(2020-04-04). [Editorial] COVID-19 will not leave behind refugees and migrants. thelancet.com Never has the "leave no one behind" pledge felt more urgent. As nations around the world implement measures to control the spread of SARS-CoV-2, including lockdowns and restrictions on individuals' movements, they must heed their global commitments. When member states adopted the UN 2030 Agenda for Sustainable Development, they promised to ensure no one will be left behind. Chief among the world's most vulnerable people are refugees and migrants. The COVID-19 crisis puts these groups at enormous risk.
(2020-04-04). [Correspondence] Education and research are essential for lasting peace in Yemen. thelancet.com Yemen, known to many as the land of Sheba, and Manhattan of the desert, is now referred to only as one of the poorest countries on Earth. The name Yemen has become synonymous with cholera, famine, death, instability, and war. The war continues to erase the lives, history, and the future of Yemenis, and meaningful aid and peace have yet to reach Yemen.
(2020-04-04). [World Report] 2020 Canada Gairdner Award winners announced. thelancet.com On March 31, the Gairdner Foundation announced the winners of its annual prizes in biomedical science and global health. Talha Burki spoke with the laureates.
(2020-04-04). [Correspondence] Chagas disease: still a neglected emergency? thelancet.com 10 years after highlighting the health consequences for millions of people infected with Trypanosoma cruzi, a 2019 report from the Pan American Health Organization concluded that there has been little progress in the prevention and treatment of Chagas disease, a problem that now extends beyond Latin America.1…
(2020-04-04). [Comment] A planetary health perspective on COVID-19: a call for papers. thelancet.com It is natural during the unfolding coronavirus disease 2019 (COVID-19) pandemic to focus on emergency response planning, including containment, treatment procedures, and vaccine development, and nobody would doubt the need for these measures. However, an emergency can also open a window of opportunity for reflection and learning. We live in increasingly global, interdependent, and environmentally constrained societies and the COVID-19 pandemic exemplifies these aspects of our world. We would therefore be wise to take a broad integrated perspective on this disease, the impacts of which are already spilling over in…
(2020-04-04). [Correspondence] Mass drug administration: time to consider drug pollution? thelancet.com Mass drug administration is the strategy recommended by WHO to control or eliminate many neglected tropical diseases that cause devastating consequences worldwide. This strategic approach, which has produced unquestionable benefits, consists of treating every person, infected or not, living in a defined geographical area at approximately the same time.1 In 2017, more than 1 ∑7 billion treatments (mainly albendazole, mebendazole, ivermectin, azithromycin, and praziquantel) were delivered to 1 ∑04 billion individuals.
(2020-04-04). [World Report] Developing antibody tests for SARS-CoV-2. thelancet.com Laboratories and diagnostic companies are racing to produce antibody tests, a key part of the response to the COVID-19 pandemic. Anna Petherick reports.
(2020-04-04). [Editorial] Open versus endovascular repair of aortic aneurysms. thelancet.com When the UK National Institute for Health and Care Excellence (NICE) released draft guidelines on the diagnosis and management of abdominal aortic aneurysms in May, 2018, it caused outcry. By recommending that endovascular aneurysm repair (EVAR) of unruptured aneurysms should not be offered—even in patients for whom open surgical repair was contraindicated—critics said that many patients would be denied life-saving treatment and that the guidelines were unworkable.
(2020-04-04). [Comment] Offline: COVID-19—what countries must do now. thelancet.com How should countries plan for the approaching health crisis caused by coronavirus disease 2019 (COVID-19)? In the UK, Prime Minister Boris Johnson, himself struck down with infection, has written to every household warning that, "we know things will get worse before they get better". The UK Government is right to prepare the public for the coming human catastrophe. All governments have a responsibility to do the same. But this advice does not go far enough. Here are five critical actions that need to be considered immediately.
