Health Promotion

Background: In response to a national call for re-evaluation of the use of race in clinical algorithms, the National Kidney Foundation (NKF) and the American Society of Nephrology (ASN) established a Task Force to reassess inclusion of race in the estimation of glomerular filtration rate (GFR) in the United States and its implications for diagnosis and management of patients with, or at risk for, kidney diseases.
Effects of the COVID-19 public health crisis related to biodiversity loss and ecosystem health
The ongoing COVID-19 pandemic, caused by zoonotic SARS-CoV-2, has important links to biodiversity loss and ecosystem health. These links range from anthropogenic activities driving zoonotic disease emergence and extend to the pandemic affecting biodiversity conservation, environmental policy, ecosystem services, and multiple conservation facets. Crucially, such effects can exacerbate the initial drivers, resulting in feedback loops that are likely to promote future zoonotic disease outbreaks.
Elsevier,

The Lancet Public Health, Volume 6, September 2021

This Comment supports SDGs 3 and 10 by discussing the UK's reliance on digital technologies during the COVID-19 pandemic. Although a digital-first policy aims to reduce health inequalities, challenges such as low usage of the internet and low uptake of digital COVID-19 technologies among older, minority ethnic groups, could mean that the strategy instead reinforces the unequal effects of COVID-19.
Graph showing number of significant and non-significant average effects reported across 36 meta-analyses of the effects of physical activity interventions on different health outcomes among children, adolescents, and adults with disabilities.
Approximately 1·5 billion people worldwide live with a physical, mental, sensory, or intellectual disability, about 80% of which are in low-income and middle-income countries. This Series paper provides a global overview of the prevalence, benefits, and promotion policies for physical activity for people living with disabilities (PLWD). PLWD are 16–62% less likely to meet physical activity guidelines and are at higher risk of serious health problems related to inactivity than people without disabilities.
Elsevier, Preventive Medicine Reports, Volume 21, March 2021
The current COVID-19 pandemic represents an acute threat to the health of adults and children across the globe. In addition, it has the potential to worsen the health of future generations through intergenerational health effects. Examples from history, including the Dutch famine (Hongerwinter), suggest that in utero and early life environments may have significant implications for health outcomes throughout the lifespan and are important in determining risk of chronic disease in adulthood.
Elsevier,

The Lancet Digital Health, Volume 3, March 2021

This Comment supports SDGs 3 and 10 by highlighting the role of data scientists in challenging racism and discrimination. The Comment highlights how structural inequalities in society are easily encoded in datasets and in the application of data science, which can reinforce existing injustices.
Background: Hepatitis B causes more than 800 000 deaths globally each year. Perinatal infections are a major driver of this burden but can be prevented by vaccination within 24 h of birth. Currently, only 44% of newborn babies in low-income and middle-income countries (LMICs) receive a timely birth dose. We investigated the effects and cost-effectiveness of implementing ambient storage of hepatitis B vaccines under a controlled temperature chain (CTC) protocol and the use of compact prefilled auto-disable (CPAD) devices for community births.

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