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Infectious diseases remain key agents of the debilitating poverty afflicting so much of the world today. Each year these diseases kill almost 9 million people, many of them children under five, and they also cause enormous burdens through life-long disability. This report is an independent publication comprising different viewpoints written by expert authors. It was initiated and facilitated by TDR, the Special Programme for Research and Training in Tropical Diseases, supported by the European Commission, and based on wide contributions from stakeholders at various stages of the work. It offers new ways of improving public health in low and middle income countries, with research as the compelling foundation and driver for policies. Implementation of the actions proposed in this report should help improve current research prioritization processes, guide investment strategies and enhance commitment to using research to promote global health equity. If, like the Millennium Development Goals, these options for action are focused on by policy-makers, funders and researchers, they should lead to well-planned, effective, and powerful health interventions and have a real chance of saving millions of lives in years to come.