RESUMEN
"Helicopter research" refers to a practice where researchers from wealthier countries conduct studies in lower-income countries with little involvement of local researchers or community members. This practice also occurs domestically. In this Commentary, we outline strategies to curb domestic helicopter research and to foster equity-centered collaborations.
Asunto(s)
Investigación Biomédica , Participación de la Comunidad , Humanos , Investigadores , Salud Global , National Institutes of Health (U.S.) , Estados Unidos , Poblaciones Minoritarias, Vulnerables y Desiguales en Salud , Inequidades en SaludRESUMEN
Microorganisms, including bacteria, archaea, viruses, fungi, and protists, are essential to life on Earth and the functioning of the biosphere. Here, we discuss the key roles of microorganisms in achieving the United Nations Sustainable Development Goals (SDGs), highlighting recent and emerging advances in microbial research and technology that can facilitate our transition toward a sustainable future. Given the central role of microorganisms in the biochemical processing of elements, synthesizing new materials, supporting human health, and facilitating life in managed and natural landscapes, microbial research and technologies are directly or indirectly relevant for achieving each of the SDGs. More importantly, the ubiquitous and global role of microbes means that they present new opportunities for synergistically accelerating progress toward multiple sustainability goals. By effectively managing microbial health, we can achieve solutions that address multiple sustainability targets ranging from climate and human health to food and energy production. Emerging international policy frameworks should reflect the vital importance of microorganisms in achieving a sustainable future.
Asunto(s)
Desarrollo Sostenible , Humanos , Naciones Unidas , Objetivos , Bacterias/metabolismo , Salud Global , Hongos/metabolismoRESUMEN
1988, the World Health Assembly committed to eradicate poliomyelitis, a viral disease that can cause permanent paralysis. Today, only type 1 of the three wild poliovirus types remains circulating in limited geographic areas following widespread use of different poliovirus vaccines. While we are close to zero new cases of wild polio, it is a fragile situation, and there are many remaining and new hurdles to overcome. Here, experts discuss how to address them.
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Poliomielitis , Vacunas contra Poliovirus , Poliovirus , Humanos , Poliomielitis/epidemiología , Poliomielitis/prevención & control , Salud Global , Erradicación de la EnfermedadRESUMEN
From mRNA vaccines to community interventions in global child health, the 2022 Canada Gairdner awards demonstrate the importance of fundamental science and its translation into improved human health and well-being.
Asunto(s)
Distinciones y Premios , Investigación Biomédica , Canadá , Niño , Familia , Salud Global , HumanosRESUMEN
Maternal and childhood mortality are health indicators that show very wide gaps between rich and poor, and between countries. The 2022 John Dirks Global Health Award recognizes Zulfiqar Bhutta "for the development and evaluation of evidenced-based interventions in child and maternal health for marginalized populations, focusing on outcomes for the 'first thousand days' of life." Cell editor Nicole Neuman caught up with Zulfiqar to discuss how he became passionate about maternal and child health, how mentors have shaped his career, and the lessons of his work for high-income countries. Excerpts of the conversation are presented below and have been edited for clarity and conciseness.
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Distinciones y Premios , Niño , Comunicación , Salud Global , Humanos , Masculino , MentoresRESUMEN
The past year has underscored the threat that emerging viruses pose to global health. The 2021 John Dirks Canada Gairdner Global Health award recognizes the contributions of Joseph Sriyal Malik Peiris and Yi Guan toward understanding the origins and options for control of newly emerging infectious disease outbreaks in Asia, notably zoonotic influenza and severe acute respiratory syndrome (SARS). Nicole Neuman of Cell corresponded with Malik Peiris about his path to studying emerging infectious diseases and the challenges of this work. Excerpts of their exchange are included here.
Asunto(s)
Enfermedades Transmisibles/epidemiología , Salud Global , COVID-19/epidemiología , COVID-19/virología , Enfermedades Transmisibles/patología , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/patología , Brotes de Enfermedades , Humanos , Gripe Humana/epidemiología , Gripe Humana/patología , SARS-CoV-2/aislamiento & purificaciónRESUMEN
The events of the past year have underscored the serious and rapid threat that emerging viruses pose to global health. However, much of the rapid progress in understanding and combating SARS-CoV-2 was made possible because of the decades of important groundwork laid from researchers studying other emergent infectious diseases. The 2021 John Dirks Canada Gairdner Global Health award recognizes the contributions of Joseph Sriyal Malik Peiris and Yi Guan toward understanding the origins and options for control of newly emerging infectious disease outbreaks in Asia, notably zoonotic influenza and severe acute respiratory syndrome (SARS). Cell's Nicole Neuman corresponded with Yi Guan about his path to becoming a viral infection sleuth and the challenges of understanding emerging pathogens and their origins. Excerpts of their exchange are included here.
