Bulletin of the World Health Organization最新文献

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Mass of components and material distribution in lateral flow assay kits. 横向流动分析试剂盒中成分的质量和物质分布。
IF 8.4 2区 医学
Bulletin of the World Health Organization Pub Date : 2025-04-01 Epub Date: 2025-02-04 DOI: 10.2471/BLT.24.292167
Marie-Louise Wöhrle, Alice Street, Maïwenn Kersaudy-Kerhoas
{"title":"Mass of components and material distribution in lateral flow assay kits.","authors":"Marie-Louise Wöhrle, Alice Street, Maïwenn Kersaudy-Kerhoas","doi":"10.2471/BLT.24.292167","DOIUrl":"https://doi.org/10.2471/BLT.24.292167","url":null,"abstract":"<p><strong>Objective: </strong>To assess the type and amount of materials used in commercial lateral flow tests.</p><p><strong>Methods: </strong>We collected and weighed the components of 21 commercial coronavirus disease 2019 (COVID-19) lateral flow tests from the European Union, the United Kingdom of Great Britain and Northern Ireland, the United States of America and the World Health Organization's emergency use listing procedure. We took test kits apart manually, classified components and weighed them individually.</p><p><strong>Findings: </strong>We found large variations in the total average weights of the lateral flow kits ranging from 13.7 g per test to 84.6 g. The average weight of standard housing in the kits was 4.1 g per casing (range: 2.8-6.5). The packaging made up between 34% and more than 89% of the whole kit and was found to be a large source of weight variations. In the standard kits, plastics made up on average 36% of the total weight, while paper and cardboard accounted for 52% on average. In the non-standard kits, which had newer cassette designs, the opposite was observed.</p><p><strong>Conclusion: </strong>Wide variation in the weight of components in COVID-19 tests suggests there is scope for manufacturers to reduce the amount of materials, including plastic, in these products. We propose that a quantitative baseline of material usage be introduced in target product profiles for lateral flow tests to limit the large volume of plastic from reaching the market, and reduce the burden of plastic waste from diagnostic testing on local waste management systems.</p>","PeriodicalId":9465,"journal":{"name":"Bulletin of the World Health Organization","volume":"103 4","pages":"236-246"},"PeriodicalIF":8.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11978406/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143967302","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}
引用次数: 0
Public health round-up. 公共卫生综述。
IF 8.4 2区 医学
Bulletin of the World Health Organization Pub Date : 2025-04-01 DOI: 10.2471/BLT.25.010425
{"title":"Public health round-up.","authors":"","doi":"10.2471/BLT.25.010425","DOIUrl":"https://doi.org/10.2471/BLT.25.010425","url":null,"abstract":"","PeriodicalId":9465,"journal":{"name":"Bulletin of the World Health Organization","volume":"103 4","pages":"232-233"},"PeriodicalIF":8.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11978413/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143972814","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}
引用次数: 0
Monitoring of health inequalities to improve health equity. 监测卫生不平等现象,改善卫生公平。
IF 8.4 2区 医学
Bulletin of the World Health Organization Pub Date : 2025-04-01 DOI: 10.2471/BLT.24.293053
Nicole Bergen, Katherine Kirkby, Devaki Nambiar, Anne Schlotheuber, Ahmad Reza Hosseinpoor
{"title":"Monitoring of health inequalities to improve health equity.","authors":"Nicole Bergen, Katherine Kirkby, Devaki Nambiar, Anne Schlotheuber, Ahmad Reza Hosseinpoor","doi":"10.2471/BLT.24.293053","DOIUrl":"10.2471/BLT.24.293053","url":null,"abstract":"","PeriodicalId":9465,"journal":{"name":"Bulletin of the World Health Organization","volume":"103 4","pages":"231-231A"},"PeriodicalIF":8.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11978410/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143983696","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}
引用次数: 0
Hypertension diagnosis and management in Bamako, Mali. 马里巴马科的高血压诊断和管理。
IF 8.4 2区 医学
