The Lancet Global Health portal
Global health. The Lancet journals include some of the world's leading medical journals for global health, and aim to publish the best science to advance health in all regions of the world. Through our global health initiatives, the Lancet journals collaborate with an international community of researchers, public health experts and policy
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The 2021 report of the Lancet Countdown on health and
The Lancet Countdown is an international collaboration that independently monitors the health consequences of a changing climate. Publishing updated, new, and improved indicators each year, the Lancet Countdown represents the consensus of leading researchers from 43 academic institutions and UN agencies. The 44 indicators of this report expose an unabated rise in the health …
Fragmented health systems in COVID-19: rectifying the
The COVID-19 pandemic has placed enormous strain on countries around the world, exposing long-standing gaps in public health and exacerbating chronic inequities. Although research and analyses have attempted to draw important lessons on how to strengthen pandemic preparedness and response, few have examined the effect that fragmented governance for health has had on effectively mitigating the
Culture and health
Planned and unplanned migrations, diverse social practices, and emerging disease vectors transform how health and wellbeing are understood and negotiated. Simultaneously, familiar illnesses—both communicable and non-communicable—continue to affect individual health and household, community, and state economies. Together, these forces shape medical knowledge and …
Health and health care in Israel: an introduction
The health-care system in Israel is financed from taxes, both general taxes and an earmarked payroll tax (health tax) collected by the National Insurance Institute. These funds are allocated to the health plans according to a capitation formula, with a form of risk adjustment, meant to sufficiently compensate the plans for the cost of members
A telehealth lifestyle intervention to reduce excess
Thus, improving GWG among women with overweight or obesity is a public health priority and a serious concern for health-care delivery systems. Pregnancy is a unique time when women are in frequent contact with the health-care system and are often motivated to …
Maternal Retinoids Increase PDGFRα+ Progenitor …
Maternal vitamin A intake varies but its impact on offspring metabolic health is unknown. Here we found that maternal vitamin A or retinoic acid (RA) administration expanded PDGFRα+ adipose progenitor population in progeny, accompanied by increased blood vessel density and enhanced brown-like (beige) phenotype in adipose tissue, protecting offspring from obesity.
Doris Louise Wethers
“A gentle giant for health equity and compassion”, Wethers “was a soft-spoken, highly principled person, unwavering in her pursuit of better services for people with sickle cell disease”, says Kwaku Ohene-Frempong, President of the Sickle Cell Foundation of Ghana, in Africa, and Director Emeritus of the Comprehensive Sickle Cell Center
Discrimination and public health
The public health community has been slow to acknowledge the central role of discrimination in health inequality.1 Discrimination has been defined as a set of “policies, practices, and behaviours that perpetuate inequities between socially-defined groups”.1,2 This definition identifies discrimination as a mechanism through which social stratification and its consequences are …
Health in a world of extreme heat
Health in a world of extreme heat. The heatwaves and wildfires that swept across southern Europe and the USA this summer have been traumatic and deadly. 600 excess deaths were reported in the Pacific Northwest in the USA alone. According to the Sixth Assessment Report of Working Group I of the Intergovernmental Panel on Climate Change, which
Planetary health care: a framework for sustainable health
Planetary health care: a framework for sustainable health systems. In 2018, the Intergovernmental Panel on Climate Change announced that to restrict global temperature rise to 1·5°C, greenhouse gas emissions must decrease 45% by 2030 compared with 2010, and reach net zero by 2050. In 2020, the UK National Health Service (NHS) committed to
Digital health during COVID-19: lessons from
The COVID-19 pandemic has resulted in massive disruptions within health care, both directly as a result of the infectious disease outbreak, and indirectly because of public health measures to mitigate against transmission. This disruption has caused rapid dynamic fluctuations in demand, capacity, and even contextual aspects of health care. Therefore, the traditional face-to-face patient
The Lancet and Financial Times Commission on governing
From the short-term and long-term effects of the COVID-19 pandemic to the health insecurities brought about by climate change, health futures are unfolding in an era of accelerating economic, societal, technological, and environmental changes. Digital transformations, which we define as the multifaceted processes of integration of digital technologies and platforms into all areas of life
Communicating in a public health crisis
Poor health media literacy is common, and likewise a paucity of scientific knowledge has undermined responses to the COVID-19 pandemic. We have witnessed the amplification of unverified information, which has triggered misunderstandings, reactions of fear, and a loss of trust, which can inhibit effective responses to the pandemic.
