is responsible for the three-month Diploma in Tropical Medicine and Hygiene (DTM&H) and offers a range of specialist short courses lasting usually one or two weeks. Three MSc courses are also offered by Distance-based Learning, including one on Infectious Diseases. 4. Research Training The School offers two doctoral training programmes. The MPhil/PhD degrees are designed for those who wish to go on to a full time research career. The DrPH is directed towards those who expect their careers to be more in the practice of public health. The International Centre for Eye Health (VISION 2020) The International Centre for Eye Health Group has the goal to promote the VISION 2020 programme for the elimination of avoidable blindness through research, training and information. Its core activities are: research into the control of major blinding diseases with current emphasis on; childhood blindness trachoma cataract training in community eye health and VISION 2020 programme planning; collection and dissemination of information for the VISION 2020 programme. Duties of the post To prepare the overall communications (PR) strategy in conjunction with the Advocacy and PR Committee and in line with the overall strategic objectives of VISION 2020 and take the lead role in facilitating its implementation. Prepare, co-ordinate and report on activities relating to World Sight Day (WSD), including development of the theme, producing the WSD implementation pack and handling international media coverage. Take lead responsibility for IAPB/VISION 2020 publications such as brochures, leaflets etc. Develop and implement media plans. This will include researching and developing strong news stories, establishing and maintaining good relationships with journalists, preparing press releases and acting as a media spokesperson. Maintain good links with VISION 2020 members and encourage their participation and support in VISION 2020 communication and PR activities. Write and issue the IAPB/VISION 2020 electronic monthly newsletter. Participate in conferences and events which help promote the profile of VISION 2020. Assist in identifying international celebrity supporters, manage approaches to them and implement a strategy for using and retaining their support. Develop good links with other VISION 2020 committees, working groups and regions to gather material for PR/Communications purposes. Act as the main contact point for external organisations and the general public. To contribute to general activities of the Group, Unit, Department and School that help to promote the objectives of the School. Person specification Essential: proven experience of using and preparing PR materials; proven experience of organising fundraising and PR events; experience of using trade and international media; working knowledge of Microsoft Office; excellent communication skills. Desirable: an interest in prevention of blindness. Accountability The post-holder will be responsible to the Deputy Director of IAPB, the Head of the International Centre for Eye Health and through that person to the Head of the Clinical Research Unit and the Head of the Infectious and Tropical Diseases Department and, ultimately, the Director of the School. Salary and conditions of appointment The post is a full-time appointment from 17 August 2005 to 28 February 2007. Salary will be Clerical Related Scale 5, £21,945 - £25008 per annum inclusive of London Allowance.