Bulletin of the World Health Organization最新文献

{"title":"Research ethics committees and regulation of climate change and health research.","authors":"Godwin Pancras, Winfred Nazziwa, David Nderitu, Jovine Bachwenkizi, Renatha Joseph","doi":"10.2471/BLT.25.294147","DOIUrl":"10.2471/BLT.25.294147","url":null,"abstract":"<p><p>Research has become essential in addressing the effects of climate change on human health and that of the biosphere. However, the ethical regulation of such research remains insufficiently developed, particularly with the current consolidation of research ethics committees as the reference standard to review and approve of health research. Unlike human-centred health research, climate and health research extends beyond humans to include biotic and abiotic components. This aspect challenges the human-centred approach to ethics that has traditionally defined the role of research ethics committees. In this analysis, we seek to re-examine the role of these committees in guaranteeing the ethical review of climate change and health research and the possibility of extending beyond its limited, human-centred scope. We also discuss the ethical concerns and considerations from the global and African-centred perspective that research ethics committees should address. We recommend that institutions hosting these committees implement two initiatives. First, restructure research ethics committees to include experts in climate change and health, as well as activists and representatives of Indigenous communities who are knowledgeable about the links between health and climate. Second, support initiatives to build the capacity of committee members, for example by developing training curricula on climate change and health research. These curricula should aim to strengthen the ability of committees to identify and address key issues including justice, intergenerational ethics and community-specific norms and values.</p>","PeriodicalId":9465,"journal":{"name":"Bulletin of the World Health Organization","volume":"104 3","pages":"168-174"},"PeriodicalIF":6.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12947209/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147324699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Values, trade-offs and ethical choices in climate-related health research.","authors":"Jerome Amir Singh","doi":"10.2471/BLT.26.295841","DOIUrl":"10.2471/BLT.26.295841","url":null,"abstract":"","PeriodicalId":9465,"journal":{"name":"Bulletin of the World Health Organization","volume":"104 3","pages":"140-140A"},"PeriodicalIF":6.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12947167/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147324682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improving neonatal outcomes through better access to human milk.","authors":"Emily M Njuguna, Ghislain Franck Houndjahoue, Olufunke Bosede Bolaji, Ogah Adenike Oluwakemi, Judith Cosmas Lamosai, Priscilla Njeri Ng'ang'a, Kimberly Mansen, Kiersten Israel Ballard, Alexander Stevenson","doi":"10.2471/BLT.25.293587","DOIUrl":"10.2471/BLT.25.293587","url":null,"abstract":"","PeriodicalId":9465,"journal":{"name":"Bulletin of the World Health Organization","volume":"104 3","pages":"194-196"},"PeriodicalIF":6.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12947191/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147324747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Corrigendum.","authors":"","doi":"10.2471/BLT.26.100326","DOIUrl":"https://doi.org/10.2471/BLT.26.100326","url":null,"abstract":"<p><p>[This corrects the article on p. 562 in vol. 102, PMID: 39070601.].</p>","PeriodicalId":9465,"journal":{"name":"Bulletin of the World Health Organization","volume":"104 3","pages":"208"},"PeriodicalIF":5.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12947184/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147324723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Accounting for inequality in dementia prevention programmes.","authors":"Timothy Daly, Andrea Slachevsky, Dominic Trépel, Sebastian Walsh, Agustin Ibáñez","doi":"10.2471/BLT.25.293220","DOIUrl":"10.2471/BLT.25.293220","url":null,"abstract":"","PeriodicalId":9465,"journal":{"name":"Bulletin of the World Health Organization","volume":"104 2","pages":"127-130"},"PeriodicalIF":5.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12834358/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146060222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Public health round-up.","authors":"","doi":"10.2471/BLT.26.010226","DOIUrl":"10.2471/BLT.26.010226","url":null,"abstract":"","PeriodicalId":9465,"journal":{"name":"Bulletin of the World Health Organization","volume":"104 2","pages":"65-66"},"PeriodicalIF":5.