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The Lancet Global Health

@lancetgh.bsky.social

#LancetGlobalHealth is an #OpenAccess journal publishing robustly designed research on all aspects of #globalhealth. 🌐 thelancet.com/journals/langlo/home 🖼️ Simon Davis/DFID

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David Simons @davidsimons.bsky.social · last mo.

Excited to see the Enable 1.0 www.thelancet.com/journals/lan... study on #LassaFever published in @lancetgh.bsky.social. A massive effort enrolling 20,000+ participants across 4 countries. Yet, despite 2.5 year follow-up, just 39 symptomatic cases detected.

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Madhu Pai, MD, PhD @madhupai.bsky.social · 4w ago

Our new comment in @lancetgh.bsky.social Country ownership without fiscal justice is responsibility without resources www.thelancet.com/journals/lan...

Country ownership without fiscal justice is responsibility without resources

Recent debates in global health, including reproductive health, have embraced an attractive proposition: as donor assistance contracts, countries in the Global South might finally define their own hea...

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The Lancet @thelancet.com · 3w ago

Small island developing states (SIDS) contribute <1% of global greenhouse gas emissions, yet climate change presents a major threat to them. A new @lancetcountdown.bsky.social SIDS report in @lancetgh.bsky.social highlights the urgent need for climate-resilient health systems: tinyurl.com/4rp3u2rs

Promotional card for the 2025 small island developing states report of the Lancet Countdown on health and climate change. Writing on card reads: 3 key insights from the 2025 small island developing states report of the Lancet Countdown.

Madhu Pai, MD, PhD @madhupai.bsky.social · last mo.

"Being a refugee is itself a profound determinant of health, and no amount of psychotherapy and pharmacotherapy can fully resolve the distress and anxiety caused by exclusion, financial instability, and insecurity" @lancetgh.bsky.social

The Lancet Global Health @lancetgh.bsky.social · last mo.

Peer review is stronger when reviewers reflect the breadth of global health expertise. If you author or review for a Lancet journal, update your Editorial Manager profile with your health equity & discrimination expertise. tinyurl.com/yrxfvsbm

The Lancet Global Health @lancetgh.bsky.social · last mo.

We are the world-leading #GlobalHealth journal, ranking:   #4 for Journal Impact Factor (22·5) in public, environmental & occupational health  #9 for Scopus CiteScore (29·4) in general medicine  Explore our high impact and global reach: hubs.ly/Q04k--Zz0 #OpenAccess

About The Lancet Global Health

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The Lancet Global Health @lancetgh.bsky.social · last mo.

Our latest podcast was recorded live at Women Deliver 2026 in Melbourne/Naarm on the state of global SRHR with Maria Antonieta Alcalde Castro, DG of IPPF, and Kinza Hasan of Women Deliver on feminist health systems: Apple: podcasts.apple.com/us/podcast/m... Spotify: open.spotify.com/episode/5aa4...

Maria Antonieta Alcalde Castro and Kinza Hasan at Women Deliver 2026 in Melbourne/Naarm

Podcast Episode · The Lancet Global Health in conversation with · June 19 · 30m

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The Lancet Infectious Diseases @thelancetinfdis.bsky.social · last mo.

Read our July issue, live now! Featuring immunisation against hookworm in adults, post-discharge sequelae in Lassa fever survivors, and DTwP vaccination in Nepalese and Ugandan infants. bit.ly/3SuW9Pp

The Lancet Global Health @lancetgh.bsky.social · last mo.

Our June 2026 issue is online, #OpenAccess, including an editorial on refugee mental health and articles on beverage taxation, analysing demographic diversity, and adolescents in TB vaccine policy. You can read it here: www.thelancet.com/journals/lan... 📸: Andreas Gebert/picture alliance

The Lancet Global Health's June 2026 cover, which prominently features an image of families arriving at a location and being confronted by German police.

The Lancet Global Health @lancetgh.bsky.social · last mo.

The Lancet Global Health @lancetgh.bsky.social · 2mo ago

A new qualitative article #OpenAccess in @lancetgh.bsky.social interviews 197 stakeholders in the vein-to-vein blood transfusion continuum in Kenya and finds a fractured system with multi-factored reasons for deficits overly reliant on family replacement donors www.thelancet.com/journals/lan...