Bulletin of the World Health Organization Pub Date : 2025-04-01 Epub Date: 2025-02-27 DOI: 10.2471/BLT.23.290658
Issiaka Camara, Mohamed Traore, Mamoudou Maiga, Dike Ojji, Jane Holl, Souleymane Coulibaly, Mark D Huffman
{"title":"Hypertension diagnosis and management in Bamako, Mali.","authors":"Issiaka Camara, Mohamed Traore, Mamoudou Maiga, Dike Ojji, Jane Holl, Souleymane Coulibaly, Mark D Huffman","doi":"10.2471/BLT.23.290658","DOIUrl":"10.2471/BLT.23.290658","url":null,"abstract":"<p><strong>Problem: </strong>The capacity and site readiness for delivering hypertension management services in Mali were unknown, hindering the effective implementation of the World Health Organization (WHO) HEARTS technical package for cardiovascular disease management.</p><p><strong>Approach: </strong>We selected one tertiary and two secondary hospitals to be assessed. From December 2021 to January 2022, hospital cardiologists collected data on indicators of capacity and site readiness using an adapted version of the WHO service availability and readiness assessment questionnaire. The study team verified the collected data through site inspection and review of administrative documents.</p><p><strong>Local setting: </strong>Mali, a low-income country with a population of 22 395 489, had an estimated hypertension prevalence among adults of 35% in 2019. Most people with hypertension receive care from primary care clinicians, but there are no national hypertension treatment guidelines.</p><p><strong>Relevant changes: </strong>The tertiary hospital had a larger workforce (392 personnel) compared to the two other sites (124 and  182 personnel, respectively) and treated approximately three times more patients with high blood pressure (324 patients versus 106 and 132 patients, respectively). Diuretics and centrally acting agents were the only antihypertensive medications available at all three sites. While all three sites had the capacity to diagnose and confirm hypertension, only one site was fully equipped to provide comprehensive hypertension treatment.</p><p><strong>Lessons learnt: </strong>Political engagement is important for expanding service availability and readiness assessments across health-care facilities, and supporting the implementation and funding of the HEARTS package. Improving access to antihypertensive medications will be essential to ensuring better treatment options for patients.</p>","PeriodicalId":9465,"journal":{"name":"Bulletin of the World Health Organization","volume":"103 4","pages":"275-280"},"PeriodicalIF":8.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11978409/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143953931","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}
引用次数: 0
Shanna H Swan: environmental exposure to chemicals and their consequences for human fertility. Shanna H Swan:环境中的化学物质及其对人类生育能力的影响。
IF 8.4 2区 医学
Bulletin of the World Health Organization Pub Date : 2025-04-01 DOI: 10.2471/BLT.25.030425
{"title":"Shanna H Swan: environmental exposure to chemicals and their consequences for human fertility.","authors":"","doi":"10.2471/BLT.25.030425","DOIUrl":"https://doi.org/10.2471/BLT.25.030425","url":null,"abstract":"<p><p>Shanna H Swan talks to Gary Humphreys about the impact on human health of exposures to endocrine-disrupting chemicals in the environment.</p>","PeriodicalId":9465,"journal":{"name":"Bulletin of the World Health Organization","volume":"103 4","pages":"236-237"},"PeriodicalIF":8.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11978412/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143966703","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}
引用次数: 0
An international guideline training and certification programme. 一个国际指导培训和认证计划。
IF 8.4 2区 医学
Bulletin of the World Health Organization Pub Date : 2025-04-01 Epub Date: 2025-02-13 DOI: 10.2471/BLT.24.291587
Holger J Schünemann, Patrick Okwen, Elie Akl, Paul Chrisp, Philipp Dahm, Yngve Falck-Ytter, Ivan D Florez, Markus Follmann, Elaine Harrow, Mouna Jameleddine, Miloslav Klugar, Miranda Langendam, Gillian Leng, Grigorios Leontiadis, Tamara Lotfi, Bogne Penka Marthe, Joerg Meerpohl, Zachary Munn, Ignacio Neumann, Thomas Piggott, Amir Qaseem, Nancy Santesso, Shahnaz Sultan, Wojtek Wiercioch, Jun Xia, Robby Nieuwlaat