(2020-04-04). [Department of Error] Department of Error. thelancet.com Mease PJ, Rahman P, Gottlieb AB, et al. Guselkumab in biologic-naive patients with active psoriatic arthritis (DISCOVER-2): a double-blind, randomised, placebo-controlled phase 3 trial. Lancet 2020; 395: 1126—36—In this Article, the following sentence from the Participants section has been corrected as follows: "Patients were permitted, but not required, to continue stable use of selected standard treatments, including NSAIDs or other analgesics up to the regional marketed dose approved; oral corticosteroids (‚â§10 mg/day of prednisone or equivalent dose); or non-biologic DMARDs (limi…
(2020-04-04). [Perspectives] Face transplants as surgical acts and psychosocial processes. thelancet.com In 2017 the face of Katie Stubblefield made headlines. Not the face she was born with or the face that emerged after 22 reconstructive surgeries. This was another face altogether: a transplant that Stubblefield would receive from Adrea Schneider. There have been 46 recorded face transplants in history. Katie's was the 40th—only the third to have taken place at the Cleveland Clinic in Ohio, which also undertook the first face transplant in the USA, on Connie Culp, in 2008. According to the Cleveland Clinic, it took 11 surgeons and staff from 15 specialties more than 31 hours to transplant Stubblefield's new…
(2020-04-04). [Correspondence] Authoritarianism and the threat of infectious diseases. thelancet.com Punitive social policy, encompassing the dismantling of the welfare state with the expansion of the penal state and its associated institutions, as nicely stated by Elias Nosrati and Michael Marmot in their Perspective,1 might indeed be considered an upstream social determinant of health. Nosrati and Marmot's analysis relates to the findings described by Navarro and colleagues,2 linking political ideology with policies aimed at reducing social inequalities such as welfare state and labour market policies.
(2020-04-04). [Comment] The COVID-19 pandemic in the USA: what might we expect? thelancet.com As of March 19, 2020, 191‚Äà127 cases of, including 7807 deaths attributed to, coronavirus disease 2019 (COVID-19) have been reported worldwide.1 The incidence of reported cases in China has dramatically reduced to tens per day as a result of strict social distancing measures; however, the pandemic severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is now generating sustained transmission in many countries including the USA. In The Lancet, Isaac Ghinai, Tristan D McPherson, and colleagues2 report details of the first known human-to-human transmission of SARS-CoV-2 in the USA, which was…
(2020-04-04). [Editorial] Redefining vulnerability in the era of COVID-19. thelancet.com What does it mean to be vulnerable? Vulnerable groups of people are those that are disproportionally exposed to risk, but who is included in these groups can change dynamically. A person not considered vulnerable at the outset of a pandemic can become vulnerable depending on the policy response. The risks of sudden loss of income or access to social support have consequences that are difficult to estimate and constitute a challenge in identifying all those who might become vulnerable. Certainly, amid the COVID-19 pandemic, vulnerable groups are not only elderly people, those with ill health and comorbidities, or…
(2020-04-04). [Correspondence] Obsolete medical law in Japan harms doctors' health. thelancet.com Japan has achieved one of the most successful health-care systems in the world.1 Under the nation's insurance scheme, Japanese citizens have taken for granted that anyone can choose any health-care facility and receive the most advanced medical care across the nation. However, little attention has been paid to the fact that such a health system is supported by dedicated and self-sacrificing medical professionals. Such overloaded expectation is especially high in rural areas where the number of doctors remains low.
