Modernising the Mental Health Act: getting the balance right
The Mental Health Act 1983 in England and Wales is the principal piece of legislation by which people with a mental disorder can be detained and have their disorder assessed or treated against their wishes. The Independent Review of the Mental Health Act, chaired by Simon Wessely, with Vice Chairs Steve Gilbert, Mark Hedley, and Julia Neuberger, was commissioned in response to concerns about the increasing numbers of detentions, disproportionately affecting people from black and minority ethnic backgrounds.
In the past two decades, maternal mortality ratios have reduced rapidly and universally across China at the county level. Fast improvement in maternal mortality ratios is possible even in less economi
Non-alcoholic steatohepatitis is a form of fatty liver disease that is characterised by hepatic necroinflammation, progression of fibrosis, and a strong association with metabolic syndrome, and is inc
Treatment with subcutaneously administered pegbelfermin for 16 weeks was generally well tolerated and significantly reduced hepatic fat fraction in patients with non-alcoholic steatohepatitis. Further
China has made remarkable progress in maternal and child health since the 1990s. Mortality among children younger than 5 years dropped from 54·1 deaths per 1000 livebirths in 1990 to 12·5 per 1000 liv
The Lancet Low Back Pain Series Working Group (June 9, p 2384)1 is to be commended for its call for action on low back pain. Unmet needs in health care, public health, and clinical research must be hi
Silicon Valley is a crucible of contemporary power. Technology parks burgeon with purposeful startups. Sometimes the Silicon Valley dare pays back handsomely with successes such as Apple, Google, and
Mark Honigsbaum (June 23, p 2492)1 describes my claim that the Spanish flu left humanity transformed as "sweeping?2-a subtly pejorative term that hints at a weak evidence base while excusing the perso
Bill Bynum and Helen Bynum's Perspective (July 14, p 112)1 about cranium trepanation by the Inca perpetuates stereotypes about the history of medicine in the Americas. They conclude that the Spanish c
A 19-year-old man presented to our emergency department with abdominal pain and jaundice. He had emigrated from Senegal during infancy. He was found to be a carrier of hepatitis B virus, with a hepati
Christelle Nguyen and colleagues, Tim Germon and colleagues, and Kosmas I Paraskevas argue that we did not pay sufficient attention to the specific nociceptive causes of low back pain in our Lancet Se
In its latest blow to the ACA, the Trump administration provides guidance on how states can circumvent the health law. Susan Jaffe, The Lancet's Washington correspondent, reports.
Nobel Prize winning molecular biologist. He was born in Zelva, Lithuania, on Aug 11, 1926, and died in Cambridge, UK, with a neurodegenerative disease on Nov 20, 2018, aged 92 years.
In 2009, China unveiled its ambitious health-care reform plan, with the goal of provision of affordable and equitable basic health care for all by 2020.1 The reform is anchored in five interdependent
In the era of promoting universal health coverage (UHC), WHO's cube diagram is well known. The diagram explains three types of coverage: service, population, and cost.1 As the diagram does not address
5 years after the end of World War 1, on Oct 18, 1923, the British physiologist Ernest Starling delivered the celebrated Harveian Oration before the Royal College of Physicians. He titled his speech T
In July, 2018, the Faculty of Intensive Care Medicine (FICM) and the Intensive Care Society (ICS) released their guidelines on the management of acute respiratory distress syndrome.1 These guidelines
Funding for victim assistance has been cut back to just 2% of international support funding needed despite high casualty numbers, John Zarocostas reports.
The Chinese Academy of Medical Sciences (CAMS) and the Lancet family of journals invite abstract submissions for the 2019 The Lancet-CAMS Health Conference, to be held on Oct 19-20, 2019, in Chengdu,
Predicting the future is a human preoccupation but not one without risks. Predictions tend to expand on current trajectories, missing the big disrupters and barriers, and rendering them inaccurate. In
On Dec 5, 2014, Scotland lowered the legal blood alcohol concentration (BAC) limit for driving to 0·05 g/dL. In The Lancet, Houra Haghpanahan and colleagues1 report their study using data from Scotlan