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[Correspondence] The measles crisis in Europe—the need for a joined-up approach

Sa, 18/05/2019 - 00:00
Measles elimination in Europe is in crisis. More than 80 000 confirmed cases were reported in 2018 in the 53 countries in the WHO European Region,1 the highest figure for 20 years. 14 countries in the region reported more than 500 confirmed cases, including four countries that were previously deemed to have eliminated measles (Greece, Albania, Israel, and the UK), meaning interrupted transmission for 3 years. New strategies are urgently needed to put measles elimination in Europe back on track.

[Correspondence] Post-surgery mortality in Poland

Sa, 18/05/2019 - 00:00
In 2012, The Lancet published the results of a 7 day cohort study on mortality after surgery in Europe (Sept 22, 2012, p 1059).1 The Article contained information that was inappropriately used in Poland to promote a film, Botoks, which was watched by more than 2 million people. I am concerned that these data could still be used in similar ways.

[Correspondence] Post-surgery mortality in Poland – Author's reply

Sa, 18/05/2019 - 00:00
Stanislaw Krawczyk refers to the director Patryk Vega and his film Botoks, which provides a fictional account of the experiences of individuals receiving health care in Poland. The film, which has been widely viewed, caused outrage among health-care workers in Poland, who are depicted in an extremely negative way, perhaps the most striking example being the serious sexual assault of a patient by a member of hospital staff. The film is provocative to say the least, and some consider it deliberately misleading.

[Correspondence] Rheumatoid arthritis-associated bronchiectasis

Sa, 18/05/2019 - 00:00
We read with great interest the comprehensive review of diffuse bronchiectasis by Patrick Flume and colleagues (Sept 8, 2018, p880).1 The authors mentioned the autoimmune diseases (most notably, rheumatoid arthritis and ulcerative colitis) that can be associated with bronchiectasis and for which causative genes have not yet been identified. We agree with their conclusion; however, as they exclusively detailed the associated genetic risk loci in inflammatory bowel diseases, we would like to add that, to our knowledge, the only family-based association study in patients with non-cystic fibrosis diffuse bronchiectasis was done in patients with rheumatoid arthritis.

[Correspondence] Rheumatoid arthritis-associated bronchiectasis – Authors' reply

Sa, 18/05/2019 - 00:00
We appreciate the interest in our review of bronchiectasis.1 We thank Xavier Puéchal and colleagues for reminding us of the association between CFTR gene variants and outcomes in patients with rheumatoid arthritis and bronchiectasis.2,3 This idea supports our suggestion that therapeutic interventions might not only target the underlying causes, but the predisposing factors that can modify progression of disease. Perhaps drugs that modulate CFTR protein function could eventually be used in the treatment of such patients.

[Correspondence] Co-first authorship and gender equity in academic publishing

Sa, 18/05/2019 - 00:00
In response to the Comment by Jocalyn Clark and Richard Horton.1 about action on gender and diversity at The Lancet, as young female researchers, we would like to share our recent experience of publishing in your journal and to highlight the value of co-first authorship in promoting female academics.

[Correspondence] Gender equity on journal editorial boards

Sa, 18/05/2019 - 00:00
I read with interest what Editors at The Lancet are doing about gender and diversity.1 Gender inequities are at odds with the ethics to which we as a health-care community ascribe. For example, professionalism is one of the six core competencies mandated by the Accreditation Council for Graduate Medical Education in the USA, and the American College of Physicians has specifically stated in its ethics manual that discrimination violates the principles of professionalism.2 Therefore, allowing workforce gender discrimination that could be addressed to persist is unethical.

[Correspondence] Reporting sex and gender in medical research

Sa, 18/05/2019 - 00:00
We read the theme issue on advancing women in science, medicine, and global health with great enthusiasm, and here we write in response to the Comment by Jocalyn Clark and Richard Horton.1 Although they set clear parameters for improving equity in the academic publishing system across all Lancet journals, it is but a first step. A systematic and mandatory approach to reporting sex and gender, which covers all papers considered for publication, is necessary, unless justified otherwise.

[Department of Error] Department of Error

Sa, 18/05/2019 - 00:00
Malvy D, McElroy AK, de Clerck H, Günther S, van Griensven J. Ebola virus disease. Lancet 2019; 393: 936–48—In this Seminar, the appendix was incomplete; an updated version has been supplied. These corrections have been made to the online version as of May 16, 2019.

[Department of Error] Department of Error

Sa, 18/05/2019 - 00:00
Dransfield M, Stolz D, Kleinert S for the Lancet COPD Commissioners. Towards eradication of chronic obstructive pulmonary disease: a Lancet Commission. Lancet 2019; 393: 1786–88—In this Comment, in the list of Commissioners' names the spelling of Urs Frey has been corrected. This correction has been made to the online version as of May 16, 2019.