Blood shortages impact patient care and lead to poor health outcomes
Negative impact: strain on the health system and health-care workers
“I’m [a] doctor…I’m calling from this ward [needing] units of blood. If I don’t [call] then we will just have a situation where…the patient can wait up to a week to be transfused.” Focus group, clinicians, 131086
“If there are no relatives to donate, we end up cancelling the surgery. The patient stays in the ward and waits for the blood.” Key informant, clinician, 13010426
“It is more initiative than anything for you to get [enough blood] because it comes from a lot of frustration of seeing your patients suffer a lot.” Focus group, clinicians, 131086

Rebecca Clark @raclark18.bsky.social · 2mo ago

New publication now out in @lancetgh.bsky.social! New #TB #vaccines are being trialled in older adolescents and adults, and we comment on the advantages and challenges of including younger adolescents who have historically been excluded. www.thelancet.com/journals/lan...

Inclusion of young adolescents in policy development for new tuberculosis vaccines

The infant tuberculosis vaccine, BCG, prevents severe tuberculosis disease, but protection is rarely durable beyond childhood. New tuberculosis vaccines are being developed for the prevention of infec...

thelancet.com

TAGHIVscience @taghivscience.bsky.social · 2mo ago

Inclusion of young adolescents in policy development for new #tuberculosis vaccines www.thelancet.com/journals/lan... (open access) @lancetgh.bsky.social

Inclusion of young adolescents in policy development for new tuberculosis vaccines

thelancet.com

Matthew Saunders @mjsaunder.bsky.social · 2mo ago

So...what would happen to the global TB epidemic if we "eliminated" undernutrition? Our paper out now @lancetgh.bsky.social, where we combined estimates from our review (academic.oup.com/ije/article/...) with population-specific BMI distributions to find out...(www.thelancet.com/journals/lan...

Global, regional, and national estimates of tuberculosis incidence averted by eliminating undernutrition in adults: a modelling study

Almost a quarter of global tuberculosis incidence in adults could be averted by eliminating undernutrition, approximately two-and-a-half times higher than current estimates. These findings highlight t...

thelancet.com

The Lancet @thelancet.com · 2mo ago

Foodborne illnesses caused 1.5 million deaths and cost US$647 billion in economic losses in 2021, new analysis estimates in @lancetgh.bsky.social Read now 👉 spkl.io/633257Bk5V

Figure showing foodborne DALYs per 100 000 population by country, 2021. DALYs=disability-adjusted life-years. Copyright: 2026 World Health Organization. Published by Elsevier Ltd. This is an Open Access article published under the CC BY 3.0 IGO license.

Alexandra Phelan @alexandraphelan.bsky.social · 2mo ago

✨️ 📣 New Publication 📄 in @lancetgh.bsky.social Methods with Consequences: how to evaluate diversity in global health without methodologies compounding injustice. Thank-you @daalenkim.bsky.social & @dadasara.bsky.social for leading this effort. ➡️ Full Text: www.thelancet.com/journals/lan...

Methods with consequences: analysing demographic diversity in global health governance and knowledge production

Structural inequities remain deeply embedded in global health governance and knowledge production, shaping which voices are heard and whose expertise and priorities are valued. Attempts to understand ...

thelancet.com

The Lancet Microbe @lancetmicrobe.bsky.social · 3mo ago

New joint series in @lancetgh.bsky.social and The Lancet Microbe #Schistosomiasis in women and adolescent girls www.thelancet.com/series-do/sc... #IDSky #ClinMicro #NTD #OpenAccess #OA

Executive summary
Female genital schistosomiasis (FGS) is a chronic genital disease caused by the deposition of Schistosoma haematobium eggs, affecting at least 40 million women and girls worldwide, primarily in sub-Saharan Africa. Women and girls living with FGS face numerous intersecting challenges and health complications, ultimately contributing to urogenital dysfunction and adverse sexual and reproductive health outcomes.

In this four-paper Series, we examine sex-specific aspects of Schistosoma infections in women and girls, diagnostic techniques and treatment strategies, barriers to diagnosis and treatment, management during pregnancy and implications for offspring, and the interactions with other genital infections and their clinical implications.

The Lancet Global Health @lancetgh.bsky.social · 3mo ago

Our new podcast finds @gavincleaver.bsky.social in conversation with Isata Dumbaya and Allison Adamson to discuss their work building the new Paul E. Farmer Maternal Centre of Excellence in Sierra Leone! Apple: podcasts.apple.com/gb/podcast/i... Spotify: open.spotify.com/episode/5RuF...