About The Lancet Digital Health
The Lancet Digital Health is an internationally trusted source of clinical, public health, and global health knowledge. The Lancet Digital Health has its first partial Impact Factor of 24·519 and is the world-leading journal dedicated to digital health, ranking first among 30 journals in medical informatics and seventh among 169 general and
About The Lancet Public Health medical journal
About the journal The Lancet Public Health is an online-only, open access title in The Lancet's growing family of specialty journals.Building on the foundation of The Lancet as a champion of public health research, this monthly journal is committed to publishing high-quality original research Articles, review, editorials, comments, and correspondence that contribute to advancing health equity
The Lancet: Global Health Video
The Lancet Countdown: Tracking Progress on Health and Climate Change is a new international, multi-disciplinary research collaboration between academic institutions and practitioners across the world. It is being established to track the different aspects of the relationship between health and climate change.
Global health is public health
Last year, in The Lancet, Jeffrey Koplan and colleagues1 provided a new definition for global health and proposed several distinctions between global health, international health, and public health. This attempt to distinguish differences between global health and public health conflicts with the key tenets of a global public health strategy (panel).
Global health in low-income and middle-income countries: a
Global health was founded on an egalitarian promise: improve health care for everyone, everywhere. As an area of research, education, and practice that leverages interdisciplinary collaboration and focuses on multinational health-care challenges and solutions,1 global health is a crucial area of discussion and development, especially to reduce the global burden of pandemics, and to promote
Health in an unequal world
Figure 1 shows results from the 25-year mortality follow-up of men, originally aged 40–69, by age at death. The graded nature of the link between position in the hierarchy and death—the social gradient in mortality—is the challenge to understanding. The gradient is …
Health and health-care systems in southeast Asia
The health-care systems are highly diverse, ranging from dominant tax-based financing to social insurance and high out-of-pocket payments across the region. There is a greater push for universal coverage of the population, but more needs to be done to ensure access to health services for the poor.
Young people's mental health during the COVID-19 pandemic
There has understandably been widespread concern about the impact of the COVID-19 pandemic and associated restrictions on the mental health of children and young people, with evidence of recent increases in the prevalence of mental health problems.1 Yet there has been relatively little evaluation of how mental health has changed over the pandemic and varied for children and young …
Health care's response to climate change: a carbon
The health sector has been shown to contribute to 4–5% of global greenhouse gas emissions, and its response is key not only to mitigate climate change, but especially to ensure that the health benefits of this transition are maximised. In line with this goal, researchers in Australia, Austria, Canada, China, Japan, and the USA have estimated
Epistemic injustice in academic global health
This Viewpoint calls attention to the pervasive wrongs related to knowledge production, use, and circulation in global health, many of which are taken for granted. We argue that common practices in academic global health (eg, authorship practices, research partnerships, academic writing, editorial practices, sensemaking practices, and the choice of audience or research framing, questions, …
Evolutionary public health: introducing the concept
The emerging discipline of evolutionary medicine is breaking new ground in understanding why people become ill. However, the value of evolutionary analyses of human physiology and behaviour is only beginning to be recognised in the field of public health. Core principles come from life history theory, which analyses the allocation of finite amounts of energy between four competing functions
The environmental footprint of health care: a global
Enhancing health-care expenditure to mitigate negative health effects of environmental damage is often promoted by health-care practitioners. However, global supply chains that feed into the enhanced activity of health-care sectors in turn initiate adverse feedback cycles by increasing the environmental impact of health care, thus counteracting the mission of health care.
Singapore's health-care system: key features, challenges
Since Singapore became an independent nation in 1965, the development of its health-care system has been underpinned by an emphasis on personal responsibility for health, and active government intervention to ensure access and affordability through targeted subsidies and to reduce unnecessary costs. Singapore is achieving good health outcomes, with a total health expenditure of …
Seizing the moment to rethink health systems
Robust health systems research will be needed to understand whether and how reforms lead to a high-performing health system and, crucially, better health outcomes. Health systems research is poorly, if at all, funded in many countries, resulting in …
Alcohol and public health
Alcoholic beverages, and the problems they engender, have been familiar fixtures in human societies since the beginning of recorded history. We review advances in alcohol science in terms of three topics: the epidemiology of alcohol's role in health and illness; the treatment of alcohol use disorders in a public health perspective; and policy research and options.
