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Posts: 54

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[Articles] Suspected and confirmed mpox cases in DR Congo: a retrospective analysis of national epidemiological and laboratory surveillance data, 2010–23

Published: February 1, 2025 00:00

The incidence and geographical distribution of suspected mpox cases have increased substantially since 2010. Improvements in surveillance and decentralised testing are essential to monitor mpox trends and direct interventions effectively, to address the…

[Correspondence] Sunitinib for the treatment of phaeochromocytomas and paragangliomas

Published: February 1, 2025 00:00

The completion of the First International Randomized study in Malignant Progressive Pheochromocytoma and Paragangliomas (FIRSTMAPPP)1 trial by Eric Baudin and colleagues is indeed a success. However, the adverse events of sunitinib are substantial in…

[Correspondence] Case for a health equity framework in health technology assessment

Published: February 1, 2025 00:00

Improving health equity is essential for both individual wellbeing and societal prosperity. However, health opportunities are not equally distributed, with life expectancy varying substantially across different areas in England with a 20-year gap for women…

[Articles] Annual versus less frequent mammographic surveillance in people with breast cancer aged 50 years and older in the UK (Mammo-50): a multicentre, randomised, phase 3, non-inferiority trial

Published: February 1, 2025 00:00

For patients aged 50 years or older and at 3 years post diagnosis, less frequent mammograms were non-inferior compared with annual mammograms for breast cancer-specific survival, recurrence-free interval, and overall survival, and should be considered for…

[Correspondence] Future-proofing Europe and Central Asia: a renewed focus on child and adolescent health

Published: February 1, 2025 00:00

The data are clear: Europe and Central Asia are failing their children. Hard-earned reductions in child mortality in the region are reversing or stagnating. Mental health concerns have doubled since the COVID-19 pandemic, with one in four children younger…

[Correspondence] Hughes Stovin syndrome is not associated with pulmonary embolism – Authors' reply

Published: February 1, 2025 00:00

We would like to thank Nikolas Ruffer and Martin Krusche for their considered Correspondence; their letter raised an important point regarding the nomenclature used in our case report. The authors correctly emphasise that the filling defects present on our…

[Comment] Rising mpox trends in DR Congo: the neglected spread of an epidemic

Published: February 1, 2025 00:00

The monkeypox virus is causing concurrent outbreaks of mpox in Africa, with more and more frequent exportations outside the continent.1 Although community transmission has established itself in a number of African countries, DR Congo undoubtedly bears the…

[Correspondence] Sunitinib for the treatment of phaeochromocytomas and paragangliomas

Published: February 1, 2025 00:00

The phase 2, randomised, non-comparative First International Randomized study in Malignant Progressive Pheochromocytoma and Paragangliomas (FIRSTMAPPP) by Eric Baudin and colleagues1 investigated sunitinib versus placebo in patients with metastatic…

[Correspondence] Nepal set to launch historic HPV vaccination programme

Published: February 1, 2025 00:00

Nepal is set to launch its human papillomavirus (HPV) vaccination campaign on Feb 4, 2025, on World Cancer Day. Supported by Gavi, the Vaccine Alliance, WHO, and UNICEF, the campaign aims to immunise more than 1·6 million adolescent schoolgirls (grades 6…

[Correspondence] Sunitinib for the treatment of phaeochromocytomas and paragangliomas – Authors' reply

Published: February 1, 2025 00:00

We thank Alexander Sherry and colleagues and Sheng Zhang and colleagues for their interest in the First International Randomized study in Malignant Progressive Pheochromocytoma and Paragangliomas (FIRSTMAPPP) phase 2 trial methodology.

[Correspondence] Eliminating cervical cancer in the Tibetan Plateau

Published: February 1, 2025 00:00

In 2020, WHO proposed the global strategy to accelerate the elimination of cervical cancer as a public health problem,1 which means 194 countries and regions have the responsibility to take action to ensure no one is neglected and left behind. 4 years have…

[Comment] Dual checkpoint blockade for microsatellite instability-high colorectal cancer

Published: January 25, 2025 21:52

Metastatic colorectal cancer with microsatellite instability-high or mismatch repair-deficient status represents a distinct tumour subtype that accounts for around 5% of total colorectal cancer cases. Although standard chemotherapy has some efficacy in…

[Articles] Nivolumab plus ipilimumab versus nivolumab in microsatellite instability-high metastatic colorectal cancer (CheckMate 8HW): a randomised, open-label, phase 3 trial

Published: January 25, 2025 21:52

Nivolumab plus ipilimumab showed superior progression-free survival versus nivolumab across all treatment lines, with a manageable safety profile, in patients with microsatellite instability-high or mismatch repair-deficient metastatic colorectal cancer.…

