Richard, Gavin, and Jessamy return to the studio for another freeform discussion kicking off with the responsibilities of science and scientific publishing in a time where fact checking and moderation are going out of fashion. We also cover climate change in the US with the recent wildfires, and the importance of retaining institutional memory following traumatic experiences after Richard was particularly struck by a recent trip to Argentina.

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Where does power lie in global health? What are the historical and systemic barriers that perpetuate inequities, and what is the impact of political shifts towards nationalism?

Catherine Kyobutungi and Madhukar Pai join Gavin to talk about their recent Comment published in The Lancet, "Shifting power in global health will require leadership by the Global South and allyship by the Global North". Join us to learn about the challenges and opportunities for Global South leadership and the importance of redefining knowledge, success, and problem identification in global health.

You can read Catherine and Madhu's Comment piece here:
https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(24)02323-7/fulltext?dgcid=buzzsprout_tlv_podcast_generic_lancet

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The last Lancet Voice of the year delves into the latest findings from the Institute for Health Metrics and Evaluation (IHME) from our recently released US Special Issue. Ali Mokdad and Emmanuela Gakidou join Miriam Sabin and Gavin Cleaver to explore the comprehensive analysis of the Global Burden of Disease, the alarming trends in obesity and life expectancy, and the critical need for policy changes to improve public health in the United States.

Read the US special issue here:
https://www.thelancet.com/journals/lancet/issue/vol404no10469/PIIS0140-6736(24)X0050-1?dgcid=buzzsprout_tlv_podcast_generic_lancet

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In September 2023, Wales passed legislation making the maximum speed limit 20mph in built-up areas. How are speed limits linked to public health? How can researchers engage with governments to enact public health research? And how do you deal with the situation when there is a huge online backlash to your work? Dr. Sarah Jones from Public Health Wales joins Gavin to discuss how her research was implemented, how it's gone so far, and what's next.

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What is the impact of systemic racism on public health in New York City? How can we leverage government to meet ambitious goals for improving life expectancy?

Prof. Michelle Morse, the interim Health Commissioner of the Department of Health of New York City, joins Miriam Sabin and Matt Gilbert of The Lancet to discuss bridging public health and clinical care to reduce health inequities.

Together, they explore the challenges and solutions in addressing health across a diverse city, tackling maternal mortality, and the importance of community engagement in public health.

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Gavin, Richard, and Jessamy get into the studio for another bonus episode looking at the launch of the Global Health 2050 report at the World Health Summit in Berlin, a report which shows a path to cutting premature mortality by 50% by 2050. Also up for discussion are the limits of human longevity and what well-designed cities mean for health.

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The US is the richest country in the world, but has some of the most entrenched poverty and associated poor health outcomes. Miriam Sabin (North American Senior Executive Editor at The Lancet) joins Jessamy to chat with Luke Shaefer (Professor of Public Policy at the University of Michigan and Director of Poverty Solutions) and Mona Hanna (Professor of Public Health at Michigan State University and paediatrician at Hurley Medical Centre) about why this is, their innovative Rx Kids cash grant program for families in Michigan, and what the upcoming US election means.

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Gavin is joined by Paul Moran (Professor of Psychiatry, University of Bristol and Honorary Consultant Psychiatrist, Bristol Royal Infirmary, UK) and Helen Christensen (Scientia Professor of Mental Health at the University of New South Wales, Sydney, Australia) to discuss The Lancet's new commission on self-harm, exploring its prevalence, cultural factors, and the crucial need for better data and compassionate care. We also talk about stigma and improving mental health services globally.

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