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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. My research involves developing analytical decision-support models to quantify the costs, risks, benefits, and cost-effectiveness of alternative vaccination policy options.

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 for the MSc module Health Decision Science (face-to-face intensive and distance learning). This is an elective module for a generalist public health audience. The aim of the module is to explore the roles, strengths, and weaknesses of different approaches to support health decision-making. I also teach on the LSHTM Vaccine Short Course. 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 analytical decision-support models for a range of vaccines, including Haemophilus influenzae type b (Hib), pneumococcal, rotavirus, human papillomavirus (HPV), and respiratory syncytial virus (RSV) vaccines. The models provide a framework for stakeholder engagement, capacity strengthening, and national ownership of results. The models have been used to support decision-making by national immunisation technical advisory groups in more than 40 low- and middle-income countries (LMICs) and have also informed global World Health Organization (WHO) guidelines e.g. the policy to relax rotavirus vaccine age restrictions in high mortality settings (Clark et al, Lancet Global Health 2019). My research also involves generating the empirical evidence that underpins these models e.g. quantifying the extent to which children in LMICs experience delays in receiving various vaccines (Clark et al, Lancet Global Health 2026; Clark and Sanderson, Lancet 2009), estimating age distributions for different respiratory syncytial virus disease outcomes (Mahmud, van Zandvoort...Clark, Lancet Child & Adolescent Health 2026), quantifying the number of people at increased risk of severe COVID-19 disease due to chronic conditions (Clark et al, Lancet Global Health 2020), and estimating the efficacy of live oral rotavirus vaccines in different mortality settings (Clark et al, Lancet Infectious Diseases 2019).

 

I am particularly interested in models that are able to realistically capture individual-level variation in vaccination protection and disease risk. MSc and PhD/DrPH 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
Estimating the global impact of rotavirus vaccines on child mortality.
CLARK, A; Mahmud, S; Debellut, F; Pecenka, C; JIT, M; Perin, J; Tate, J; Soeters, HM; Black, RE; Santosham, M; SANDERSON, C;
2023
International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases
Estimating the health impact of vaccination against ten pathogens in 98 low-income and middle-income countries from 2000 to 2030: a modelling study.
Li, X; MUKANDAVIRE, C; Cucunubá, ZM; Echeverria Londono, S; ABBAS, K; Clapham, HE; JIT, M; Johnson, HL; Papadopoulos, T; VYNNYCKY, E; Brisson, M; Carter, ED; CLARK, A; De Villiers, MJ; Eilertson, K; Ferrari, MJ; Gamkrelidze, I; Gaythorpe, KA M; Grassly, NC; Hallett, TB; Hinsley, W; Jackson, ML; Jean, K; Karachaliou, A; KLEPAC, P; ... Vaccine Impact Modelling Consortium,
2021
The Lancet
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
Efficacy of live oral rotavirus vaccines by duration of follow-up: a meta-regression of randomised controlled trials.
CLARK, A; VAN ZANDVOORT, K; FLASCHE, S; SANDERSON, C; Bines, J; Tate, J; Parashar, U; JIT, M;
2019
LANCET INFECTIOUS DISEASES
Mortality reduction benefits and intussusception risks of rotavirus vaccination in 135 low-income and middle-income countries: a modelling analysis of current and alternative schedules.
CLARK, A; Tate, J; Parashar, U; JIT, M; Hasso-Agopsowicz, M; Henschke, N; Lopman, B; VAN ZANDVOORT, K; Pecenka, C; FINE, P; SANDERSON, C;
2017
The Lancet Global Health
Removing the age restrictions for rotavirus vaccination: a benefit-risk modeling analysis.
Patel, MM; CLARK, AD; SANDERSON, CF B; Tate, J; Parashar, UD;
2012
PLoS medicine
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