[Correspondence] A regional approach to addressing global health inequities

Published: January 25, 2025 00:00

Adam Strobeyko and colleagues1 propose strengthening WHO's capacity to address pandemic product inequities through amendments to the International Health Regulations and establishing the Global Supply Chain and Logistics Network as a successor to the…

[Correspondence] The R21/Matrix-M malaria vaccine: questions remain – Author's reply

Published: January 25, 2025 00:00

We thank the authors for their interest in our paper, and their queries. In response to Yue Li and Guangsen Liu, given the current situation of malaria deaths and cases increasing in recent years,1 it is imperative that an efficacious vaccine is deployed…

[Correspondence] Undervaccination and severe COVID-19 outcomes – Authors' reply

Published: January 25, 2025 00:00

We thank our colleagues for their interest in our Article.1 In response to Ari R Joffe, we provided estimates of the number of severe outcomes associated with a fully vaccinated counterfactual. These estimates controlled for time since the last positive…

[Articles] Stopping of adalimumab in juvenile idiopathic arthritis-associated uveitis (ADJUST): a multicentre, double-masked, randomised controlled trial

Published: January 25, 2025 00:00

Discontinuing adalimumab led to higher rates of recurrence of uveitis, arthritis, or both in patients with previously controlled juvenile idiopathic arthritis-associated uveitis. However, all patients who had treatment failure successfully regained control…

[Perspectives] Health advocacy in the history of US immigrants’ rights

Published: January 25, 2025 00:00

Foreign-born practitioners in the health professions are critical to the health-care labour force in many high-income countries. In addition, both immigrant and non-immigrant health professionals have a stake in protecting the rights of their patients and…

[Correspondence] Leadership roles in response to mpox and Marburg virus disease outbreaks

Published: January 25, 2025 00:00

Public health emergencies demand decisive leadership, proactive capacities, and swift, coordinated responses to mitigate their impacts on lives, livelihoods, and economies, particularly in Africa, where health systems have little resilience to public…

[Articles] Impact of SARS-CoV-2 spike antibody positivity on infection and hospitalisation rates in immunosuppressed populations during the omicron period: the MELODY study

Published: January 25, 2025 00:00

All people with immunosuppression require ongoing access to COVID-19 protection strategies. Assessment of anti-S Ab responses, which can be performed at scale, can identify people with immunosuppression who remain most at risk, providing a mechanism to…

[Comment] Antibody testing to predict SARS-CoV-2 risk in immunocompromised people

Published: January 25, 2025 00:00

The development of adaptive immunity to SARS-CoV-2 (in the shape of antibody, B, and T cells) is associated with protection against infection and severe disease, regardless of whether this is induced by infection, vaccination, or a combination of both.1 It…

[Comment] Uveitis in juvenile idiopathic arthritis: when to stop adalimumab?

Published: January 25, 2025 00:00

Juvenile idiopathic arthritis is the most common chronic systemic disease associated with uveitis in childhood. Uveitis occurs in 11–22% of children with juvenile idiopathic arthritis.1 Due to the chronic course of intraocular inflammation, there is a high…

[Correspondence] The R21/Matrix-M malaria vaccine: questions remain

Published: January 25, 2025 00:00

I am writing to voice concerns over the findings of the phase 3 trial of the R21/Matrix-M malaria vaccine by Mehreen Datoo and colleagues.1 The study indicates that the vaccine's efficacy appears to decline over time, from an initial 79% in months 1–3 to…

[Correspondence] Polio in Sudan and other conflict zones: a call for urgent support

Published: January 25, 2025 00:00

Polio is a highly viral infectious disease that poses a life-threating risk to young children, often leading to paralysis and death, and children who are not fully immunised are especially vulnerable. Since the initiation of the Global Polio Eradication…

[Articles] Coronary CT angiography-guided management of patients with stable chest pain: 10-year outcomes from the SCOT-HEART randomised controlled trial in Scotland

Published: January 25, 2025 00:00

After 10 years, CCTA-guided management of patients with stable chest pain was associated with a sustained reduction in coronary heart disease death or non-fatal myocardial infarction. Identification of coronary atherosclerosis by CCTA improves long-term…

[Correspondence] Global South leaders should strengthen strategic capacity

Published: January 25, 2025 00:00

Madhukar Pai and colleagues1 highlight the need for Global North institutions to assume an allyship position in the decolonisation of global health. Pai and colleagues’ vision, anchored in principles of equity and justice, presents an ideal of what global…