(2020-04-03). 'Stop coming to Beijing,' China advises foreign diplomats. rt.com 
China's Foreign Ministry is advising foreign diplomats to stop coming to Beijing. Spokeswoman Hua Chunying told reporters during a daily briefing that the ministry was aware of confirmed coronavirus cases among foreign diplomats in China, Reuters reported. | Beijing has indefinitely banned foreigners from entering the country to curb cases involving travelers from overseas. However, China has chartered planes to repatriate its nationals in countries with severe outbreaks. | The National Health Commission on Friday reported 31 new cases, compared with 35 a day earlier and down dramatically from the height of th…
(2020-04-03). Nationwide lockdown could cost Indian economy over $4 BILLION A DAY. rt.com 
The 21-day complete shutdown across India which was triggered by the rapid spread of the coronavirus outbreak will result in a gross domestic product (GDP) loss of almost $98 billion, according to Acuite Ratings & Research. | "While the countrywide shutdown is scheduled to be lifted from April 15, 2020, the risks of prolonged disruption in economic activities exist depending on the intensity of the outbreak," the credit rating agency said, adding that the ongoing disruption will have significant economic consequences across the world as well as in India. | Acuite Ratings has warned there is a risk of a contrac…
(2020-04-03). Marist and SUNY Geneseo students face homelessness. wsws.org The crisis that has emerged at schools and colleges around the country in the face of the pandemic has laid bare the harsh realities of life for millions of youth and students.
(2020-04-03). South Australian teacher speaks out against governments keeping schools open. wsws.org Amidst the mounting coronavirus danger, teachers are demanding the closure of schools.
(2020-04-03). COVID-19: 1st Turkish-made ventilator 'due mid-April'. yenisafak.com A Turkish firm will deliver the country's first home-made medical ventilator after April 15, the industry and technology minister said on Friday. Mustafa Varank said that more than 100 engineers from the country's high-tech firms such as Baykar, Aselsan and TAI were working to produce the device in accordance with international standards.Several companies, some of them from the health sector, are focused on manufacturing the breathing machines, which are critical for the treatment of coronavirus.BIOSYS, a Turkish technology producer, made its first prototype after a five-year research and development process.The…
(2020-04-03). Femicide down 22% in first quarter of year in Turkey. yenisafak.com Turkey's femicide rate has decreased by 22% in the first quarter of the year compared to last year, the country's Interior Ministry announced on Friday.According to the statement, 64 women were murdered over the past three months, while in January-March 2019, 82 had been killed.The ministry said this decrease was the result of its struggle against violence towards women and domestic violence, conducting research and instituting preventative measures against perpetrators to protect women who had been victims.As part of this struggle, 157,367 such preventive measures had been placed in the first three months of 202…
(2020-04-03). Which to prioritize during coronavirus crisis: Economy or lives? yenisafak.com As the coronavirus pandemic is taking its toll both on the lives of people and the economies of countries, well-respected economists analyzed the interaction between containment measures and economic activity, evaluating some policy responses to the coronavirus-driven economic crisis.In a survey conducted by the Initiative on Global Markets (IGM), a research center at the Chicago University, they indicated the extent to which they agree or disagree on important public policy issues.The coronavirus pandemic has thrown the world into unprecedented uncertainty and does not favor any nation, triggering an economic cr…
(2020-04-03). Brave New World: Prof Reveals How COVID-19 Has Sped Creation of Frightening 'Contact-Free' Reality. sputniknews.com The total number of COVID-19 infections surpassed one million on Friday, with nearly 54,000 people succumbing to virus-related complications and billions more at risk of losing their jobs and livelihoods as the world economy grinds to a halt. This week, the United Nations characterized the pandemic as the biggest security challenge since WWII.
(2020-04-03). Magnetic Field Mysteriously Collapses in Enormous Stellar Explosion and Scientists Can't Explain Why. sputniknews.com An explosion of a titanic star spotted by NASA's satellite in January 2019, has produced some odd effects that scientists have not been able to properly address.
(2020-04-03). Iranian student volunteers disinfect passing cars against COVID-19 in Shiraz (Photos). iranian.com To combat the spread of the novel coronavirus, the students in Shiraz, Fars province Province, have formed small groups disinfecting passing cars.
