The Lancet
May 02, 2015 Volume 385 Number 9979 p1697-1802
http://www.thelancet.com/journals/lancet/issue/current
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Editorial
Migrant crisis in the Mediterranean
The Lancet
DOI: http://dx.doi.org/10.1016/S0140-6736(15)60875-3
Summary
In October, 2014, the British Government quietly announced its decision to withdraw support for Mare Nostrum, a search and rescue operation for migrants in the Mediterranean Sea. “We do not support planned search and rescue operations in the Mediterranean,” said Baroness Anelay, to avoid “an unintended ‘pull factor’, encouraging more migrants to attempt the dangerous sea crossing and thereby leading to more tragic and unnecessary deaths.” As of April 27, more than 1700 men, women, and children—each seeking a better and safer life in Europe—have drowned trying to cross the Mediterranean, compared with 96 over the same period in 2014.
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Comment
Ageing, health, and social care: reframing the discussion
Daniel Davis, Carol Brayne
DOI: http://dx.doi.org/10.1016/S0140-6736(15)60466-4
Summary
The current age structure of the UK population is radically different from that at inception of the National Health Service (NHS) in 1948, and health inequalities are widening fastest in people aged 65 years and older.1 On the one hand there are fit, highly advantaged people at advanced ages for whom functional limitations and disability are postponed (ie, compression of morbidity);2 and, on the other, there are those who age faster and die earlier, with a higher prevalence of chronic diseases, at least partly related to lifetimes of disadvantage and social environments that have not led to healthy ageing.
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Comment
Health and sustainable development: a call for papers
Richard Horton, Zoë Mullan
Open Access
DOI: http://dx.doi.org/10.1016/S0140-6736(15)60504-9
In just under 5 months’ time, the aspiration for the next 15 years of development efforts will be signed off at the UN General Assembly in New York, USA. These Sustainable Development Goals (SDGs) are already at an advanced stage of drafting—17 ambitious goals and 169 targets (panel), which have been criticised even by the UN General Secretary for being too voluminous.1 Amid this multitude of outcomes, those pertaining to health are reduced from three Millennium Development Goals to one SDG. What does this mean for global health research?
It means an opportunity. As we concern ourselves with the prominence of health in the new agenda, it’s easy to forget that (human) development is by definition people-centred, and that living a long, healthy, and creative life is its cornerstone.2 The expansion of the new goals to encompass many (if not all3) of the enablers of an enriched life, for our generation and for those that follow, represents an opportunity to lift ourselves out of the silos we so decry and to embrace other disciplines that underlie the purpose of our own.
As the SDGs, in whatever final form they take, are unveiled in September, 2015, The Lancet and The Lancet Global Health will begin to curate a special issue on sustainable development, to be published in April, 2016. As part of this special issue, we seek original research articles that cross two or more of the key disciplines of the SDGs: poverty, nutrition, health, education, economics, gender equality, water and sanitation, energy, urban planning, conservation, and climate change. Multidisciplinary authorship is a must. The deadline is Sept 15, 2015, and submissions should be made online.
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Viewpoint
WHO’s new End TB Strategy
Dr Mukund Uplekar, MD, Diana Weil, MSc, Knut Lonnroth, MD, Ernesto Jaramillo, MD, Christian Lienhardt, MD, Hannah Monica Dias, MSc, Dennis Falzon, MD, Katherine Floyd, PhD, Giuliano Gargioni, MD, Haileyesus Getahun, MD, Christopher Gilpin, MD, Philippe Glaziou, MD, Malgorzata Grzemska, MD, Fuad Mirzayev, MD, Hiroki Nakatani, MD, Mario Raviglione, MD, for WHO’s Global TB Programme
Published Online: 23 March 2015
DOI: http://dx.doi.org/10.1016/S0140-6736(15)60570-0
Summary
On May 19, 2014, the 67th World Health Assembly (WHA) adopted WHO’s “Global strategy and targets for tuberculosis prevention, care and control after 2015”.1 This post-2015 global tuberculosis strategy, labelled the End TB Strategy, was shaped during the past 2 years. A wide range of stakeholders—from ministries of health and national tuberculosis programmes to technical and scientific institutions, financial and development partners, civil society and health activists, non-governmental organisations, and the private sector—contributed to its development.