Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017
Global all-cause age-standardised YLD rates have improved only slightly over a period spanning nearly three decades. However, the magnitude of the non-fatal disease burden has expanded globally, with increasing numbers of people who have a wide spectrum of conditions. A subset of conditions has remained globally pervasive since 1990, whereas other conditions have displayed more dynamic trends, with different ages, sexes, and geographies across the globe experiencing varying burdens and trends of health loss.
A 42-year-old white man presented to our clinic in October, 2015, with itching in the nasolabial fold and around the eyebrows, with accompaying erythema and desquamation consistent with seborrhoeic de
A 30-year-old man presented to the primary care clinic in June, 2015, with a 3 month history of a painful, foul-smelling mass between the second and third toes of his right foot that had been slowly i
Almost 100 years ago, Gabriela Mistral, Chilean poet and Nobel Prize winner, said that "every law, every freedom or culture movement, has left us for a long time in the shadows; that we always have ar
In their Seminar on alcohol use disorders, Jason Connor and colleagues1 summarise the risk of alcohol consumption to health for the drinker and for whole populations. The authors offer useful advice,
A previously healthy 6-month-old boy presented in September, 2014, with indurated and tender oedema of the left hand, associated with a rapidly spreading purpuric rash on the dorsum. He also had swell
In July, 1965, Medicare, America's landmark national health insurance programme, became law. Today, it covers 55 million people. Susan Jaffe, The Lancet's Washington correspondent, reports.
A 48-year-old woman with a history of sternal chondrosarcoma that had been completely resected 3 years previously presented with a 7-month history of cough and progressive dyspnoea. On admission she h
After 6 years of conflict, the war in Syria is currently the largest humanitarian and refugee crisis. Over 250?000 Syrians have been killed, millions are displaced or living in besieged areas, and 5 m
An unprecedented number of humanitarian emergencies of large magnitude and duration is causing the largest number of people in a generation to be forcibly displaced. Yet the existing humanitarian syst
The case for investing in the health and wellbeing of the largest generation of adolescents in history could be considered self-evident. Failure to do so would counteract hard-won gains from investing
As a doctor for almost 40 years now, and especially as a geriatrician, I have cared for my share of terminal patients. However, to date I have never had to face a dying medical student. As Sakal's Dea
Like other young graduates of Thai medical schools, Viroj Tangcharoensathien, Senior Advisor of his country's International Health Policy Program (IHPP) and lead author on a Lancet Review about health
The surgical approach of the axilla in patients with early-stage breast cancer has witnessed considerable evolution during the past 25 years. The previously undisputed gold standard of axillary-lymph-
Norman JE, Marlow N, Messow C-M, et al, for the OPPTIMUM study group. Vaginal progesterone prophylaxis for preterm birth (the OPPTIMUM study): a multicentre, randomised, double-blind trial. Lancet 201
Gene experts speculate that our worst gene-editing fears won't come true because they are too complex for us to pull them off.
Dec 14, 2018, was a dark day for universal health coverage (UHC). To begin with, a federal judge in Texas, USA, ruled that the Affordable Care Act (ACA) is unconstitutional.1 That same day, the new Pr
We appreciate the efforts by P J Devereaux and colleagues (June 9, p 2325)1 in completing a difficult interventional study with patients who have postoperative increase in troponin. As discussed in th
Public security and law enforcement have a crucial but often largely unacknowledged role in protecting and promoting public health. Although the security sector is a key partner in many specific publi
Wilton A van Klei and colleagues erroneously state that there were post-hoc changes in the outcomes in our Article.1 The only changes that were made in the outcomes were done during the trial, without
Many countries show a growing willingness to use militaries in support of global health efforts. This Series paper summarises the varied roles, responsibilities, and approaches of militaries in global