The Lancet Global Health in conversation with

Medicine Podcast · Every two months · Gavin Cleaver, Senior Editor at The Lancet Global Health, is joined in conversation by authors of new publications in the journal to explore their latest research...

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The Lancet Global Health @lancetgh.bsky.social · 3mo ago

The Lancet Global Health in conversation with

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Institute for Children’s Futures @icf-mcr.bsky.social · 3mo ago

Happy children need happy caregivers. 🧡 A new study in @lancetgh.bsky.social shows that @unicef.org’s "Caring for the Caregiver" program is transforming lives across 6 countries. Simple behaviour-change tools and activities can positively influence parents’ mental health and social support. (1/3)

The Lancet Global Health @lancetgh.bsky.social · 3mo ago

Our new issue is online today, #OpenAccess as always! Our Editorial this month, "Resistance is not futile" looks at the necessity of refusing to comply with the current US administration's actions around the world. www.thelancet.com/journals/lan...

This admirable commitment to equity is sadly at odds with the US Government's actions on many other fronts. For example, the organisations that are rushing to comply with the WCAG are simultaneously grappling with a directly conflicting (and internally inconsistent) set of directives. In January, 2025, the Trump Administration released a volley of executive orders titled Ending radical and wasteful government DEI programs and preferencing and Ending illegal discrimination and restoring merit-based opportunity. These documents declare that “Americans deserve a government committed to serving every person with equal dignity and respect” while labelling programmes aimed at furthering that exact agenda as “illegal and immoral”. The think tank Global 50/50 found in its 2025 report that a quarter of US-based global health organisations removed references to diversity, equity, and inclusion policies from their websites within a month of the Executive Orders being issued.
Then this February saw the introduction of legislation banning the receipt of US federal funds by non-governmental organisations, international organisations, and foreign governments that run projects that promote “discriminatory equity ideology”, even if these projects are funded by another source. An extension of the Mexico City policy, or Global Gag Rule, which forbade the use of US Government aid for programmes that provide or advocate for abortion, the policy is vaguely worded and expected to result in organisations scaling back more than they need to in an attempt to interpret the policy in its broadest sense. Finally, the new America First Global Health Strategy heralds an era in which continued financial support no longer rests on the health needs of a country, but on the shifting sands of geopolitics and the art of the deal.

The Lancet Global Health @lancetgh.bsky.social · 4mo ago

Published #OpenAccess today: A qualitative assessment of cancer in global health. 70% of new cancer cases will be in LMICs but needs and infrastructure are complex. Funding mechanisms are often not set up for the challenges of diagnosis, treatment, and care. www.thelancet.com/journals/lan...

Panel
Strategic priorities to advance global oncology on international agendas
Strengthen global governance and coordination
•
Explore more functional and effective engagement platforms for global and national cancer actions and mandates
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Create formal mechanisms for collaboration across vertical initiatives (eg, joint priority setting forums between cervical and childhood cancer programmes, shared implementation platforms, or cross-initiative resource pooling to support integrated cancer care strategies)
Align financing with systems-based approaches
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Encourage global health funders (eg, World Bank, regional development banks, and bilateral donors) to finance context-sensitive cancer infrastructure, workforce, and referral systems
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Develop funding mechanisms tailored to cancer that support long-term investment (eg, not only discrete, short-term interventions)
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Encourage domestic investment in health as investment in systems will contribute to ameliorating cancer outcomes
Integrate cancer into universal health coverage frameworks
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Ensure cancer-related indicators (eg, access to radiotherapy, palliative care, and cancer medicines) are explicitly incorporated into universal health coverage monitoring tools and Sustainable Development Goal indicators
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Support countries to design adaptable health benefit packages and strategic purchasing mechanisms responsive to national contexts and system capacities
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Reframe cancer around avoidable mortality, stage at diagnosis to understand health system performance, and increase accountability

The Lancet Global Health @lancetgh.bsky.social · 4mo ago

A new #OpenAccess paper provides first global estimates of the impact of fortification on dietary micronutrient adequacy, finding 38.6bn inadequate person-nutrient intakes, and models cost-effectiveness of aligning standards and improving compliance on fortification www.thelancet.com/journals/lan...