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12834349/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146060066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Filial piety and fertility decisions, Thailand.","authors":"Nopphol Witvorapong, Jim Stankovich, Thant Zin","doi":"10.2471/BLT.25.294174","DOIUrl":"10.2471/BLT.25.294174","url":null,"abstract":"","PeriodicalId":9465,"journal":{"name":"Bulletin of the World Health Organization","volume":"104 2","pages":"131-133"},"PeriodicalIF":5.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12834346/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146060218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improved long-term care provision in the context of population ageing.","authors":"Jagadish K Chhetri, Barbara Kamholz, Piu Chan, Hyobum Jang, Ritu Sadana","doi":"10.2471/BLT.26.295680","DOIUrl":"10.2471/BLT.26.295680","url":null,"abstract":"","PeriodicalId":9465,"journal":{"name":"Bulletin of the World Health Organization","volume":"104 2","pages":"63-63A"},"PeriodicalIF":5.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12834351/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146060210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Community-based integrated care for HIV, viral hepatitis and sexually transmitted infections, Thailand.","authors":"Tanyaporn Wansom, Akaphot Thongmee, Salyavit Chittmittrapap, Tunyaluck Saraporn, Karuna Chavalertsakul, Nuntisa Chotirosniramit, Suta Pattarakijroongrueng, Thitisant Palakawong Na Ayuthaya, Viroj Verachai, Paisarn Traisirichok, Benjamas Intharabut, Nyan Linn, Rapeeporn Teuansiri, Kewalin Kulprayong, Arrini Waesateh, Sureena Lawseng, Tikumporn Chumwangwapee, Smith Pattarasuteewong, Nee Pudpong, Duangsamon Unchit, Jukraphan Photipap, Chutarat Wongsuwon, Nattapon Werapattanawong, Suhainong Smahoh, Pilanthana Sae-Chee, Sakda Phueakchai, Prommin Kittikoonprasert, Pongsri Bootsan, Saranath Lawpoolsri, Philippe Creac'H, Stephen Mills, Pornsak Yoocharoen, Anchalee Avihingsanon, Nittaya Phanuphak, Arthorn Riewpaiboon, Nicolas Durier","doi":"10.2471/BLT.25.293745","DOIUrl":"10.2471/BLT.25.293745","url":null,"abstract":"<p><strong>Objective: </strong>To assess the impact of an integrated model of care in curing hepatitis C in people who use drugs in Thailand.</p><p><strong>Methods: </strong>The C-Free Study enrolled people with current or prior drug use and their partners in a prospective cohort at community drop-in centres providing harm reduction services. Participants were screened for human immunodeficiency virus (HIV), hepatitis C virus (HCV), hepatitis B virus (HBV) and sexually transmitted infections. Eligible participants with HCV infection received a 12-week course of sofosbuvir-velpatasvir. The main impact outcome was sustained virological response, measured 12 weeks after treatment completion.</p><p><strong>Results: </strong>Between June 2019 and April 2023, we enrolled 2871 participants in 10 sites across Thailand: 1601 (55.8%) had HCV antibodies; 1275 (44.4%) had active HCV infection; 846 (29.5%) had HIV; and 221 (7.7%) had HBV. Of 1134 participants with active HCV who started treatment with sofosbuvir-velpatasvir, 939 (82.8%) achieved a sustained virological response. Among 987 participants completing treatment, 95.1% achieved a sustained virological response. In multivariable analysis, age > 40 years (adjusted odds ratio, aOR: 1.63; 95% confidence interval, CI: 1.04-2.54) and poor treatment adherence (aOR: 0.06; 95% CI: 0.02-0.20) were associated with sustained virological response. Of 34 serious adverse events during treatment, six led to treatment discontinuation including five non-treatment-related deaths.</p><p><strong>Conclusion: </strong>Community-based HCV treatment of people who use drugs in Thailand, within harm reduction settings, is safe and effective. Integration of this strategy into national programmes could enhance HCV elimination in people who use drugs.</p>","PeriodicalId":9465,"journal":{"name":"Bulletin of the World Health Organization","volume":"104 2","pages":"71-81"},"PeriodicalIF":6.9,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12834361/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146060150","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Priscilla Idele: fertility, choice and changing norms.","authors":"","doi":"10.2471/BLT.26.030226","DOIUrl":"10.2471/BLT.26.030226","url":null,"abstract":"<p><p>Priscilla Idele talks to Gary Humphreys about the drivers of falling fertility rates and the need for data-driven rights-based, youth-led responses.</p>","PeriodicalId":9465,"journal":{"name":"Bulletin of the World Health Organization","volume":"104 2","pages":"69-70"},"PeriodicalIF":6.9,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12834357/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146060130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}