Deborah Cohen: The final declaration for the UN summit on NCDs

After months of negotiations, lobbying from industry and NGOs and public health experts, international governments have finally agreed the political declaration that will form the spine of the UN’s summit on non-communicable diseases later this month. The BMJ has seen a copy of the final declaration and for those who have been involved there are […]

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Richard Smith: Managing hypertension in a South African township

South Africa suffers from a “quadruple burden” of disease—infectious disease, particularly AIDS and TB; trauma from road traffic injuries and violence; perinatal and maternal health problems; and non-communicable disease. I thought of this burden as we visited the community clinic in Khayelitsha, the largest “township” in Cape Town. […]

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Richard Smith on countering the “wicked problem” of the chronic disease pandemic

I spent two days last week in the seductive grandeur of Trinity College, Oxford, fretting about the global pandemic of chronic disease, but I left feeling optimistic—despite the pandemic raging as fiercely as ever. […]

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Richard Feinmann on volunteering after retirement

What to do when you are a sexagenarian physician who has retired from hospital practice with 40 years in the NHS under your belt and golf/Sudoku not really appealing? Well, my health visitor wife and I applied to Voluntary Service Overseas (VSO) and I am writing this from a hospital in Kampala, Uganda, where I have […]

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Siddharta Yadav on changing perceptions of HIV/AIDS

There is a famous proverb in Nepali which says we learn something either by reading about it or by facing it. I prefer the latter because of the everlasting impression that “facing something” leaves, in contrast to the hazy-sketchy memories of reading. I have been reading about HIV and AIDS since my first year in […]

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Richard Smith on why diabetes envies cancer

Those who campaign on diabetes envy those who campaign on cancer because cancer gets so much more attention than diabetes. Indeed, the diabetes campaigners are very frustrated that diabetes is so consistently neglected. Around 250 million people globally have diabetes, and because of the pandemic sweeping the world that number will increase to 380 million […]

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Michael Adler and colleagues on HIV today

It has been 25 years since HIV, the virus that causes AIDS, was isolated. Since that time, 25 million people have died of HIV related illnesses. In 2007 there were an estimated 33 million people (CI 30-36) living with the virus and three quarters of all related deaths and two thirds of incident cases were […]

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Pat Sidley on South Africa after Mbeki

South Africa’s newly elected president, Mr Kgalemo Mothlante, acted swiftly to end an era of ugly controversy and extreme incompetence in the health ministry by appointing a highly regarded, new health minister and effectively demoting the previous one, Dr Manto Tshabalala-Msimang, who implemented all of former president Thabo Mbeki’s eccentric AIDS beliefs, which has laid […]

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