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zaterdag 28 april 2018

The Lancet: [Comment] Healthy cities: key to a healthy future in China

[Comment] Healthy cities: key to a healthy future in China
By 2030, up to one in eight people will live in a city in China. As urbanisation accelerates around the world, and particularly in Asia, the pivotal role of cities to influence the health of their inhabitants has never been greater. Hence, the UN Sustainable Development Goal 11 is to make cities inclusive, safe, resilient, and sustainable.
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[The Lancet Commissions] The Tsinghua–Lancet Commission on Healthy Cities in China: unlocking the power of cities for a healthy China
Over the past four decades, rapid urbanisation in China has brought unprecedented health benefits to its urban population, but has also created new challenges for protection of and promotion of health in cities. With the shift from rural to urban living, more people than ever enjoy the health advantages that cities can provide, such as better access to health services and improved sanitation. For example, the average life expectancy of male urban residents in 2010 was estimated to be 7·09 years longer than that of of their counterparts in rural China; urban females lived 6·64 years longer.
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[Articles] Trends in future health financing and coverage: future health spending and universal health coverage in 188 countries, 2016–40
We chart future scenarios for health spending and its relationship with UHC. Ensuring that all countries have sustainable pooled health resources is crucial to the achievement of UHC.
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[Articles] Spending on health and HIV/AIDS: domestic health spending and development assistance in 188 countries, 1995–2015
From 1995 to 2015, total health spending increased worldwide, with the fastest per capita growth in middle-income countries. While these national disparities are relatively well known, low-income countries spent less per person on health and HIV/AIDS than did high-income and middle-income countries. Furthermore, declines in development assistance for health continue, including for HIV/AIDS. Additional cuts to development assistance could hasten this decline, and risk slowing progress towards global and national goals.
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[Articles] Effect of generalised access to early diagnosis and treatment and targeted mass drug administration on Plasmodium falciparum malaria in Eastern Myanmar: an observational study of a regional elimination programme
Providing early diagnosis and effective treatment substantially decreased village-level incidence of artemisinin-resistant P falciparum malaria in hard-to-reach, politically sensitive regions of eastern Myanmar. Targeted mass drug administration significantly reduced malaria incidence in hotspots. If these activities could proceed in all contiguous endemic areas in addition to standard control programmes already implemented, there is a possibility of subnational elimination of P falciparum.
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