{"title":"An international guideline training and certification programme.","authors":"Holger J Schünemann, Patrick Okwen, Elie Akl, Paul Chrisp, Philipp Dahm, Yngve Falck-Ytter, Ivan D Florez, Markus Follmann, Elaine Harrow, Mouna Jameleddine, Miloslav Klugar, Miranda Langendam, Gillian Leng, Grigorios Leontiadis, Tamara Lotfi, Bogne Penka Marthe, Joerg Meerpohl, Zachary Munn, Ignacio Neumann, Thomas Piggott, Amir Qaseem, Nancy Santesso, Shahnaz Sultan, Wojtek Wiercioch, Jun Xia, Robby Nieuwlaat","doi":"10.2471/BLT.24.291587","DOIUrl":"https://doi.org/10.2471/BLT.24.291587","url":null,"abstract":"","PeriodicalId":9465,"journal":{"name":"Bulletin of the World Health Organization","volume":"103 4","pages":"281-284"},"PeriodicalIF":8.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11978408/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143973514","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}
引用次数: 0
Climate, conflict and displacement in the Sahel. 萨赫勒地区的气候、冲突和流离失所。
IF 8.4 2区 医学
Bulletin of the World Health Organization Pub Date : 2025-04-01 DOI: 10.2471/BLT.24.292700
Ejemai Eboreime, Omolayo Anjorin, Chisom Obi-Jeff, Tunde M Ojo, Attila Hertelendy
{"title":"Climate, conflict and displacement in the Sahel.","authors":"Ejemai Eboreime, Omolayo Anjorin, Chisom Obi-Jeff, Tunde M Ojo, Attila Hertelendy","doi":"10.2471/BLT.24.292700","DOIUrl":"https://doi.org/10.2471/BLT.24.292700","url":null,"abstract":"","PeriodicalId":9465,"journal":{"name":"Bulletin of the World Health Organization","volume":"103 4","pages":"230-230A"},"PeriodicalIF":8.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11978414/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143983383","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}
引用次数: 0
In this month's Bulletin. 在这个月的公报中。
IF 8.4 2区 医学
Bulletin of the World Health Organization Pub Date : 2025-04-01 DOI: 10.2471/BLT.25.000425
{"title":"In this month's Bulletin.","authors":"","doi":"10.2471/BLT.25.000425","DOIUrl":"https://doi.org/10.2471/BLT.25.000425","url":null,"abstract":"","PeriodicalId":9465,"journal":{"name":"Bulletin of the World Health Organization","volume":"103 4","pages":"229"},"PeriodicalIF":8.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11978407/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143965594","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}
引用次数: 0
Canine rabies vaccination, surveillance and public awareness programme in Beijing, China, 2014-2024. 2014-2024年中国北京犬狂犬病疫苗接种、监测和公众意识规划
IF 8.4 2区 医学
Bulletin of the World Health Organization Pub Date : 2025-04-01 Epub Date: 2025-01-30 DOI: 10.2471/BLT.24.291497
Qi Yu, Jiyu Liu, Haojun Zhao, Huiling Chen, Yuxuan Xiang, Qingbin Liu, Li Mei, Wei Zhang, Minheng Cheng, Zhen Li, Runian Bai, Linlin Zhu, Liuqing Zhang, Songli Li
{"title":"Canine rabies vaccination, surveillance and public awareness programme in Beijing, China, 2014-2024.","authors":"Qi Yu, Jiyu Liu, Haojun Zhao, Huiling Chen, Yuxuan Xiang, Qingbin Liu, Li Mei, Wei Zhang, Minheng Cheng, Zhen Li, Runian Bai, Linlin Zhu, Liuqing Zhang, Songli Li","doi":"10.2471/BLT.24.291497","DOIUrl":"https://doi.org/10.2471/BLT.24.291497","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the operation and outcomes of an integrated dog-mediated rabies elimination programme in the Beijing municipality, China.</p><p><strong>Methods: </strong>Beginning in 2014, the Beijing Animal Disease Control Center launched a dog-mediated rabies elimination programme in collaboration with local government and nongovernmental organizations. The programme involved: (i) a compulsory canine rabies vaccination campaign; (ii) rabies surveillance of local dog populations; (iii) educational rabies awareness programmes in public areas and schools; and (iv) the establishment of an online service platform to strengthen communications on rabies with the public.