lunes, 12 de octubre de 2026

Children with arthritis: orphans of the NCD agenda? The Lancet Glob Health (+ +... ++)

Children with arthritis: orphans of the NCD agenda? The Lancet Glob Health https://www.thelancet.com/journals/langlo/article/PIIS2214-109X(26)00272-X/fulltext?dgcid=raven_jbs_etoc_email Musculoskeletal conditions, including forms of inflammatory arthritis such as juvenile idiopathic arthritis, rheumatoid arthritis, and axial spondyloarthritis, are leading causes of disability-adjusted life-years globally. In 2020, 17·6 million people were estimated to have rheumatoid arthritis, and juvenile idiopathic arthritis affected more than 2 million children worldwide. These conditions present a substantial threat to healthy ageing, causing chronic pain, limiting mobility and reducing participation in education and employment. World Arthritis Day (October 12) is an opportunity to draw attention to these under-recognised non-communicable diseases (NCDs), particularly among children in low-income and middle-income countries (LMICs). Oct 2026 Volume 14Number 10 https://www.thelancet.com/journals/langlo/issue/vol14no10/PIIS2214-109X(26)X2008-3 Beyond monitoring misery during conflict: the political economy of global health reform Adam P Coutts, PhDa,f Send email to apc31@cam.ac.uk ∙ Miriam Orcutt, MBBS MScb,g ∙ Richard Sullivan, FRCS PhDc ∙ Abdulkarim Ekzayez, MD PhDd ∙ Vlad Chaddad, MD https://www.thelancet.com/journals/langlo/article/PIIS2214-109X(26)00200-7/fulltext?dgcid=raven_jbs_etoc_feature_langlo Global health researchers, UN agencies, and donors have become expert at documenting the deterioration of population health during conflict, yet documentation has not stopped that deterioration. Drawing on 15 years of field research in Syria, Lebanon, Gaza, and Jordan, we argue that part of the failure of the global health architecture stems not principally from violations of international humanitarian law, but from its design as a technical enterprise detached from the political economy of power, financing, and governance. In practice, the system was structured to document harm rather than to hold anyone accountable for it. We distinguish humanitarian neutrality, understood as the operational duty to assist all civilians, from technical neutrality, which excludes political accountability in ways that protects institutional relationships and funding. We define a political economy of health approach, identify specific actors capable of changing the system, and acknowledge both the real, although uneven, effects of documentation and the structural constraints, namely sovereignty, donor dependence, and entrenched interests, that any reform should confront. Finally, we propose six concrete shifts to move global health from monitoring harm and misery towards enabling accountability. Drivers of adolescent pregnancy decline in five adolescent sexual and reproductive health and rights exemplar countries: a quantitative decomposition analysis Corinne Bintz Aerenson, MSa ∙ Olivia Angelino, MPHa ∙ Michael Give Chipeta, PhDb ∙ Naa Dodua Dodoo, PhDb ∙ Prof Erigene Rutayisire, PhDc ∙ Jean Christophe Fotso, PhDd ∙ et al. https://www.thelancet.com/journals/langlo/article/PIIS2214-109X(26)00196-8/fulltext?dgcid=raven_jbs_etoc_feature_langlo

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