Asunto(s)
COVID-19 , Enfermedades Transmisibles Emergentes , Brotes de Enfermedades , Gripe Humana , Zoonosis , Animales , Asia , COVID-19/epidemiología , COVID-19/transmisión , Enfermedades Transmisibles Emergentes/epidemiología , Enfermedades Transmisibles Emergentes/historia , Enfermedades Transmisibles Emergentes/transmisión , Brotes de Enfermedades/historia , Salud Global , Historia del Siglo XXI , Humanos , Gripe Humana/epidemiología , Gripe Humana/historia , Gripe Humana/transmisión , Zoonosis/epidemiología , Zoonosis/transmisiónRESUMEN
Recent reports suggest that some SARS-CoV-2 genetic variants, such as B.1.1.7, might be more transmissible and are quickly spreading around the world. As the emergence of more transmissible variants could exacerbate the pandemic, we provide public health guidance for increased surveillance and measures to reduce community transmission.
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COVID-19/prevención & control , COVID-19/transmisión , Control de Enfermedades Transmisibles , SARS-CoV-2/genética , Factores de Edad , COVID-19/epidemiología , COVID-19/virología , Monitoreo Epidemiológico , Salud Global , Humanos , Programas Obligatorios , Pandemias , SARS-CoV-2/fisiología , Viaje/legislación & jurisprudencia , Reino Unido/epidemiología , Poblaciones VulnerablesRESUMEN
Host genetic and environmental factors including age, biological sex, diet, geographical location, microbiome composition and metabolites converge to influence innate and adaptive immune responses to vaccines. Failure to understand and account for these factors when investigating severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) vaccine efficacy may impair the development of the next generation of vaccines. Most studies aimed at identifying mechanisms of vaccine-mediated immune protection have focused on adaptive immune responses. It is well established, however, that mobilization of the innate immune response is essential to the development of effective cellular and humoral immunity. A comprehensive understanding of the innate immune response and environmental factors that contribute to the development of broad and durable cellular and humoral immune responses to SARS-CoV-2 and other vaccines requires a holistic and unbiased approach. Along with optimization of the immunogen and vectors, the development of adjuvants based on our evolving understanding of how the innate immune system shapes vaccine responses will be essential. Defining the innate immune mechanisms underlying the establishment of long-lived plasma cells and memory T cells could lead to a universal vaccine for coronaviruses, a key biomedical priority.
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Variación Biológica Poblacional , Vacunas contra la COVID-19/inmunología , COVID-19/epidemiología , COVID-19/prevención & control , Interacciones Huésped-Patógeno/inmunología , Inmunidad , SARS-CoV-2/inmunología , Anticuerpos Antivirales , COVID-19/virología , Vacunas contra la COVID-19/administración & dosificación , Salud Global , Interacciones Microbiota-Huesped/inmunología , Humanos , Inmunidad Humoral , Inmunidad Innata , Inmunogenicidad Vacunal , Memoria Inmunológica , Microbiota/inmunología , Pandemias , Vigilancia en Salud Pública , VacunaciónRESUMEN
As genome sequencing at a large scale becomes more and more accessible, national genomics programs are taking off around the world and providing critical insights into our understanding of the human genome. Cell's April Pawluk caught up with Fowzan Alkuraya of the Saudi Human Genome Program and Jianjun Liu of Singapore's SG10K Program to hear about their national efforts, the benefits and challenges to studying their unique local populations, and the future of genomics-led healthcare around the world. Annotated excerpts from this conversation are presented below, and the full conversation is available with the article online.
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Genoma Humano/genética , Genómica/tendencias , Salud Global/tendencias , Humanos , Investigación/tendenciasRESUMEN
In response to recent anti-Chinese sentiment in the US, Sunney Xie uses his own experiences to assert that American ideals should not be replaced by nationalism and populism and that everybody wins in Sino-US scientific collaborations, contrary to what Americans are led to believe: that China is the sole beneficiary.
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Cooperación Internacional , Política , Investigación , China , Fertilización In Vitro/métodos , Pruebas Genéticas/métodos , Salud Global , Humanos , Medicina de Precisión/métodos , Estados UnidosRESUMEN
This year's Lasker-Bloomberg Public Service Award goes to GAVI, the Vaccine Alliance, for providing sustained access to childhood vaccines around the globe, saving millions of lives, and highlighting the power of immunization to prevent disease.
