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Global Health Programmes Improve Specific Health Outcomes But Can Constrain Health Systems Of Poor Countries
The emergence of global health initiatives (GHIs), eg, The Global Fund and PEPFAR, has resulted in a striking expansion of key health interventions in recent years, from which millions have benefited. There is also evidence, however, that such initiatives can constrain the health systems of poor countries and that many opportunities to improve efficiency, equity, value for money and outcomes in global public health are still being missed. The health systems strengthening agenda needs more investment, and to be infused with the same sense of ambition and speed that has characterised GHIs. This is one of five key recommendations in a new multi-partner report published in a Health Policy paper in this week"s edition of The Lancet.
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Final Analysis Shows HPV Vaccine Highly Effective At Preventing Precancerous Cervical Lesions
The final analysis of the PATRICIA study shows that the HPV-16/18 AS04-adjuvanted vaccine (GlaxoSmithKline) has high efficacy against the precancerous cervical lesions that can eventually lead to cervical cancer. The vaccine also shows cross-protective efficacy against other oncogenic (cancer-causing) HPV types closely related to HPV-16/18. Furthermore, it also shows efficacy in the cohorts relevant to universal mass vaccination and catch-up programmes. The findings are reported in an Article Online First and in an upcoming edition of The Lancet, written by Dr Jorma Paavonen, University of Helsinki, Finland, and colleagues.
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New Drug For Muscular Dystrophy Promises Benefit Without Risk Of Infection
A new drug being studied for the treatment of muscle degenerating diseases has shown promising results. According to a study published in the British Journal of Pharmacology, Debio 025 is as effective as current drugs but, crucially, does not cause unwanted immunosuppressive effects.
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Washington Post Details Six Senators To Watch On Health Care; Politics Of Fear Gain Prominence

The battle over health care reform will happen in the Senate, even though President Obama keeps getting all the attention, The Washington Post"s The Fix reports. "Knowing this, the president and his inner circle have been working the issue for months -- seeking to identify strong, and, more important, weak spots among senators as well as testing out what sort of compromises are possible. Passage of a bill so fraught with so many sorts of political peril for so many senators is a gargantuan undertaking that requires a keen understanding not just of where each member of the world"s greatest deliberative body stands on the issue but also who they stand with and who they listen to." In the Senate, six keys players have emerged as shaping and deciding the fate of health care reform, including Utah Republican Sens. Bob Bennett and Orrin Hatch, both seen by Democrats as critical to winning in reform; Maine Sen. Olympia Snowe, a Republican in a Democratic state who will likely be pressured into accepting some form of reform; New Jersey Sen. Bob Menendez, a Democrat who has his eye on the political implications of the bill; Sen. Mitch McConnell, Ky., the Senate minority leader; and Sen. Edward Kennedy, the Massachusetts Democrat whose presence alone looms over the debate (Cillizza, 6/16). Roll Call reports that part of the debate, especially in the Senate, will hinge on the fear factor regarding the change - for better or worse - that reform will bring. It"s a debate starting to dominate as Republican senators and Obama trade fear-based talking points on reform. Sen. John Kyl, R-Ariz., said there"s a reason Obama says the time is now for reform: ""Because," Kyl said, "he knows that momentum will inevitably slow for something that will be extraordinarily costly, will deny people the coverage that they already have, will ration their health care and could provide some kind of government insurance company that"s going to drive out the private insurance companies."" Obama, in his speech to the American Medical Association, also engaged: "The president himself eagerly waded into the politics of fear. "Make no mistake: The cost of our health care is a threat to our economy"" (Koffler and Drucker, 6/16). This information was reprinted from kaiserhealthnews.org with kind permission from the Henry J. Kaiser Family Foundation. You can view the entire Kaiser Daily Health Policy Report, search the archives and sign up for email delivery at kaiserhealthnews.org. © Henry J. Kaiser Family Foundation. All rights reserved.


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