In something of a bonus episode, Gavin, Richard, and Jessamy sit down for an informal chat about what's going on in the news, in health, and in the world of The Lancet, covering healthcare emissions, solar power, and the challenge of global co-operation on vaccines.
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The mpox case surge in Africa has been declared a Public Health Emergency of International Concern (PHEIC) by the WHO. A new clade of the virus has emerged since the 2022 outbreak which has led to a rapid increase in cases. Professor Salim Abdool Karim, who is the the chair of the Africa CDC’s Emergency Consultative Group and the director of CAPRISA, the Center for the AIDS Programme of Research in South Africa, joins Gavin Cleaver and Maneet Virdi to lay out in clear terms what's happening in Africa, what the PHEIC means, and what the future could look like.
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The first module of the UK's COVID-19 enquiry was published in July 2024. The enquiry found that the UK prepared for the wrong sort of pandemic, suffered from groupthink, and ultimately failed its citizens, more than 200,000 of whom died as a result of the pandemic.
Editor-in-chief of The Lancet, Richard Horton, joins Gavin and Jessamy to discuss his experiences giving evidence to the enquiry. We reflect on the findings, dissect their meaning for pandemic preparedness, and talk about what the UK government needs to do next.
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14 modifiable risk factors account for 45% of dementia cases worldwide. Gavin and Jessamy are joined by Prof. Gill Livingston (UCL) and Prof. Geir Selbaek (University of Oslo) to discuss the 2024 updates to The Lancet Commission on dementia prevention.
You can read the Commission here:
https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(24)01296-0?dgcid=buzzsprout_tlv_podcast_generic_lancet
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Gavin and Jessamy are joined by Mandeep Dhaliwal, Director of UNDP’s HIV, Health and Development Group, to discuss the access to health and freedom of the most vulnerable people around the world. Are we maintaining progress on rights, or are we in danger of backsliding?
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Gavin and Jessamy are joined by Oksana Pyzik (UCL, Fight The Fakes Alliance) to discuss how Ozempic/Wegovy/semaglutide works, what becoming mainstream means for our understanding of obesity and public health, and how demand is fuelling an unregulated black market in the drugs.
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Anita Zaidi, President of The Gender Equality Division at the Gates Foundation, joins Gavin to discuss women in global health from visibility in data all the way through to women in leadership positions in global health. Also on the agenda is the impact of vaccines, innovations in gender equity, and challenges and successes in addressing maternal mortality.
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Gavin and Jessamy are joined by Rupa Sarkar, editor-in-chief of The Lancet Digital Health, to discuss the uses of Large Language Models (LLMs) in healthcare, the safety and patient concerns, progress that’s been made, and the what the future of AI in health might hold.
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What are the hidden costs of breast cancer? What advances in breast cancer treatment have been made, and how can we tackle the problematic inequities that remain? What needs to be done for patients with metastatic breast cancer? Gavin and Jessamy are joined by Felicia Knaul, Reshma Jagsi, and Fatima Cardoso to discuss the recent Lancet Breast Cancer Commission.
You can read the Commission for free by registering:
https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(24)00747-5/fulltext?dgcid=buzzsprout_tlv_podcast_generic_lancet
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In our final episode of this collaboration between the Race & Health podcast and The Lancet Voice, intersectionality brings three researchers together to discuss how intersectionality can serve the health community and promote health equity. The episode explores where intersectionality comes from, why it was created, and how it can be used to address health inequities across the health community.
Guests include Dr Brenda Hayanga, Presidential Fellow at the School of Health and Psychological Science, University of London; Dr Geordan Shannon, medical doctor and ex-academic, and founder of Stema, Unexia, Planet.Health, and Global Health Disrupted; and Dr Zara Trafford, Institute for Life Course Health Research, Department of Global Health, Stellenbosch University, Cape Town, South Africa.
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Race and racism are based in history, and how humans thought about the physical differences. Early conceptions of these differences were focused on physical adaptations across geographies around the world. This thinking evolved over time: explanations for these differences changed as human history and science evolved. The associations between disease and race grew closer over time, however the extent to which this can be explained by science is limited. Listen to learn more about this evolution, and the impact that this has on today’s medical practices.
Guests include Erica Charters, Professor of the Global History of Medicine at the University of Oxford, Carlos López Beltrán, Senior Researcher at Instituto de Investigaciones Filosóficas, National Autonomous University of Mexico, and Alexandre White, Assistant Professor in the Johns Hopkins Department of Sociology and in the Department of the History of Medicine.
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Jessamy and Gavin are joined by Prof. Gita Mishra, life course epidemiologist at the University of Queensland, to discuss her work on understanding early menopause. How many women does early menopause affect? How can we improve gaps in care? What are the consequences of early menopause, and what does menopause onset look like around the world?