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Cooperación Internacional , Vacunación/economía , Vacunación/historia , Vacunas/historia , Vacunas/provisión & distribución , Niño , Salud Global , Historia del Siglo XVII , Historia del Siglo XVIII , Historia del Siglo XIX , Historia del Siglo XX , Historia del Siglo XXI , Humanos , Programas de Inmunización , Inversiones en Salud , Pobreza , Medicina Preventiva/métodos , Vacunas/economíaRESUMEN
The integration of proteomics into precision oncology presents opportunities that may transform the molecular analysis of cancer and accelerate basic and clinical cancer research. This Commentary discusses the importance of international collaboration and data sharing inspired by the Cancer Moonshot to accelerate the progress of multi-omic precision medicine-an approach that addresses the global diversity of people and of cancers.
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Genómica/métodos , Oncología Médica/tendencias , Neoplasias/genética , Neoplasias/terapia , Medicina de Precisión/tendencias , Proteómica/métodos , Femenino , Genoma Humano , Salud Global , Humanos , Masculino , Oncología Médica/métodos , Mutación , Medicina de Precisión/métodos , Programa de VERF , Estados UnidosRESUMEN
Evidence of the safety and protective benefits of human papillomavirus virus (HPV) vaccines as an anti-cancer measure is overwhelming. However, vaccine uptake varies widely across countries and falls short of levels needed to achieve population immunity. We highlight policy measures that would help ensure greater worldwide coverage and save lives.
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Alphapapillomavirus/inmunología , Infecciones por Papillomavirus/inmunología , Vacunas contra Papillomavirus/inmunología , Neoplasias del Cuello Uterino/inmunología , Alphapapillomavirus/efectos de los fármacos , Femenino , Salud Global/tendencias , Humanos , Infecciones por Papillomavirus/prevención & control , Infecciones por Papillomavirus/virología , Vacunas contra Papillomavirus/economía , Vacunas contra Papillomavirus/uso terapéutico , Neoplasias del Cuello Uterino/prevención & control , Neoplasias del Cuello Uterino/virología , Vacunación/economía , Vacunación/métodos , Vacunación/tendenciasRESUMEN
This article presents global cancer statistics by world region for the year 2022 based on updated estimates from the International Agency for Research on Cancer (IARC). There were close to 20 million new cases of cancer in the year 2022 (including nonmelanoma skin cancers [NMSCs]) alongside 9.7 million deaths from cancer (including NMSC). The estimates suggest that approximately one in five men or women develop cancer in a lifetime, whereas around one in nine men and one in 12 women die from it. Lung cancer was the most frequently diagnosed cancer in 2022, responsible for almost 2.5 million new cases, or one in eight cancers worldwide (12.4% of all cancers globally), followed by cancers of the female breast (11.6%), colorectum (9.6%), prostate (7.3%), and stomach (4.9%). Lung cancer was also the leading cause of cancer death, with an estimated 1.8 million deaths (18.7%), followed by colorectal (9.3%), liver (7.8%), female breast (6.9%), and stomach (6.8%) cancers. Breast cancer and lung cancer were the most frequent cancers in women and men, respectively (both cases and deaths). Incidence rates (including NMSC) varied from four-fold to five-fold across world regions, from over 500 in Australia/New Zealand (507.9 per 100,000) to under 100 in Western Africa (97.1 per 100,000) among men, and from over 400 in Australia/New Zealand (410.5 per 100,000) to close to 100 in South-Central Asia (103.3 per 100,000) among women. The authors examine the geographic variability across 20 world regions for the 10 leading cancer types, discussing recent trends, the underlying determinants, and the prospects for global cancer prevention and control. With demographics-based predictions indicating that the number of new cases of cancer will reach 35 million by 2050, investments in prevention, including the targeting of key risk factors for cancer (including smoking, overweight and obesity, and infection), could avert millions of future cancer diagnoses and save many lives worldwide, bringing huge economic as well as societal dividends to countries over the forthcoming decades.
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Salud Global , Neoplasias , Humanos , Neoplasias/epidemiología , Neoplasias/mortalidad , Masculino , Femenino , Incidencia , Salud Global/estadística & datos numéricos , Adulto , Persona de Mediana Edad , Anciano , Niño , Adolescente , Preescolar , Lactante , Adulto Joven , Distribución por Sexo , Recién Nacido , Anciano de 80 o más AñosRESUMEN
Malaria has been a major global health problem of humans through history and is a leading cause of death and disease across many tropical and subtropical countries. Over the last fifteen years renewed efforts at control have reduced the prevalence of malaria by over half, raising the prospect that elimination and perhaps eradication may be a long-term possibility. Achievement of this goal requires the development of new tools including novel antimalarial drugs and more efficacious vaccines as well as an increased understanding of the disease and biology of the parasite. This has catalyzed a major effort resulting in development and regulatory approval of the first vaccine against malaria (RTS,S/AS01) as well as identification of novel drug targets and antimalarial compounds, some of which are in human clinical trials.