</p><p><strong>Findings: </strong>By 2023, 664 canine rabies vaccination sites had been established in the Beijing municipality, which comprises seven urban districts and nine districts with rural areas. The proportion of dogs with rabies antibodies increased from 64.7% (1115/1723) in 2014, before the programme, to 86.4% (1481/1715) in 2017 and stayed around 80% in subsequent years. In 2022, for the first time, no rabies was reported in dogs that injured people. Concurrently, the annual number of reported human rabies cases dropped from 11 in 2015 to zero in 2021, with no subsequent cases reported up until the third quarter of 2024.</p><p><strong>Conclusion: </strong>The rabies elimination programme met the goal of eliminating human rabies infections in the Beijing municipality and demonstrated that dog-mediated rabies elimination is achievable at the provincial level. The experience gained could serve as a practical guide for dog-mediated rabies control in both urban and rural areas of China and in other countries facing similar challenges.</p>","PeriodicalId":9465,"journal":{"name":"Bulletin of the World Health Organization","volume":"103 4","pages":"247-254"},"PeriodicalIF":8.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11978411/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143985142","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}
引用次数: 0
A mobile messaging service for families on postnatal knowledge and practices: a cluster randomized trial, India. 为家庭提供关于产后知识和实践的移动信息服务:一项随机试验,印度。
IF 8.4 2区 医学
Bulletin of the World Health Organization Pub Date : 2025-04-01 Epub Date: 2025-02-13 DOI: 10.2471/BLT.24.292145
Jamie Sewan Johnston, Pooja Suri, Shirley Yan, Adithi Chandrasekar, Saumya Singla, Victoria C Ward, Seema Murthy
{"title":"A mobile messaging service for families on postnatal knowledge and practices: a cluster randomized trial, India.","authors":"Jamie Sewan Johnston, Pooja Suri, Shirley Yan, Adithi Chandrasekar, Saumya Singla, Victoria C Ward, Seema Murthy","doi":"10.2471/BLT.24.292145","DOIUrl":"https://doi.org/10.2471/BLT.24.292145","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the impact of a mobile messaging service that delivers World Health Organization recommendations on postnatal care to families from birth through six weeks postpartum via a messaging platform.</p><p><strong>Methods: </strong>We randomized tertiary hospitals in four Indian states into two groups. In the treatment group, 15 hospitals promoted the messaging service to families in maternity wards before discharge following a recent birth. Nine control hospitals provided standard in-hospital information. From mid-March 2021 to mid-January 2022, we recruited mothers to participate in the study. Consenting mothers completed a face-to-face baseline survey before hospital discharge after birth and a follow-up phone survey roughly 6 weeks postpartum. Using logistic regression controlling for state-fixed effects and baseline covariates, we examine intent-to-treat estimates and report risk differences.</p><p><strong>Findings: </strong>A total of 21 937 participants met the inclusion criteria. We observed significant positive impacts in 7 out of 11 neonatal and maternal care practices examined (<i>P</i>-values < 0.05). Breastfeeding increased by 3.1 percentage points, recommended cord care practices by 4.1 percentage points, skin-to-skin care with mothers by 9.2 percentage points, and skin-to-skin care by fathers by 2.2 percentage points. For recommended maternal dietary practices, we observed significant increases in adherence to guidelines advising no reduction of food intake (7.1 percentage points), no reduction of water intake (7.9 percentage points) and no restrictions on food items (10.8 percentage point; <i>P</i>-values < 0.01).</p><p><strong>Conclusion: </strong>This study demonstrates that concise yet comprehensive digital messaging delivered to families during the postpartum period can effectively encourage recommended postnatal care practices.</p>","PeriodicalId":9465,"journal":{"name":"Bulletin of the World Health Organization","volume":"103 4","pages":"255-265"},"PeriodicalIF":8.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11978415/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143972785","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}
引用次数: 0
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