Stanford CISAC @stanfordcisac.bsky.social · 4mo ago

A new @lancetgh.bsky.social article from CISAC professor Tom Dannenbaum and colleagues urges reopening humanitarian access to Gaza, warning of severe consequences for civilian health and care delivery. www.thelancet.com/journals/lan...

Reopening the humanitarian corridor from Gaza to the West Bank and East Jerusalem for medical evacuations

In late November, 2025, five human rights organisations petitioned the Israeli High Court of Justice to allow for the evacuation of patients from the Gaza Strip into the West Bank and East Jerusalem. ...

thelancet.com

Greg Folkers @gregfolkers.bsky.social · 4mo ago

Lancet Global Health: The lenacapavir paradox: why a promising prevention tool raises difficult questions about African HIV response priorities by Reuben Granich @lancetgh.bsky.social ▶️ bit.ly/4m9E6sJ

The Lancet Global Health @lancetgh.bsky.social · 4mo ago

Have you read our huge new #OpenAccess Series of papers on energy and health in LMICs yet? From the health burden of polluting household cooking fuels to equitable and reliable electricity access in health-care facilities, energy is a health intervention. www.thelancet.com/series-do/en...

Energy and health in low-income and middle-income countries

Reliable and affordable clean energy is essential for modern living and powering economies. Access to clean energy has increased substantially in low-income and middle-income countries over the past t...

thelancet.com

The Lancet Global Health @lancetgh.bsky.social · 4mo ago

This #WorldTBDay here are some recent bits from us to think about: First, Mikaela Coleman and colleagues argue for reframing tuberculosis as a complex systems problem, in their Health Policy on the tuberculogenic environment www.thelancet.com/journals/lan...

The tuberculogenic environment

Tuberculosis persists as the world's deadliest infectious disease, despite improved diagnostics and effective treatment. The tuberculogenic environment describes the sum of influences, vulnerabilities...

thelancet.com

Madhu Pai, MD, PhD @madhupai.bsky.social · 4mo ago

#WorldTBDay @lancetgh.bsky.social podcast on tuberculosis, with host @gavincleaver.bsky.social www.buzzsprout.com/1358155/epis...

Madhukar Pai on tuberculosis - The Lancet Global Health in conversation with

What systems fix would unlock the biggest equity gains? Should countries target patients with TB or conduct universal interventions? What does self-reliance look like post-aid cuts? Madhukar Pai joins...

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The Lancet Global Health @lancetgh.bsky.social · 5mo ago

New in this month's issue: Christian Garcia-Witulski and colleagues quantify the effect of climate change on physical activity, finding that every additional month with a mean temperature above 27.8°C results in a 1.44% rise in physical inactivity globally www.thelancet.com/journals/lan...

Added value of this study
Our analysis exploits a balanced 156-country panel (2000–22; 3588 observations) that pairs population-weighted temperature distributions with WHO-harmonised inactivity data. By applying a fixed-effects, non-linear bin model and extensive robustness checks, we estimate exposure–response functions: each extra month >27·8°C raises inactivity by 1·44 percentage points globally and 1·85 percentage points in low-income and middle-income countries, with hotspots exceeding 4 percentage points across Central America, the Caribbean, eastern sub-Saharan Africa, and equatorial southeast Asia. Integrating these exposure–response functions with the Coupled Model Intercomparison Project-6 projections yield the first physical inactivity forecasts to 2050, translating projected heat exposure into additional deaths and productivity losses. Our study therefore contributes to the geographical, temporal, and policy evidence that can inform climate-resilient action in global health.
Implications of all the available evidence
Taken together, current evidence and our new findings indicate that rising temperatures will lead to substantial increases in physical inactivity-related health and economic burdens—by 2050 we project 0·47–0·70 million additional premature deaths annually and $2·40–3·68 billion in productivity losses under plausible climate scenarios (SSP1–2.6 to SSP5–8.5), equivalent to 7·19–10·73 percentage points of 2022 physical inactivity-attributable deaths (6·52 million) and 5·12–7·85 percentage points of 2022 physical inactivity productivity losses ($46·92 billion). Heat-responsive urban design, subsidised climate-controlled exercise facilities, and integration of heat risk messaging into physical activity guidelines emerge as immediate adaptation priorities, while ambitious mitigation is essential to avert a heat-driven sedentary transition. Future research should couple subnational accelerometer surveillance with high-resolution climate projections…