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Conducting research in the army


Tuberculosis in Ugandan immigrants
Harold Lambert Physician
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When the big immigrant community arrived from Uganda, and I mentioned that we see a huge amount of tubercle, we were very worried about the children. We thought we were going to start seeing TBM and a lot of childhood tubercle. In fact, we saw extremely little. I think probably the main reason was, I guess, is that it was mainly non-pulmonary tubercle and the parents had reactivation or they weren't actually infectious most of them.

[Q] Oh right. Yes, yes.

So, actually we saw a lot of adults and adolescents, but we didn't see many children with tubercle.

British doctor Harold Lambert (1926-2017) spent his career tackling infectious diseases, helping in the development of pyrazinamide as an effective treatment for tuberculosis. He also published work on the rational use of antibiotics and was a trustee and medical advisor for the Meningitis Research Foundation.

Listeners: Roger Higgs

Roger Higgs was an inner city GP for 30 years in south London, UK, and is Emeritus Professor of General Practice at Kings College London, where he set up the department.

He gained scholarships in classics at Cambridge but changed to medicine after a period of voluntary work in Kenya in 1962. He was Harold Lambert's registrar for 18 months in the early 1970s, the most influential and exciting episode in his hospital training. He set up his own practice in 1975. He helped to establish medical ethics as a practical and academic subject through teaching, writing and broadcasting, and jointly set up the 'Journal of Medical Ethics' in 1975.

His other work included studies in whole person assessment and narrative in general practice and development work in primary medical care: innovations here included intermediate care centres, primary care assessment in accident and emergency departments, teaching internal medicine in general practice and establishing counselling services in medicine.

He was made MBE in 1987 for this development work and now combines bioethics governance, teaching and writing with an arts based retirement.

Tags: Uganda

Duration: 35 seconds

Date story recorded: October 2004

Date story went live: 24 January 2008