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Interacciones Huésped-Parásitos , Malaria Falciparum , Plasmodium falciparum/crecimiento & desarrollo , Inmunidad Adaptativa , Animales , Antimaláricos/uso terapéutico , Control de Enfermedades Transmisibles/métodos , Culicidae/parasitología , Erradicación de la Enfermedad/métodos , Resistencia a Medicamentos , Eritrocitos/parasitología , Salud Global , Interacciones Huésped-Parásitos/inmunología , Humanos , Estadios del Ciclo de Vida , Hígado/parasitología , Vacunas contra la Malaria/inmunología , Malaria Falciparum/inmunología , Malaria Falciparum/parasitología , Malaria Falciparum/prevención & control , Malaria Falciparum/transmisión , Merozoítos/crecimiento & desarrollo , Plasmodium falciparum/inmunología , Esporozoítos/crecimiento & desarrollo , Vacunas Sintéticas/inmunologíaRESUMEN
Development COVID-19 vaccines in a record time has been an unprecedented global scientific achievement. However, the world has failed to ensure equitable access to what should have been a global public good. What options remain available to African countries to ensure immunization of their populations and ultimately overcome the pandemic?
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Vacunas contra la COVID-19/provisión & distribución , Accesibilidad a los Servicios de Salud/estadística & datos numéricos , SARS-CoV-2/inmunología , África/epidemiología , COVID-19/epidemiología , COVID-19/prevención & control , Vacunas contra la COVID-19/administración & dosificación , Vacunas contra la COVID-19/clasificación , Salud Global , Accesibilidad a los Servicios de Salud/organización & administración , Accesibilidad a los Servicios de Salud/tendencias , Humanos , Vacunación/estadística & datos numéricos , Vacunación/tendenciasRESUMEN
Diet is a major issue facing humanity. To combat malnourishment and diseases associated with overnutrition, both research and technological breakthroughs are needed.
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Encéfalo/fisiología , Alimentos , Salud Global , Proteínas en la Dieta/química , Alimentos/economía , Alimentos/historia , Tracto Gastrointestinal/microbiología , Historia Medieval , Humanos , Desnutrición/epidemiología , Microbiota , Vías Nerviosas , Hipernutrición/complicaciones , SacarosaRESUMEN
The emergence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and its associated disease, COVID-19, has demonstrated the devastating impact of a novel, infectious pathogen on a susceptible population. Here, we explain the basic concepts of herd immunity and discuss its implications in the context of COVID-19.
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Infecciones por Coronavirus/inmunología , Inmunidad Colectiva , Modelos Inmunológicos , Neumonía Viral/inmunología , Número Básico de Reproducción , Betacoronavirus/inmunología , COVID-19 , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/transmisión , Salud Global , Humanos , Pandemias , Neumonía Viral/epidemiología , Neumonía Viral/transmisión , SARS-CoV-2 , Vacunación , Cobertura de VacunaciónRESUMEN
This article provides an update on the global cancer burden using the GLOBOCAN 2020 estimates of cancer incidence and mortality produced by the International Agency for Research on Cancer. Worldwide, an estimated 19.3 million new cancer cases (18.1 million excluding nonmelanoma skin cancer) and almost 10.0 million cancer deaths (9.9 million excluding nonmelanoma skin cancer) occurred in 2020. Female breast cancer has surpassed lung cancer as the most commonly diagnosed cancer, with an estimated 2.3 million new cases (11.7%), followed by lung (11.4%), colorectal (10.0 %), prostate (7.3%), and stomach (5.6%) cancers. Lung cancer remained the leading cause of cancer death, with an estimated 1.8 million deaths (18%), followed by colorectal (9.4%), liver (8.3%), stomach (7.7%), and female breast (6.9%) cancers. Overall incidence was from 2-fold to 3-fold higher in transitioned versus transitioning countries for both sexes, whereas mortality varied <2-fold for men and little for women. Death rates for female breast and cervical cancers, however, were considerably higher in transitioning versus transitioned countries (15.0 vs 12.8 per 100,000 and 12.4 vs 5.2 per 100,000, respectively). The global cancer burden is expected to be 28.4 million cases in 2040, a 47% rise from 2020, with a larger increase in transitioning (64% to 95%) versus transitioned (32% to 56%) countries due to demographic changes, although this may be further exacerbated by increasing risk factors associated with globalization and a growing economy. Efforts to build a sustainable infrastructure for the dissemination of cancer prevention measures and provision of cancer care in transitioning countries is critical for global cancer control.