The Lancet
Mar 22, 2014 Volume 383 Number 9922 p1013 – 1098
http://www.thelancet.com/journals/lancet/issue/current
Editorial
A new brand for tuberculosis
The Lancet
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The Lancet received an interesting email last week—an invitation to participate in the research stage of a new Stop TB Partnership initiative to build a brand for tuberculosis from Siegel+Gale, a London-based branding agency who have been commissioned to undertake the work. The aim of the project is to develop an iconic and lasting identity for tuberculosis. The goal is to create a brand that will raise the profile of the disease, influence high-level decision makers, attract necessary resources, and amplify the voice of the tuberculosis community.
Comment
World TB Day 2014: finding the missing 3 million
Nick Herbert, Andrew George, Baroness Masham of Ilton, Virendra Sharma, Matt Oliver, Aaron Oxley, Mario Raviglione, Alimuddin I Zumla
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On April 23, 1993, WHO declared tuberculosis a global health emergency.1 Tuberculosis is now about to come of age as a global emergency—April, 2014 marks the 21st anniversary of that declaration. Arata Kochi, manager of WHO’s tuberculosis programme in 1993, aptly called the disease “a forgotten epidemic” and “humanity’s greatest killer”. Tuberculosis might no longer be humanity’s deadliest disease in terms of annual deaths but, 21 years after the declaration, it remains a serious and substantial threat to the health of people worldwide, causing 1·3 million unnecessary deaths every year.
Special Report
Breaking the cycle: drought and hunger in Kenya
Sam Loewenberg
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Aid to Kenya responds to the country’s recurrent food crises but it fails to address the underlying infrastructure problems that could prevent such emergencies. Sam Loewenberg reports.
Viewpoint
Addressing invisibility, inferiority, and powerlessness to achieve gains in maternal health for ultra-poor women
Zubia Mumtaz, Sarah Salway, Afshan Bhatti, Lynn McIntyre
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Despite a continued stated commitment to social justice and equity—the guiding spirit of the Millennium Declaration in 20001—concerns have arisen that this focus has often been diluted in efforts to translate the Millennium Development Goals (MDGs) into actions.2 Nowhere is this more apparent than in relation to MDG 5. Analyses of national survey data and local programme assessments show that policy directives and interventions often fail to reach the poorest women within local populations. In Pakistan, for example, a ten-district intervention aimed at upgrading health facilities while simultaneously increasing demand through behavioural change resulted in a rise in institutional deliveries in the highest wealth quintile (from 62% to 74%), but no change in the poorest (remaining at roughly 18%).