PGAN Uzma Gull

Uzma Gull, Pakistan

I met 25-year-old Uzma Gull at the Antenatal Care Centre of Mother & Child Health (MCH) Abakhail at Kyber  Pakhtunkhwa, Nowshera in Northern Pakistan.  Uzma proudly showed me her bed which was outfitted with her new mosquito net. The 25-year-old mother Uzma was clearly excited to show me how she was keeping herself and her 5-month-old Adnan safe from malarial infection.


Uzma is a beneficiary of the Bed Nets Programme of the Mother & Child Health (MCH) Abakhail Kyber Pakhtunkhwa. The bed nets are important as  pregnancy reduces a woman’s immunity, making pregnant women more prone to malaria infection and increases their risks of contacting diseases.  


Photo by Pearl Gan

Jefrianus Elu (Central Timor)

A year ago 12-year-old Jefrianus Elu living in Central Timor noticed that much of his skin began itching quite badly. His parents sought and obtained treatment for him, but the condition worsened and spread to his younger brother and father, who now suffer much as he does. Jefrianus and his family have scabies, a parasitic mite that lives in skin. It is highly contagious in cramped living conditions and very hard to eradicate once established in a rural tropical home. They may get successfully treated but then re-infected at home.


Photo by Pearl Gan


Shoklo Malaria Research Unit (SMRU) Thailand

Patient with her baby at the Shoklo Malaria Research Unit (SMRU) to attend her routine check up. SMRU is a field station of Mahidol University in Thailand, and is part of the Mahidol-Oxford Research Unit (MORU) supported by the Wellcome Trust (UK). The main objective of SMRU is to provide quality health care to the marginalised populations living on both sides of the Thai-Myanmar border in the Mae Sot area, Tak Province. This is achieved by research and humanitarian services, with an emphasis on maternal-child health and infectious diseases.


Photo by Pearl Gan


Bandarban Track, Bangladesh

A mobile health care technician working for BRAC , performing routine blood tests on malaria for villagers in the rural setting of the Bandarban track in Bangladesh.


This is a dangerous track as it is at the border of Mynamar and Bangladesh and foreigner's movements are constantly monitored by the military.


Photo by Pearl Gan


Rani NTT (Indonesia)

Rani lives with her grandma and family in the border of Timor and Indonesia. Her parents had left the countryside to work in urban Jakarta leaving the children alone with their old grandma. Poor living conditions contribute to the cause of endemic malaria, which is more frequently found in the isolated rural areas in Asia Pacific.


One approach has been to provide 'Long Lasting Insecticide-treated Bed Nets' act as a barrier against the bites of a range of species of malaria-carrying mosquitoes. This simple preventative measure can be a very cost effective public health measure.


Photo by Pearl Gan


Insectary, Oxford University Clinical Research Uni Poverty and dengue Vietnam (Pearl Gan, 2019) Mosquito viral transmission research OUCRU, Vietna Mosquito arboviral surveillance Ho Chi Minh City ( A child with dengue being admitted into the Hospit Dengue patients on  the pediatric intensive care w Dengue patient in Vietnam (Pearl Gan, 2019) Dengue clinical care Vietnam (Pearl Gan, 2019) Examining a patient with dengue, Vietnam (Pearl Gan, 2019) Dengue, Vietnam (Pearl Gan, 2019)


TB nurse, Bandung Indonesia (Pearl Gan, 2019) Patient with military tuberculosis (Pearl Gan, 2019) Doctor investigating TB patient’s X-ray Bandung, Indonesia (Pearl Gan, 2019) TB patient Indonesia (Pearl Gan, 2019) X-Ray of a tuberculosis patient (Pearl Gan, 2019)

Dr Bachti Alisjahbana from Universitas Padjadjaran in Bandung showing an X-Ray of a Tuberculosis patient. Our Oxford EOCRU Project worked closely ith Dr Bachti Alisjahbana and his TB team in the Universitas Padjajaran. The Medical Faculty of the Padjadjaran University works with Hasan Sadikin Provincial Referral Hospital, the largest hospital in West Java with 1100 beds, providing referral care to 42million population in the province. Dr Bachti chaired the TB operational research group of the Indonesian national TB program that coordinates TB studies within Indonesia providing an effective link with the national TB program.

60-year-old Minggiawati is a TB patient. She is visited by Dr Bachti’s Tuberculosis team from DR HASAN SAIKIN HOSPITAL. She did not know the origin of her TB. Her TB condition is worsened by her asthma. The Community Puskemas has provided her free anti TB Treatment for several months. Speaking to the patient, I was told by Minggiawati that she looks forward to the completion of her treatment so she can find a better job to support her family. Minggiawati and her husband are currently unemployed and lived in an abandoned house. Poverty and poor living conditions are not helpful to her current TB condition.

Dewi Nur is a TB nurse at Puskemas Garuda health centre in Bandung. Here, she educates a 2 year-old patient's family about TB. Little Dena has been diagnosed with extrapulmonary TB. This is a TB infection which occurs in a location in the body other than the lungs and is more common in the immunosuppressed and young children. TB education programmes such as these are important as they give the patients and their families the knowledge required to help fight TB.

Tuberculosis (TB) expert Dr Bachti Alisjahbana is a senior investigator and an infectious disease specialist. Dr Bachti invited me to join him in his laboratory while he is looking at a TB patient’s X-ray in Bandung's Dr Hasan Sadikin Hospital, located in Indonesia’s West Java province. He established the first TB unit in Bandung's Dr Hasan

Sadikin Hospital and initiated collaborations in the field of TB and HIV with European partners. Dr Bachti also heads the TB operational research group which is affiliated with the Indonesian national TB programme. Due to the hard work of Dr Bahti and his team, the Dr Hasan Sadikin Hospital is currently the largest hospital in West Java with 1100 beds providing referral care to

the people in Bandung.

Dr Bonnie Wiem Lestari is examining a 67 year-old

tuberculosis patient in the Ujung-berung district Hospital in Bandung, Indonesia. The patient is suffering from military Tuberculosis. Miliary tuberculosis

may affect one organ or several organs or occur throughout the body.

PGAN Jefrianus Elu Dengue lab analysis at the University of Kelaniya (Sri Lanka) Collecting mosquito samples (Sri Lanka) Inspections on mosquito breeding in puddles at con