(2020-04-02). "There Aren't Enough Tests": As Pandemic Intensifies, Global South Prepares for the Worst. democracynow.org 
After devastating China, Europe and the United States, the coronavirus pandemic is now intensifying across the Global South. The United Nations warns the pandemic is poised to destroy fragile economies in poor nations, decimating food security, education and human rights. We speak with Yanis Ben Amor, assistant professor of global health and microbiological sciences at Columbia University and executive director of the Center for Sustainable Development at the Earth Institute.
(2020-04-02). As U.S. Reels from COVID-19, Trump Backs Gilead's Exclusive Patent on Treatment & Suspends EPA Rules. democracynow.org 
As the United States leads the world in coronavirus cases, the nation's healthcare system is already stretched to capacity and protective gear in short supply. President Trump and his health advisors say more than 100,000 Americans could die from the coronavirus in the next two weeks. Meanwhile, millions of people have lost their jobs, and a record 6.6 million unemployment claims were filed this week, on top of last week's 3.3 million claims. For more on the economic impacts of the coronavirus, and how Trump has responded to the pandemic by rewarding pharmaceutical corporations like Gilead Sciences and indefinite…
(2020-04-02). [Research Paper] Survey of major trauma centre preparedness for mass casualty incidents in Australia, Canada, England and New Zealand. thelancet.com The disaster preparedness of MTCs was high for communication, safety and security but there was clear need for improvement in other areas including surge capacity, human resources and post-disaster recovery.
(2020-04-02). US Becomes First Country to Report 200,000 Coronavirus Cases. telesurenglish.net The United States became the first nation with more than 200,000 COVID-19 cases on Wednesday, according to a new tally from Johns Hopkins University. | RELATED: | The U.S. has confirmed 215,417 COVID19 cases, with 5,116 deaths, according to the latest tally updated by the university's Center for Systems Science and Engineering. | New York state has recorded 83,712 diagnoses and 1,941 deaths, both the highest among U.S. state…
(2020-04-02). 'People Should Not Be Forced to Put Their Lives on the Line to Vote'. thenation.com 'People Should Not Be Forced to Put Their Lives on the Line to Vote'
(2020-04-01). How coronavirus might save more lives than it takes. thecanary.co 
For decades, our society has been deteriorating. And our tolerance for the discomfort and death of our fellow human beings has seemed virtually boundless. But with the appearance of a virus that made the world stop, we started to notice each other again. We started to count those suffering and dying like it mattered.We are in a surreal and terrifying moment. But if we harness the compassion and creativity that the coronavirus (Covid-19) pandemic has forced upon us, this virus might just save more lives than it takes.The numbers: I was floored by a statistic from the World Health Organization (WHO) from jus…
(2020-04-01). Stranded UK tourists wait for news on charter flights. thecanary.co 
Hundreds of thousands of UK citizens stranded abroad face an anxious wait for details of rescue flights to be announced. | The Foreign and Commonwealth Office (FCO) has set aside £75 million to charter flights from destinations where commercial routes have been severed due to the coronavirus pandemic. | Repatriation flights operated from Peru and Tunisia on Tuesday, but details of further flights have not been revealed. | On March 23, the FCO advised all UK residents who were travelling abroad to return home. | We are aware that not everyone who wanted to leave Peru was able to. We understand this is a worr…
(2020-03-30). In a 10-Day Span, ICE Flew This Iranian Detainee Across the Country Nine Times. iranian.com Less than two weeks ago, the Trump administration urged Americans to avoid nonessential travel to prevent the spread of the coronavirus. Major airlines slashed their routes. All the while, Sirous Asgari took nine different flights around the country. None of them was by choice. Asgari bounced around on chartered jets from Louisiana to Texas to …
(2020-03-27). "Total System Failure": Congress Pushes $2 Trillion Pandemic Bill. Will Dems Allow "Corporate Coup"? democracynow.org 
We continue our look at the massive $2 trillion coronavirus relief package — the largest stimulus bill in U.S. history — with author Matt Stoller, who argues the country will be unrecognizable after this pandemic if big corporations walk away with trillions of dollars and no strings attached. Stoller is research director at the American Economic Liberties Project and author of the book "Goliath: The 100-Year War Between Monopoly Power and Democracy." His recent column for The Guardian is headlined "The coronavirus relief bill could turn into a corporate coup if we aren't careful."