For more on this article and to read our recent Series on menopause, please visit:
https://www.thelancet.com/series/menopause-2024?dgcid=buzzsprout_tlv_podcast_generic_lancet
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Whose knowledge is represented in our health research, policies, and practice? Who is heard, listened to and believed in our health system, and why? There are differences in not only whose perspectives are represented in society, but also what knowledge is valuable. On this episode of the Race & Health Podcast in collaboration with The Lancet Voice, we explore the concept of epistemic injustice: the idea that knowledge and systems of knowledge production favour the perspectives of those at the top of the social hierarchy. We will explore how epistemic injustice works, what this means for representation in research, services, and policies, and ultimately, how this relates to racism and health.
This episode's guests include Dr Seye Abimbola, Associate Professor and Principle Research Fellow at the University of Sydney, Dr Rageshri Dhairyawan, Consultant in Sexual Health and HIV Medicine at Barts Health NHS Trust and an Honorary Senior Lecturer at Queen Mary University of London, and Dr Naidu Thirusha, Head of Clinical Psychology at King Dinuzulu Hospital and an Associate Professor in the School of Nursing and Public Health at University of KwaZulu-Natal.
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In 2022, WHO’s African Region saw 233 million cases of malaria, with 580,000 deaths. 80% of those deaths are children under 5. The phase 3 trial of the new R21/Matrix-M malaria vaccine was published in The Lancet this month, and the results suggest a turning point in the fight against malaria. Gavin is joined by Professor Sir Adrian Hill, one of the creators of the vaccine, to discuss the process the vaccine went through, the history of malaria vaccine research, and what the future holds.
Read the phase 3 trial here:
https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(23)02511-4/fulltext?dgcid=buzzsprout_tlv_podcast_generic_lancet
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In this episode, Delan Devakumar and guests shed light on how the social construction of race and its operators take a physiological toll of chronic exposure to racism. They discuss maternal and child health, the concept of race and biology, and how constant microaggressions, systemic inequalities, and overt discrimination can lead to a sustained state of stress that goes far beyond mere emotional distress. There are also recommendations for applying anti-racism in everyday life, and how we can strive for a future where everyone, regardless of their background, can live a healthy and fulfilling life.
Guests include Dr. Ndidiamaka Amutah-Onukagha, the Julia A. Okoro Professor of Black Maternal Health in the Department of Public Health and Community Medicine at Tufts University School of Medicine, Dr. Arline Geronimus, Professor of Health Behaviour and Health Education at the University of Michigan, and Dr. Jonathan Wells, Professor of Anthropology and Paediatric Nutrition at the Population, Policy & Practice Department at UCL.
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Michael Marmot, Professor of Epidemiology at University College London, Director of the UCL Institute of Health Equity, and Past President of the World Medical Association, joins Gavin and Jessamy to discuss the centrality of health issues to UK politics, what the upcoming election should be fought on, and the role of equity and equality in UK health outcomes.
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Eugenics is a concept closely tied to what makes us unwell, and its roots in race medicine amplifies the drivers of racial health inequities, ableism, and white supremacy. Though scientifically flawed, eugenic thinking is present throughout modern-day society and politics. We can see eugenic thinking in policies and protocols throughout the pandemic, through mental health, and much more. In the third episode of our collaboration with the Race & Health podcast, we learn about how eugenics was created, how it has been employed, and how today’s public health world is still riddled with this divisive concept.
Guests include Dr Ayah Nuriddin, who is the Cotsen postdoctoral fellow in the Society Fellows, a lecturer, and in the Council of the Humanities in African American Studies at Princeton University, Angela Saini, an award-winning journalist and author of books, including Superior, the Return of Race Science, and Professor Marius Turda, professor of biomedicine and director of the Centre for Medical Humanities at Oxford Brookes University.
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Editor-in-chief of The Lancet Richard Horton joins Jessamy and Gavin to discuss his highlights (and lowlights!) of 2023, and looks forward to an important 2024 for global health.
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How does historically divisive discourse and the political systems and institutions that grow from them reinforce inequities? Learn more about these issues with our guests Gustavo Andrey de Almeida Lopes Fernandes, Professor of Public Policy at the A Escola de Administração de Empresas de São Paulo da Fundação Getulio Vargas, Brazil, Alexandra Haas, the executive director of Oxfam Mexico, and Martin McKee, a Professor of European Public Health and Medical Director at the London School of Hygiene and Tropical Medicine. This episode will discuss how populist narratives demonise migrants, feed back into public health, and more.
You can find out more about the Race & Health network here, and listen to their previous series of podcasts:
https://www.raceandhealth.org/about
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What are the benefits of urban green and blue spaces for health? Ruth Hunter from Queen’s University Belfast, Northern Ireland, UK, and Thomas Astell-Burt from the University of Wollongong, New South Wales, Australia, talk to Lauren Southwell and Heather Brown about the importance of these spaces and the challenges in translating their potential benefits into improved health outcomes.
