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Professor Andy Clark

Professor of Health Decision Modelling

London School of Hygiene & Tropical Medicine
Keppel Street
LONDON
WC1E 7HT
United Kingdom

I am a professor of health decision modelling at the London School of Hygiene & Tropical Medicine, a world-leading centre for research and postgraduate education in public and global health. I have over 20 years of experience in developing analytical models to assess the potential costs and consequences of vaccine policy decisions in low- and middle-income countries.

Affiliations

Department of Health Services Research and Policy
Faculty of Public Health and Policy

Centres

Centre for Mathematical Modelling of Infectious Diseases
Vaccine Centre
Global Health Economics Centre

Teaching

I am the Module Organiser (face-to-face and distance learning) for the MSc module Health Decision Science. This is an elective module that explores the roles, strengths, and weaknesses of different approaches to support health decision-making. I currently supervise two Research Degree students and two Masters Degree students. I am a Fellow of the Higher Education Academy (FHEA).

 

Research

I have developed several analytical models to assess the potential costs and consequences of various vaccines, including those for rotavirus, human papillomavirus, and respiratory syncytial virus. The models provide a framework for stakeholder engagement, capacity strengthening, and national ownership of results, and have been used to support national vaccine committee decision-making in over 40 low- and middle-income countries (LMICs). My research has informed global WHO guidelines (e.g. the policy to relax rotavirus vaccine age restrictions in high mortality settings - Clark et al, Lancet Global Health 2019) and provided insights into: the timeliness of children's vaccines in LMICs (Clark et al, Lancet Global Health 2026; Clark and Sanderson, Lancet 2009), the number of people at increased risk of severe COVID-19 disease due to chronic conditions (Clark et al, Lancet Global Health 2020); the efficacy and duration of protection of live oral rotavirus vaccines (Clark et al, Lancet Infectious Diseases 2019). I am particularly interested in analytical models that are able to capture heterogeneity in disease risk, and heterogeneity in vaccination coverage, within and across populations. Students with an interest in this topic are welcome to contact me. 

Research Area
Child health
Decision analysis
Economic evaluation
Modelling
Vaccines
Mathematical Modelling
Operational research
Capacity development
Disease and Health Conditions
Cervical cancer
Diarrhoeal diseases
Human papillomavirus (HPV)
Respiratory diseases
Region
East Asia & Pacific (developing only)
Europe & Central Asia (developing only)
Latin America & Caribbean (developing only)
Least developed countries: UN classification
Middle East & North Africa (developing only)
Sub-Saharan Africa (developing only)

Selected Publications

Timeliness of children's vaccinations in 91 low-income and middle-income countries: an analysis of survey data.
CLARK, AD; Feikin, DR; Danovaro-Holliday, MC; SANDERSON, CF B;
2026
The Lancet. Global health
Age distribution of respiratory syncytial virus disease in children younger than 5 years in low-income and middle-income countries: a systematic review and meta-analysis.
Mahmud, S; VAN ZANDVOORT, K; Guo, L; Li, Y; Nair, H; Feikin, DR; Sparrow, E; Chowdhury, F; Cohen, C; Dbaibo, GS; Gentile, A; Gill, CJ; Gordon, A; HORTON, KC; Cao, Q; Stolyarov, K; CLARK, AD; RSV Age Study Collaborators,;
2026
The Lancet Child & Adolescent Health
The respiratory syncytial virus vaccine and monoclonal antibody landscape: the road to global access.
Terstappen, J; Hak, SF; Bhan, A; Bogaert, D; Bont, LJ; Buchholz, UJ; CLARK, AD; Cohen, C; Dagan, R; Feikin, DR; Graham, BS; Gupta, A; Haldar, P; Jalang'o, R; Karron, RA; Kragten, L; Li, Y; Löwensteyn, YN; Munywoki, PK; Njogu, R; Osterhaus, A; Pollard, AJ; Nazario, LR; Sande, C; Satav, AR; ... Mazur, NI.
2024
The Lancet. Infectious diseases
Effectiveness and impact of monovalent rotavirus vaccination in Afghanistan: a test-negative case-control analysis.
ANWARI, P; Burnett, E; Safi, N; Samsor, A; Safi, H; Chavers, TP; Parashar, UD; CLARK, AD; Tate, JE;
2024
The Lancet. Global health
Chikungunya seroprevalence, force of infection, and prevalence of chronic disability after infection in endemic and epidemic settings: a systematic review, meta-analysis, and modelling study.
KANG, H; AUZENBERGS, M; Clapham, H; Maure, C; Kim, J-H; Salje, H; Taylor, CG; LIM, A; CLARK, A; EDMUNDS, WJ; Sahastrabuddhe, S; BRADY, OJ; ABBAS, K;
2024
The Lancet Infectious Diseases
Routine childhood immunisation during the COVID-19 pandemic in Africa: a benefit-risk analysis of health benefits versus excess risk of SARS-CoV-2 infection.
ABBAS, K; PROCTER, SR; VAN ZANDVOORT, K; CLARK, A; FUNK, S; Mengistu, T; Hogan, D; Dansereau, E; JIT, M; FLASCHE, S; LSHTM CMMID COVID-19 Working Group,;
2020
The Lancet Global Health
Global, regional, and national estimates of the population at increased risk of severe COVID-19 due to underlying health conditions in 2020: a modelling study.
CLARK, A; JIT, M; WARREN-GASH, C; Guthrie, B; Wang, HH X; Mercer, SW; SANDERSON, C; McKee, M; Troeger, C; Ong, KL; CHECCHI, F; PEREL, P; Joseph, S; GIBBS, HP; Banerjee, A; EGGO, RM; Centre for the Mathematical Modelling of Infectiou,;
2020
The Lancet. Global Health
Potential effect of age of BCG vaccination on global paediatric tuberculosis mortality: a modelling study.
Roy, P; Vekemans, J; CLARK, A; SANDERSON, C; HARRIS, RC; WHITE, RG;
2019
The Lancet Global Health
Re-evaluating the potential impact and cost-effectiveness of rotavirus vaccination in 73 Gavi countries: a modelling study.
Debellut, F; CLARK, A; Pecenka, C; Tate, J; Baral, R; SANDERSON, C; Parashar, U; Kallen, L; Atherly, D;
2019
The Lancet Global Health
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