Hand hygiene in health care: 20 years of ongoing advances
Health-care-associated infections are the most prevalent adverse events of hospital care, posing a substantial threat to patient safety and burden on society. Hand hygiene with alcohol-based hand rub is the most effective preventive strategy to reduce health-care-associated infections. Over the past two decades, various interventions have been introduced and studied to improve hand hygiene
Strengthening public health in China
Strengthening public health in China. Since the emergence of COVID-19 in December, 2019, in Wuhan, China has recorded 92 000 cases and 4749 deaths and seems to have brought its outbreak under control. While the COVID-19 pandemic has shaken Chinese society, the country's long-term future health challenge will be tackling a growing burden of non
Achieving malaria elimination in China
Then, recognising that elimination was not solely a health issue but one influenced by, and with influence on, a range of social, political, and economic conditions, China's Ministry of Health (MOH) consulted with many other government ministries to ensure that all were supportive of elimination and willing to have a role in strategy development, implementation, coordination, advocacy, and
Impact of SARS-CoV-2 Delta variant on incubation
The B.1.617.2 (Delta) variant of SARS-CoV-2, the virus that causes COVID-19, was first identified in India, and subsequent surges in transmission of the variant in a number of countries, including the United Kingdom, led the World Health Organization to designate Delta as a Variant of Concern (VOC) on 11 May 2021.
Effect of socioeconomic inequalities and vulnerabilities
In Brazil, existing socioeconomic inequalities, rather than age, health status, and other risk factors for COVID-19, have affected the course of the epidemic, with a disproportionate adverse burden on states and municipalities with high socioeconomic vulnerability. Local government responses and population behaviour in the states and municipalities with higher socioeconomic vulnerability have
The long-term impact of COVID-19 on development assistance
The COVID-19 pandemic is continuing to have an unprecedented effect on lives, livelihoods, and economies around the world. Some experts speculate that COVID-19 will become endemic, requiring a shift from an emergency response to a long-term sustainable strategy.1,2 Modelling the impact of COVID-19 on total health expenditure and development assistance for health into the …
Health policy and public health implications of obesity in
China has experienced many drastic social and economic changes and shifts in people's lifestyles since the 1990s, in parallel with the fast rising prevalence of obesity. About half of adults and a fifth of children have overweight or obesity according to the Chinese criteria, making China the country with the highest number of people with overweight or obesity in the world.
Artificial intelligence and the future of global health
Concurrent advances in information technology infrastructure and mobile computing power in many low and middle-income countries (LMICs) have raised hopes that artificial intelligence (AI) might help to address challenges unique to the field of global health and accelerate achievement of the health-related sustainable development goals. A series of fundamental questions have been raised about
Views of health professionals on climate change and health
Climate change arguably represents one of the greatest global health threats of our time. Health professionals can advocate for global efforts to reduce emissions and protect people from climate change; however, evidence of their willingness to do so remains scarce. In this Viewpoint, we report findings from a large, multinational survey of health professionals (n=4654) that examined their
Mental health before and during the COVID-19 pandemic: a
By late April, 2020, mental health in the UK had deteriorated compared with pre-COVID-19 trends. Policies emphasising the needs of women, young people, and those with preschool aged children are likely to play an important part in preventing future mental illness.
10 years of health-care reform in China: progress and gaps
In 2009, China launched a major health-care reform and pledged to provide all citizens with equal access to basic health care with reasonable quality and financial risk protection. The government has since quadrupled its funding for health. The reform's first phase (2009–11) emphasised expanding social health insurance coverage for all and strengthening infrastructure.
National spending on health by source for 184 countries
Despite remarkable health gains, past health financing trends and relationships suggest that many low-income and lower-middle-income countries will not meet internationally set health spending targets and that spending gaps between low-income and high-income countries are unlikely to narrow unless substantive policy interventions occur. Although gains in health system efficiency can …
Tracking progress on health and climate change in Europe
Left unabated, climate change will have catastrophic effects on the health of present and future generations. Such effects are already seen in Europe, through more frequent and severe extreme weather events, alterations to water and food systems, and changes in the environmental suitability for infectious diseases. As one of the largest current and historical contributors to greenhouse gases
Health and Climate Change
The Lancet Series on health and climate change reports on the health co-benefits of intervening on climate change, highlighting the important health dividend to be gained by mitigating the effects of greenhouse-gas emissions. These co-benefits for health are insufficiently known, extending beyond rich nations and reaching into low and middle-income countries, traversing sectors as diverse …
COVID-19 and the collapse of global trade: building an
The scale of the COVID-19 pandemic is a consequence of international trade and globalisation, with the virus spreading along established trade and travel routes. However, the pandemic also affects international trade through reductions in both supply and demand. In this Viewpoint we describe the many implications for health and propose ways to mitigate them.
Population health in an era of rising income inequality
Health is a key aspect of wellbeing and health inequalities can compound (or mitigate) existing differences in wellbeing according to income. Knowledge of the distribution of health across income groups offers a more complete picture of how wellbeing is …