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Lancet 07/03/2020 21:22
On June 2, 2020, Public Health England (PHE)1 reported on the disparities in the risk and outcomes of COVID-19. After adjusting for sex, age, deprivation, and region, people from a Black, Asian, and Minority Ethnic (BAME) background had a higher risk of death from COVID-19 than White British people. This analysis did not adjust for comorbidities, and the PHE report highlighted this to be an important limitation as comorbidities were postulated to be “more commonly seen in some BAME groups”.1.
Lancet 07/02/2020 19:59
Ambulatory management of primary spontaneous pneumothorax significantly reduced the duration of hospitalisation including re-admissions in the first 30 days, but at the expense of increased adverse events. This data suggests that primary spontaneous pneumothorax can be managed for outpatients, using ambulatory devices in those who require intervention.
Lancet 07/02/2020 19:59
The Global Burden of Disease Study (GBD) 2017 provides comprehensive assessment of population health for 195 countries and territories and subnational units for selected countries, including all province-level administrative units in China. It is important to point out that, as the GBD uses a hierarchical analytical framework, data input from all GBD 2017 analytical units, national or subnational, are integrated into a single modelling process to provide a set of estimates for all locations that are internally consistent and comparable across locations and over time.
Lancet 07/02/2020 19:59
TURP and ThuVARP were equivalent for urinary symptom improvement (IPSS) 12-months post-surgery, and TURP was superior for Qmax. Anticipated laser benefits for ThuVARP of reduced hospital stay and complications were not observed.
Lancet 07/02/2020 19:59
Zarocostas J. Plain packaging ruling hailed as a victory for tobacco control. Lancet 2020; 395: 1895—In this World Report, the 14 countries with fully implemented plain packaging should have been: Australia, Canada, France, Hungary, Ireland, Israel, New Zealand, Norway, Saudi Arabia, Slovenia, Thailand, Turkey, the UK, and Uruguay. Singapore is slated to introduce plain packaging in July. This correction has been made to the online version as of June 25, 2020.
Lancet 07/02/2020 19:59
On Feb 17, 2020, Doctors for Assange demanded an end to the torture and medical neglect of Julian Assange.1 Yet no responsible authority has acted. Nils Melzer, the UN Special Rapporteur on Torture and other Cruel, Inhuman or Degrading Treatment or Punishment, and two medical experts visited Mr Assange in prison in May, 2019, concluding that his treatment constituted psychological torture, a form of torture aimed at destroying the personality of an individual.2 The situation has deteriorated since then, with continued abuses of Mr Assange's fundamental rights and the medical risks posed by COVID-19.
Lancet 07/02/2020 19:59
The Trump administration issued the Protecting Life in Global Health Assistance policy in 2017. This policy is an expansion of the Global Gag Rule that blocks US global health assistance to foreign non-governmental organisations that provide, counsel on, refer to, or advocate for abortion services; even if they do so with their own funding and in countries where abortion is legal. Following an additional policy expansion in 2019, foreign organisations that comply with the policy must now attach it to all subgrants that they give to other foreign organisations, including those that do not involve US global health assistance.
Lancet 07/02/2020 19:59
Postoperative pulmonary complications occur in half of patients with perioperative SARS-CoV-2 infection and are associated with high mortality. Thresholds for surgery during the COVID-19 pandemic should be higher than during normal practice, particularly in men aged 70 years and older. Consideration should be given for postponing non-urgent procedures and promoting non-operative treatment to delay or avoid the need for surgery.
Lancet 07/02/2020 19:59
COVID-19 was declared a pandemic by WHO on March 11, 2020, the first non-influenza pandemic, affecting more than 200 countries and areas, with more than 5·9 million cases by May 31, 2020. Countries have developed strategies to deal with the COVID-19 pandemic that fit their epidemiological situations, capacities, and values. We describe China's strategies for prevention and control of COVID-19 (containment and suppression) and their application, from the perspective of the COVID-19 experience to date in China.
Lancet 07/02/2020 19:59
At the opening plenary of the World Health Assembly in May, 2019, Richard Horton urged member states and the Secretariat of WHO to recognise climate change as a planetary emergency. A few days later, during a side event on air pollution, climate change, oceans, and health sponsored by the Government of Sweden, the Minister of Health for the Seychelles Jean Paul Adam argued that climate change has to be recognised as a public health emergency at the international level. Johan Giesecke1 once stressed that as public health emergencies of international concern (PHEICs) evolve into more complex forms, it becomes necessary to identify gaps in the alarm and response mechanism of the International Health Regulations (IHRs).
Lancet 07/02/2020 19:59
A 24-week pregnant 18-year-old woman was seen at her local health-care centre where she was found to have a respiratory rate of 38 breaths per min, a blood pressure of 250/90 mm Hg, and a heart rate of 39 beats per min. She collapsed and required intubation and ventilation. A chest x-ray showed bilateral infiltrates—pulmonary oedema—and she was treated with furosemide and nitroglycerin and transferred to our intensive care unit.
Lancet 07/02/2020 19:59
We found the Article by Maigeng Zhou and colleagues1 intriguing. However, we have some concerns. Our major concern arises from mixing data from mainland China and Taiwan. These two regions have distinct health-care and social welfare systems; they also have different time trends of how socioeconomic conditions evolved during the past half century. Therefore, mixing the data from these two regions might lead to biased estimates, especially for the health outcomes shaped by health policies (eg, vaccination programmes as a prevention strategy).
Lancet 06/25/2020 21:51
We agree with Harin Karunajeewa and Robert James that radical cure of Plasmodium vivax malaria needs to be deployed more widely. The question is, how do we achieve this? Shortening the treatment course and thereby improving adherence is an important step in the right direction.1 Primaquine regimens are usually extended over 14 days to reduce the daily dose and thereby improve tolerability and safety. The main adverse event risk is haemolysis in patients with glucose-6-phosphate dehydrogenase (G6PD) deficiency.
Lancet 06/25/2020 21:51
Pancreatic cancer is a highly fatal disease with a 5-year survival rate of approximately 10% in the USA, and it is becoming an increasingly common cause of cancer mortality. Risk factors for developing pancreatic cancer include family history, obesity, type 2 diabetes, and tobacco use. Patients typically present with advanced disease due to lack of or vague symptoms when the cancer is still localised. High quality computed tomography with intravenous contrast using a dual phase pancreatic protocol is typically the best method to detect a pancreatic tumour and to determine surgical resectability.
Lancet 06/25/2020 21:51
Extraordinary times call for extraordinary measures. We are facing a global pandemic, a climate catastrophe, an imminent recession, and possibly depression. The health of the most vulnerable and all of humanity is at stake. Yet there is nothing new, extraordinary, or unprecedented about racism, xenophobia, and discrimination. The killing of Mr George Floyd, on the back of numerous other deaths of Black Americans at the hands of the police,1 and the two–four times increased mortality risk from COVID-19 for minority ethnic groups2 have brought to light social and structural injustices that have existed for centuries and are derived from the same intersecting systems of oppression.

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