(2020-03-27). The Italian war-like measures to fight coronavirus spreading: Re-open closed hospitals now. thelancet.com As recently highlighted by The Lancet, the Covid-19 outbreak started in Northern Italy has shocked Europe, while it has been questioned if China benefits from an authoritarian advantage in disease response [1,2]. In Italy, after the shutdown of the educational system (schools and Universities will remain closed at least for one month) and the collapse of the touristic sector (90% of travels and reservations cancelled), the Government officially locked down residents of all the region of Milan (Lombardia) and other 11 provinces.
(2020-03-18). [Research Paper] A phase 1b randomized study of the safety and immunological responses to vaccination with H4:IC31, H56:IC31, and BCG revaccination in Mycobacterium tuberculosis-uninfected adolescents in Cape Town, South Africa. thelancet.com BCG revaccination administered as a single dose ID and both H4: IC31 and H56: IC31 administered as 2 doses IM had acceptable safety profiles in healthy, QFT-negative, previously BCG-vaccinated adolescents. Characterization of the assays and the immunogenicity of these vaccines may help to identify valuable markers of protection for upcoming immune correlates analyses of C-040-404 and future TB vaccine efficacy trials.
(2020-03-16). [Correspondence] COVID-19: the need for continuous medical education and training. thelancet.com Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) moved rapidly through China, and the virus had spread to more than 60 countries and infected nearly 90‚Äà000 patients by March 5, 2020. Based on data for 72‚Äà314 cases of coronavirus disease 2019 (COVID-19), 14% of people have severe disease, 5% have critical illness, and 2 ∑3% die.1 COVID-19 is not a conventional disease, and rapid changes in the provision of critical care have been needed to meet the needs of patients. Health emergencies such as the COVID-19 outbreak can be a huge challenge for critical-care ph…
(2020-03-16). [Research Paper] Results from the first English stool bank using faecal microbiota transplant as a medicinal product for the treatment of Clostridioides difficile infection. thelancet.com The methodology developed here enabled successful licencing of FMT by The Medicines and Healthcare products Regulatory Agency as a medicinal product. This has widened the availability of FMT in the National Health Service via a stool bank and can be applied in other centres across the world to improve access to safe and quality assured treatments.
(2020-03-16). [Comment] Evolving therapies for rifampicin-resistant tuberculosis: balancing efficacy and toxicity. thelancet.com Disease caused by Mycobacterium tuberculosis is a leading global health problem associated with severe morbidity and a high risk of death, despite widespread availability of effective treatment for drug-sensitive tuberculosis. Although drug-resistant tuberculosis had been described for many years, alarming reports over the past decade suggested neither tuberculosis transmission nor virulence was compromised by the selection of tuberculosis drug resistance.1,2 These reports, describing the prognosis of patients with extremely drug-resistant tuberculosis, galvanised global research efforts into improving treatment,…
(2020-03-13). [Comment] Targeting p19 in psoriatic arthritis: more than just another therapeutic approach? thelancet.com Pharmacological management of chronic immune-mediated inflammatory conditions has experienced many advances in the past decade. Psoriatic arthritis has for a long time almost exclusively had therapeutic strategies that were originally developed for rheumatoid arthritis, on which most arthritis research has focused. The complexity of psoriatic arthritis, with its different disease manifestations besides the arthritis (enthesitis, dactylitis, involvement of the axial skeleton, and skin and nail disease), poses a challenge to comprehensive assessment of disease activity and to manifestation-oriented management of th…
(2020-03-10). [Research Paper] Association of characteristics of tampon use with menstrual toxic shock syndrome in France. thelancet.com Our study suggests that the risk of MTSS was associated with using tampons for more than 6 h, overnight tampon use during sleep, and neither read nor followed tampon insertion instructions in case of reading.
