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dinsdag 14 november 2017

The Lancet: [Lecture] Planetary health: protecting human health on a rapidly changing planet

[Lecture] Planetary health: protecting human health on a rapidly changing planet
The impact of human activities on our planet's natural systems has been intensifying rapidly in the past several decades, leading to disruption and transformation of most natural systems. These disruptions in the atmosphere, oceans, and across the terrestrial land surface are not only driving species to extinction, they pose serious threats to human health and wellbeing. Characterising and addressing these threats requires a paradigm shift. In a lecture delivered to the Academy of Medical Sciences on Nov 13, 2017, I describe the scale of human impacts on natural systems and the extensive associated health effects across nearly every dimension of human health.
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[Articles] Nations within a nation: variations in epidemiological transition across the states of India, 1990–2016 in the Global Burden of Disease Study
Per capita disease burden measured as DALY rate has dropped by about a third in India over the past 26 years. However, the magnitude and causes of disease burden and the risk factors vary greatly between the states. The change to dominance of NCDs and injuries over CMNNDs occurred about a quarter century apart in the four ETL state groups. Nevertheless, the burden of some of the leading CMNNDs continues to be very high, especially in the lowest ETL states. This comprehensive mapping of inequalities in disease burden and its causes across the states of India can be a crucial input for more specific health planning for each state as is envisioned by the Government of India's premier think tank, the National Institution for Transforming India, and the National Health Policy 2017.
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[World Report] The health system in India: the underserved majority
India's national health policy was reformed this year, but lack of accessibility and out-of-pocket expenses still leave rural areas behind. Patralekha Chatterjee reports from Uttar Pradesh.
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[Perspectives] Lalit Dandona: surveying the burden of disease in India
India is not only a large country but a diverse one. As the Director General of the Indian Council of Medical Research, Soumya Swaminathan, points out, "A lot of planning and policy making are done locally, so it's important for each state to have an idea of their particular disease burden and what their risk factors are and how they've changed over time." For offering precisely this, the India State-level Disease Burden Initiative Collaborators' Lancet article on variations in epidemiological transition across Indian states in the Global Burden of Disease Study will be welcomed.
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[Editorial] India—a tale of one country, but stories of many states
Colonialism leaves disfiguring scars among those who are colonised. Few countries inflicted such deep wounds as Britain did during its centuries-long colonial rule of India. Understanding the history of colonialism and its consequences is therefore essential if one is to understand the predicaments of nations today. This week, The Lancet publishes the most comprehensive assessment yet of India's present health predicaments. But India's contemporary challenges in alleviating its burden of disease must first be examined in the context of Britain's colonial legacy.
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