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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Hasin Jahan, Country Director of WaterAid Bangladesh, speaks to Lauren Southwell about water contamination in Bangladesh, how it affects the communities that live there, and how it is exacerbated by climate events.

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Daniel Symons speaks to Dr Joe Bresee of the Task Force for Global Health on the threat posed by influenza H5N1, vaccine strategies, and strengthening systems to prepare for future epidemics and pandemics.

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This podcast is in Portuguese.

Episódio abordando saúde na Amazônia, destacando a telemedicina e tecnologias digitais como soluções para desafios de acessibilidade com o Dr Cleinaldo Costa. Discute barreiras tecnológicas, sensibilidade cultural, sustentabilidade, participação dos trabalhadores locais e inovações para melhorar o atendimento.

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Mohamed Aden Ahmed, Deputy Head of Missions and Operations in West Darfur for MSF, speaks to Lauren Southwell about the ongoing conflict in Sudan and the subsequent effects on health care and health-care workers.

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Prof. Bola Owolabi, Director of the National Healthcare Inequalities Improvement Programme at NHS England, speaks to Zoë Mullan about overcoming inertia, using data for action, and global health as a truly global - rather than LMIC - issue.

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