(2020-03-09). [Comment] Patchy progress on the ICPD: are we asking the right questions? thelancet.com The International Conference on Population and Development (ICPD) agenda, set in 1994 in Cairo and revisited 25 years later in Nairobi in 2019, included goals for equitable education of women, reduction of infant and child mortality, reduction of maternal mortality, and access to reproductive and sexual health services, including family planning, through its well known Programme of Action.1 The ICPD was ground-breaking in recognising the benefits that empowerment of women and girls would have for themselves, their families, and, ultimately, their countries.
(2020-03-07). TEXAS 2020 DEMOCRATIC PARTY PRIMARY. tdmsresearch.com Exit Poll Versus Reported Vote Count By Theodore de Macedo Soares The 2020 Texas Democratic Party presidential primary was held on March 3, 2020. Election results from the computerized vote counts differed significantly from the results projected by the exit poll conducted by Edison Research and published by CNN at poll's closing. According to the exit poll Sanders was tied with Biden but lost in the unobservable computer counts by 4.5%. In this election candidate Sanders saw the largest
(2020-03-05). [Research Paper] Gender parity at scale: Examining correlations of country-level female participation in education and work with measures of men's and women's survival. thelancet.com This study extends past research by examining actionable areas of gender equality and their impact on both male and female survival. While longitudinal research is needed to examine both causality and mechanisms, our findings suggest longevity gains for both women and men, and for all children through reduced maternal mortality, where greater parity in school and work is exhibited.
(2020-03-05). [Research Paper] Access to women physicians and uptake of reproductive, maternal and child health services in India. thelancet.com Higher district availability of women physicians is associated with higher maternal health care utilization but not child health care utilization. Improving gender parity in the physician workforce and rural women physician access may improve maternal health care use in India.
(2020-03-04). [Research Paper] Sport as a vehicle of change for livelihoods, social participation and marital health for the youth: Findings from a prospective cohort in Bihar, India. thelancet.com Evidence from India shows that sport can be an instrument supporting pro-social engagement for boys and girls. Further understanding of the gendered nature of sport and the mechanisms linking sport to agency among youth is needed.
(2020-03-04). [Research Paper] Effects of sexual harassment on advancement of women in academic medicine: A multi-institutional longitudinal study. thelancet.com Contrary to our hypothesis, women reporting severe workplace harassment in 1995 were more rather than less likely to advance to full professor. Women seeking advancement may be more vulnerable to sexual harassment in academic medicine vis a vis greater exposure to those who abuse their position of authority.
(2020-03-04). [Research Paper] Gender discrimination and depressive symptoms among child-bearing women: ELSPAC-CZ cohort study. thelancet.com The findings provide the first evidence that perceived gender discrimination is associated with depressive symptoms among child-bearing women. Social intervention programs aimed at reducing gender discrimination can potentially contribute to better mental health of women.
(2020-03-04). [Commentary] Gender equality: Framing a special collection of evidence for all. thelancet.com In this issue of EClinicalMedicine, the editors have assembled a special collection of papers which reinforce and extend concepts advanced recently in other Lancet family journals on Gender Equality, Norms and Health [1] and Advancing Gender Equity in Science, Medicine and Global Health [2]. These works in turn, build on decades of scholarship in the study of gender inequalities which to this day have disproportionately impacted women and girls, and even more so women who are poor or from racial or religious minorities or other intersecting aspects of identify which impart social disadvantage.
(2020-03-03). [Research Paper] Violence-related knife injuries in a UK city; epidemiology and impact on secondary care resources. thelancet.com Knife injuries constitute 12 ∑9% of trauma team workload. Violence recidivism and intoxication are common, and females are predominantly injured in a domestic setting, presenting opportunities for targeted violence reduction interventions. 13 ∑9% of injuries involved machetes, with implications for law enforcement strategies.