[Department of Error] Department of Error

Sa, 18/05/2019 - 00:00
The Lancet. Measles eradication: a goal within reach, slipping away. Lancet 2019; 393: 1669—In this Editorial, it was reported that the combined measles, mumps and rubella vaccine (MMR) was introduced in 1963, when this vaccine was first introduced in 1971. Corrections to that effect have been made to the online version as of May 16, 2019.

[Clinical Picture] A pain in the neck: calcific tendinitis of the longus colli muscle

Sa, 18/05/2019 - 00:00
A 41-year-old man presented to our hospital with a 20-h history of progressively worsening sudden-onset, severe, left-sided neck pain. Additionally, he complained of a headache in the occipital region, odynophagia, and trismus. He reported no medical history of trauma or infection. A physical examination showed he had severely limited neck motion in all directions because of stiffness. Blood tests showed a leucocytosis (13·0 × 109 per L), an elevated serum C-reactive protein concentration (124 mg/L), and a faster erythrocyte sedimentation rate (24 mm/h).

[Review] Mass gatherings medicine: public health issues arising from mass gathering religious and sporting events

Sa, 18/05/2019 - 00:00
Mass gathering events are associated with major public health challenges. The 2014 Lancet Series on the new discipline of mass gatherings medicine was launched at the World Health Assembly of Ministers of Health in Geneva in May, 2014. The Series covered the planning and surveillance systems used to monitor public health risks, public health threats, and experiences of health-care providers from mass gathering events in 2012 and 2013. This follow-up Review focuses on the main public health issues arising from planned mass gathering events held between 2013 and 2018.

[Review] Refractive surgery

Sa, 18/05/2019 - 00:00
Refractive surgery has evolved beyond laser refractive techniques over the past decade. Laser refractive surgery procedures (such as laser in-situ keratomileusis), surface ablation techniques (such as laser epithelial keratomileusis), and photorefractive keratectomy have now been established as fairly safe procedures that produce excellent visual outcomes for patients with low-to-moderate amounts of ametropia. Additionally, a broader selection of options are now available to treat a wider range of refractive errors.

[Editorial] Net zero by 2050 in the UK

Sa, 11/05/2019 - 00:00
The Committee on Climate Change (CCC), an independent body that advises the UK Government, published a report on May 2, Net zero—the UK's contribution to stopping global warming. Stating that net zero is “necessary, feasible, and cost-effective”, the CCC set a target year of 2050 for complete elimination of greenhouse gas (GHG) emissions in the UK. The report provides a comprehensive framework for multiple sectors that the government could feasibly adopt to adhere to the 2015 Paris Agreement and Intergovernmental Panel on Climate Change (IPCC) limits of 1·5–2·0 degrees global warming from pre-industrial levels by 2050.

[Editorial] Malaysia's Pain Free programme

Sa, 11/05/2019 - 00:00
At the Annual Scientific Meeting of the Australia and New Zealand College of Anaesthetists in Kuala Lumpur (Malaysia) last week, Dr Mary Suma Cardosa, pain specialist at Hospital Selayang and President of the Malaysian Association for the Study of Pain, presented over a decade of work in Malaysia addressing pain. Cardosa described how adoption of “pain as the fifth vital sign” in 2008 improved awareness of pain in hospitals but did not lead to significant practice change. The Pain Free Hospital campaign was subsequently initiated in Malaysia's public health system in 2011, and extended to include primary care and dental services in 2017.

[Editorial] Research futures—from 2019 to 2029

Sa, 11/05/2019 - 00:00
What will the world of research look like in 2029? How will research be funded? What are the pathways to open science? How will researchers work, and what will be the role of technology? How will the research information system change, and what will education look like? On May 2, at a conference organised by the European Health Forum Gastein, and hosted by Wellcome in London (UK), possible drivers shaping the future of research were outlined.

[Comment] Offline: Time to radically rethink non-communicable diseases

Sa, 11/05/2019 - 00:00
The strategies that underpin global health orthodoxy today, expressed as an almost exclusive concern with Sustainable Development Goal (SDG) 3, will fail to deliver healthy lives for all. Few global health institutions or initiatives acknowledge this reality. The Global Fund to Fight AIDS, Tuberculosis and Malaria is unlikely to divert from its narrow disease-driven narrative in the run up to its October, 2019, replenishment conference in Lyon. Gavi, The Vaccine Alliance, sees vaccination as an important contributor to the SDGs.

[World Report] Legal battles over abortion heat up in the USA

Sa, 11/05/2019 - 00:00
Changes to Title X, several legal challenges, and a change to the Supreme Court composition could mean drastic changes for access to abortion in the USA. Susan Jaffe reports.

[Perspectives] Body of thought

Sa, 11/05/2019 - 00:00
“It happened quickly, an inverse magician's trick: now you don't see it, now you do.” This is how Sinéad Gleeson's body announced itself to her when she was 13 years old, as she describes in Blue Hills and Chalk Bones, the opening essay in her debut collection of prose and poetry Constellations: Reflections from Life. Her previously normal, active life was consumed by pain emanating from her left hip. The eventual diagnosis was monoarticular arthritis, but getting to that point took some time, and finding actual relief from the condition even longer.