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Effectiveness of the primary Bacillus Calmette-Guérin vaccine against the risk of Mycobacterium tuberculosis infection and tuberculosis disease: a meta-analysis of individual participant data.
Lancet Microbe
December 2024
Amsterdam University Medical Centres, Amsterdam, Netherlands; Department of Global Health and Amsterdam Institute for Global Health and Development, Amsterdam, Netherlands.
Background: Tuberculosis vaccine trials using disease as the primary endpoint are large, time consuming, and expensive. An earlier immunological measure of the protection against disease would accelerate tuberculosis vaccine development. We aimed to assess whether the effectiveness of the Bacillus Calmette-Guérin (BCG) vaccine for prevention of Mycobacterium tuberculosis infection was consistent with that for prevention of tuberculosis disease.
View Article and Find Full Text PDFThe impact of digital health technologies on moral responsibility: a scoping review.
Med Health Care Philos
November 2024
Department of Ethics, Law & Humanities, Amsterdam UMC Location VUmc, Amsterdam, The Netherlands.
Article Synopsis
- Recent research on digital health technologies emphasizes the need for 'responsible' usage but often lacks clear definitions of what responsibility entails, leading to potential misunderstandings in healthcare delivery.
- The study examined 34 articles to understand how responsibility is interpreted in digital health realms, discovering that these technologies can alter roles among caregivers, patients, and devices and that moral responsibility is frequently misunderstood as merely accountability.
- The findings suggest a 'responsibility gap' in AI outcomes where no single party is held accountable, and raise questions about the appropriateness of increasing patient accountability through m-Health technologies, while calling for further exploration of collective responsibility and virtues in digital health.
Costing curative outpatient care for the poorest in Burkina Faso: informing universal health coverage and leaving no one behind.
BMC Health Serv Res
November 2024
Heidelberg Institute of Global Health, Heidelberg University Hospital and Medical Faculty, 69120, Heidelberg, Germany.
Introduction: The poorest in Burkina Faso face numerous barriers to healthcare access, including financial and geographic obstacles, as well as a high burden of chronic conditions and multimorbidity. This study estimates the average cost of providing curative outpatient consultations at first-level healthcare facilities to the poorest in Burkina Faso. It also estimates the budgetary impact of scaling up free access to these services nationwide.
View Article and Find Full Text PDFForgotten older people: health system debt.
Gac Med Mex
November 2024
General Direction, Centro Nacional para la Prevención y el Control del VIH y el Sida, Secretaría de Salud, Mexico City, Mexico.
The exercise of all human rights is inherent to all persons, which must be guaranteed by the States regardless of the characteristics of all persons, such as age, gender, sexual preferences, ethnic origin, nationality or migratory status. This document presents a reflection on the discrimination that older people face not only because they are older (ageism), but also because of other characteristics that place them in a situation of greater vulnerability and discrimination, such as belonging to the LGBT+ community, being in prisons or having HIV. It urges reflection on the role and sensitivity with which public institutions, mainly health institutions, must have to guarantee a fundamental right such as health, not only in the physical aspect but also in the mental one.
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