In less than a decade, Ireland has seen many previously unimaginable developments, including the legalisation of same-sex marriage, the radical overhaul of the country's archaic abortion law, and the ...beginnings of implementation of an ambitious plan to create a universally accessible health service. Adopted in 2018, the overarching idea was to reorientate the two-tier system, with a reliance on an insurance-based system of private care dominated by hospital services, to a publicly funded system focused on primary health care and community care. ...although 77% of total current health-care expenditure is paid for by the Irish Government, 12% still comes from private health insurance, with the remaining 11% from household out-of-pocket payments.
By the end of January, doctors from mainland China and Hong Kong had characterised the clinical features of patients with COVID-19, person-to-person transmission, genomic characteristics, and ...epidemiology, warning the world about the threat of COVID-19 with research papers published in The Lancet. For other countries, particularly low-income and middle-income countries, China's experience shows the importance of investing in national health and research systems to enhance laboratory capacity as well as workforce. ...achieving rapid and effective implementation of control measures for COVID-19 requires broad community engagement.
Lawsuits filed in federal appeal courts by Republican political action groups have thwarted vaccine mandate legislation for health-care workers and federal employees that would go into effect in ...2022. The most recent Global Health Security Index shows that risks to political stability and security have increased in nearly all countries, and those with the fewest resources have the highest risk. ...doing so effectively and equitably will require greater recognition of the political determinants of health and action based on a robust global multilateral system and strong individual national leadership—which too often has been, and continues to be, lacking.
...the disease has been known by many names, including the great imitator, on account of its broad range of clinical manifestations in addition to genital lesions, and has been well described in the ...scientific and historical literature. At-risk populations, such as intravenous drug users and men who have sex with...
The removal of support, a loss of US$75 million for UNFPA, is a blow to an agency that ensures access to contraception and maternal and child health services, and fights against gender violence, ...child marriage, and female genital mutilation in more than 150 countries worldwide. ...the dismay over the UNFPA...
The future of the NHS The Lancet
The Lancet (British edition),
04/2017, Letnik:
389, Številka:
10078
Journal Article
Recenzirano
Last week saw the publication of a report on the long-term sustainability of the National Health Service (NHS) and adult social care in the UK. The key recommendation of the report is the creation of ...a new independent Office for Health and Care Sustainability to assess health and care needs for the next 15-20 years, to report on the impact of changing demographic needs, to examine the skills mix within the workforce, and to assess...
Summary The importance of breastfeeding in low-income and middle-income countries is well recognised, but less consensus exists about its importance in high-income countries. In low-income and ...middle-income countries, only 37% of children younger than 6 months of age are exclusively breastfed. With few exceptions, breastfeeding duration is shorter in high-income countries than in those that are resource-poor. Our meta-analyses indicate protection against child infections and malocclusion, increases in intelligence, and probable reductions in overweight and diabetes. We did not find associations with allergic disorders such as asthma or with blood pressure or cholesterol, and we noted an increase in tooth decay with longer periods of breastfeeding. For nursing women, breastfeeding gave protection against breast cancer and it improved birth spacing, and it might also protect against ovarian cancer and type 2 diabetes. The scaling up of breastfeeding to a near universal level could prevent 823 000 annual deaths in children younger than 5 years and 20 000 annual deaths from breast cancer. Recent epidemiological and biological findings from during the past decade expand on the known benefits of breastfeeding for women and children, whether they are rich or poor.
Kerala has drawn on its experience with the Nipah virus in 2018 to use extensive testing, contact tracing, and community mobilisation to contain the virus and maintain a very low mortality rate. ...Implementing public health measures is difficult in places with overcrowded living conditions and inadequate hygiene and sanitation. Reports suggest that the government's efforts to provide financial support and a measure of food security to ease these pressures will be insufficient to meet demand.
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