You can see all of our Spotlight content relating to health and climate change here:
https://www.thelancet.com/lancet-200/health-climate-change?dgcid=buzzsprout_tlv_podcast_lancet200_hcc
Find out more about how The Lancet is marking its 200th anniversary with a series of important spotlights here:
https://www.thelancet.com/lancet-200?dgcid=buzzsprout_tlv_podcast_lancet200_hcc
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Dr Forbes McGain and Dr Cristina Richie join Lancet editors Chloe Wilson and John Carson to discuss the whys, the hows, and the ethics of decarbonising global healthcare.
You can see all of our Spotlight content relating to health and climate change here:
https://www.thelancet.com/lancet-200/health-climate-change?dgcid=buzzsprout_tlv_podcast_lancet200_hcc
Find out more about how The Lancet is marking its 200th anniversary with a series of important spotlights here:
https://www.thelancet.com/lancet-200?dgcid=buzzsprout_tlv_podcast_lancet200_hcc
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Host Delan Devakumar is joined by Kevin Fenton (Public Health Director for London, UK), Ayoade Alakija (Chair of the African Vaccine Delivery Alliance), and Kumanan Rasanathan (Executive Director, Alliance for Health Policy and Systems Research) to explore COVID-19 and racism by unpacking key themes of power and influence. Drawing from their experiences in public health practice and global health policy, they discuss how racism stratifies power across the community and structural levels, and why communities of colour bore the brunt of the pandemic. How do policies informing preparedness and resource distribution reinforce these differences?
You can find out more about the Race & Health network here, and listen to their previous series of podcasts:
https://www.raceandhealth.org/about
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Welcome to a series of podcasts produced as a collaboration between The Lancet Voice and the Race & Health podcast. The upcoming series will host a diverse array of experts, activists, and storytellers. We will take a deep dive into issues ranging from COVID-19, to history, to populism. This series offers expert perspectives, technical background, and field accounts to provide listeners a better understanding of racism and its impact health around the world.
For this introductory episode, host of the Race & Health podcast Delan Devakumar speaks with Senior Executive Editors at The Lancet Pam Das and Jessamy Bagenal, about what racism and health means to them.
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Dr Patricia Fabian and Professor Ollie Jay join Lancet editors Saleha Hassan and Pierre Nauleau to discuss the current and potential future impacts of climate-change induced extreme heat on health - from the mechanisms that link temperature and health to potential adaptation strategies to build resilience in a heating world.
You can see all of our Spotlight content relating to health and climate change here:
https://www.thelancet.com/lancet-200/health-climate-change?dgcid=buzzsprout_tlv_podcast_lancet200_rfh
Find out more about how The Lancet is marking its 200th anniversary with a series of important spotlights here:
https://www.thelancet.com/lancet-200?dgcid=buzzsprout_tlv_podcast_lancet200_rfh
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Action on climate change globally has been too little, too slow, or politically fragile. Professors Colin Davis and Dana Fisher join John Carson, Senior Editor at The Lancet Planetary Health, to discuss how social movements and activism can effectively persuade the public and politicians to support bolder action on climate change.
You can see all of our Spotlight content relating to health and climate change here:
https://www.thelancet.com/lancet-200/health-climate-change?dgcid=buzzsprout_tlv_podcast_lancet200_rfh
Find out more about how The Lancet is marking its 200th anniversary with a series of important spotlights here:
https://www.thelancet.com/lancet-200?dgcid=buzzsprout_tlv_podcast_lancet200_rfh
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Energy transitions, sharing vaccines, and making research accessible for non-English speakers
38:55
Health in Africa: Mpox and the Public Health Emergency of International Concern
25:46
The UK's COVID-19 public enquiry, with Richard Horton
43:18
Developments in our understanding of dementia
35:22
Losing progress on human rights
30:13
Ozempic, public health, and black markets
40:06
Women in global health
23:52
AI and LLMs in healthcare
32:04
The hidden costs of breast cancer
39:56
Race & Health: Intersectionality
31:44
Race & Health: History of medical racism
40:05
Early menopause
26:40
Race & Health: Epistemic injustice
35:21
A new vaccine in the fight against malaria
28:00
Race & Health: Under the skin
31:01
Michael Marmot on health and the UK election
33:54
Race & Health: Eugenics in science
39:23
2023 in health, with Richard Horton
52:46
Race & Health: Populism and health
36:38
Spotlight on Health & Climate Change: Urban green and blue spaces
55:08
Spotlight on Health & Climate Change: Decarbonising healthcare
50:31
Race & Health: COVID-19 and racism
36:53
A series from the Race & Health podcast and The Lancet Voice - an introduction
13:13
Spotlight on Health & Climate Change: Extreme heat and health
49:58
Spotlight on Health & Climate Change: How do we make change?
52:45