Chronic respiratory diseases such as chronic obstructive pulmonary disease and asthma are on the rise in many countries, including low-income and middle-income countries such as Kenya that also have a sizeable burden of tuberculosis.

What does this mean for patients in terms of the affordability of potentially long-term management? How are government-run social health insurance schemes working for individuals and their families? And what might be the individual-level drivers of catastrophic levels of out-of-pocket health expenditure in this population?

Listen to first author Dr Stephen Mulupi and corresponding author Dr Tom Wingfield discuss the nuances of their cross-sectional survey in public health-care facilities in Meru County, Kenya and what they mean for government policy going forward.

Read the article:

https://www.thelancet.com/journals/langlo/article/PIIS2214-109X(25)00061-0/fulltext?dgcid=buzzsprout_icw_podcast_June_25_langlo

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In a resource-constrained setting like Bangladesh, what proportion of a hospital's capacity is taken up with admissions for respiratory syncytial virus (RSV)? How many children needing admission are turned away every year because of lack of bed space? And how many of these "denials" and subsequent deaths might be prevented by the introduction of a maternal RSV vaccine or the monoclonal antibody nirsevimab?

Listen to Senjuti Saha, Deputy Executive Director of the Child Health Research Foundation, describe the results of her fascinating and potentially policy-changing study to our Editor-in-Chief, Zoë Mullan.

Read the full article:

https://www.thelancet.com/journals/langlo/article/PIIS2214-109X(25)00048-8/fulltext?dgcid=buzzsprout_icw_podcast_May_25_langlo

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Carina King and Ahmed Ehsanur Rahman outline the purpose and main findings of the new Lancet Global Health Commission on medical oxygen security and their hopes for its impact.

Read the Commission:

https://www.thelancet.com/commissions/medical-oxygen-security?dgcid=buzzsprout_icw_podcast_langlooxygen25_langlo

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