Today, we publish the first clinical data from individuals confirmed to be infected with 2019-nCov from Wuhan, China. As for all public health emergencies, we will be making all related #Coronavirus Lancet content fully and freely available thelancet.com/coronavirus
Paper 1 outlines the first 41 cases. The severity of illness is concerning: almost a third of patients developed acute respiratory distress syndrome requiring intensive care: 6 patients died; 5 had acute cardiac injury; and 4 required ventilation thelancet.com/pb-assets/Lanc…
China has quickly isolated and sequenced the virus and shared these data internationally. The lessons from the SARS epidemic…have been successfully learned.
Paper 2: Authors from Hong Kong report clinical & microbiological data from a family who travelled to Wuhan & later presented with pneumonia to Shenzhen Hospital. 5 identified as 2019-nCoV infected, suggesting human-to human transmission thelancet.com/pb-assets/Lanc…
Editorial: "@WHO has reacted fast and diligently and we commend them for their resilience in the face of unprecedented international pressure" thelancet.com/pb-assets/Lanc…
Editorial: "There are many gaps in understanding...exposure & possible infection of health workers & and effectiveness of city shutdown. Chinese public health authorities are under pressure. Much will depend on maintaining trust between authorities & local population"
Editorial: "There are enormous demands for rapid access to information about this new virus, affected patients & communities & response. News media that worsen fears by reporting a “killer virus“ only harm efforts to implement a successful & safe infection control strategy."
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‘Policy inertia’ is enabling the products and practices of some commercial actors to cause significant, ongoing harm to health, warn experts.
A new Lancet Series argues for a bold system overhaul that puts people and planet first: hubs.li/Q01HD8h_0
What are the commercial determinants of health?
Lack of consensus on the definition has been a sticking point, hampering action.
The Series authors provide an explanation and outline potential pathways to health benefits or harms: hubs.li/Q01J2gbV0
While commercial actors can contribute positively to health and society, a significant proportion are not.
Just 4 industry sectors are responsible for at least 1/3 of global deaths every year:
🚬 Tobacco
🍺 Alcohol
🍔 Unhealthy foods
🏭 Fossil fuels hubs.li/Q01J2gbV0
New Lancet Commission details "massive global failures" of the #COVID19 response & issues recommendations to help:
1️⃣ End the pandemic emergency
2️⃣ Protect against future health shocks
3️⃣ Achieve sustainable development for all
Access the report: hubs.li/Q01mlD0h0
Glaring deficiencies in pandemic preparedness & response have cost lives, livelihoods, & progress towards the #SDGs.
The Lancet COVID-19 Commission identifies several failures of governance ⤵ hubs.li/Q01mmNZd0
Synthesising evidence from the first 2 years of #COVID19, Commission authors make 11 essential recommendations for a resilient post-pandemic world 👇 hubs.li/Q01mmNZd0
📢 The Lancet Group is pleased to announce an important step towards advancing equity, diversity, & inclusion in our publishing practices:
Authors & reviewers will now be invited to (optionally) self-report their gender, race, & ethnicity via our Editorial Manager sites. 1/4
Understanding the demographics of our authors & reviewers is integral to the work of the Lancet Group for Racial Equity (GRacE) & the Gender & Diversity Taskforce; to identify gaps in representation & propose solutions to address them. 2/4
This approach has already proven successful for gender data collection; we hope to build on this with the introduction of the schema & the addition of race & ethnicity as categories. 3/4
When successfully delivered, primary health care can:
1⃣ Improve equity, promote good health, & reduce risk of disease
2⃣ Limit the financial burden of health-care for households
3⃣ Save governments money
Although a staple of high-performing health systems, #PrimaryHealthCare lacks funding, quality, & accessibility in many low- & middle-income countries (LMICs).