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Access to COVID-19 vaccines: looking beyond COVAX

The Lancet

doi : 10.1016/S0140-6736(21)00617-6

EDITORIAL| VOLUME 397, ISSUE 10278, P941, MARCH 13, 2021

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Semaglutide and effective weight control

Roberto Latini,Lidia Staszewsky

doi : 10.1016/S0140-6736(21)00377-9

COMMENT| VOLUME 397, ISSUE 10278, P942-943, MARCH 13, 2021

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The vulnerable plaque detected: time to consider treatment

Ron Waksman,Rebecca Torguson

doi : 10.1016/S0140-6736(21)00504-3

COMMENT| VOLUME 397, ISSUE 10278, P943-945, MARCH 13, 2021

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Addressing the global burden of hearing loss

Blake S Wilson,Debara L Tucci

doi : 10.1016/S0140-6736(21)00522-5

COMMENT| VOLUME 397, ISSUE 10278, P945-947, MARCH 13, 2021

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Priorities for the COVID-19 pandemic at the start of 2021: statement of the Lancet COVID-19 Commission

Commissioners of the Lancet COVID-19 Commission,Task Force Chairs and members of the Lancet COVID-19 Commission,Commission Secretariat and Staff of the Lancet COVID-19 Commission

doi : 10.1016/S0140-6736(21)00388-3

COMMENT| VOLUME 397, ISSUE 10278, P947-950, MARCH 13, 2021

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The changing face of medical professionalism and the impact of COVID-19

Andrew F Goddard,Mumtaz Patel

doi : 10.1016/S0140-6736(21)00436-0

COMMENT| VOLUME 397, ISSUE 10278, P950-952, MARCH 13, 2021

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SARS-CoV-2 variants and ending the COVID-19 pandemic

Arnaud Fontanet,Brigitte Autran,Bruno Lina,Marie Paule Kieny,Salim S Abdool Karim,Devi Sridhar

doi : 10.1016/S0140-6736(21)00370-6

COMMENT| VOLUME 397, ISSUE 10278, P952-954, MARCH 13, 2021

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Health in Syria: a decade of conflict

Sharmila Devi

doi : 10.1016/S0140-6736(21)00618-8

WORLD REPORT| VOLUME 397, ISSUE 10278, P955-956, MARCH 13, 2021

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Australian Commission calls for overhaul of aged care

Sophie Cousins

doi : 10.1016/S0140-6736(21)00619-X

WORLD REPORT| VOLUME 397, ISSUE 10278, P957, MARCH 13, 2021

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Countries split from EU on COVID-19 vaccines

Ed Holt

doi : 10.1016/S0140-6736(21)00620-6

WORLD REPORT| VOLUME 397, ISSUE 10278, P958, MARCH 13, 2021

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A shared COVID-19 testimony

Rageshri Dhairyawan

doi : 10.1016/S0140-6736(21)00564-X

PERSPECTIVES|BOOK| VOLUME 397, ISSUE 10278, P959-960, MARCH 13, 2021

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Yashica Robinson: championing reproductive health in Alabama

Richard Lane

doi : 10.1016/S0140-6736(21)00565-1

PERSPECTIVES|PROFILE| VOLUME 397, ISSUE 10278, P961, MARCH 13, 2021

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John Keats, medicine, and poetry

Nicholas Roe

doi : 10.1016/S0140-6736(21)00450-5

PERSPECTIVES|THE ART OF MEDICINE| VOLUME 397, ISSUE 10278, P962-963, MARCH 13, 2021

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Bernard Lown

Adam Marcus

doi : 10.1016/S0140-6736(21)00567-5

OBITUARY| VOLUME 397, ISSUE 10278, P964, MARCH 13, 2021

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The USA's response to the 2014 Ebola outbreak could have informed its COVID-19 response

Syra Madad,Craig Spencer

doi : 10.1016/S0140-6736(21)00433-5

CORRESPONDENCE| VOLUME 397, ISSUE 10278, P965-966, MARCH 13, 2021

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Sex-disaggregated data in COVID-19 vaccine trials

Lavanya Vijayasingham,Evelyne Bischof,Jeannette Wolfeon behalf of the Gender and COVID-19 Research Agenda-setting Initiative

doi : 10.1016/S0140-6736(21)00384-6

CORRESPONDENCE| VOLUME 397, ISSUE 10278, P966-967, MARCH 13, 2021

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Clinician engineers—the time is now

Neel Sharma

doi : 10.1016/S0140-6736(21)00444-X

CORRESPONDENCE| VOLUME 397, ISSUE 10278, P967, MARCH 13, 2021

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Long-haul COVID: heed the lessons from other infection-triggered illnesses

John N Aucott,Alison W Rebman

doi : 10.1016/S0140-6736(21)00446-3

CORRESPONDENCE| VOLUME 397, ISSUE 10278, P967-968, MARCH 13, 2021

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Accountability framework to decolonise global health

Bolajoko O Olusanya

doi : 10.1016/S0140-6736(21)00378-0

CORRESPONDENCE| VOLUME 397, ISSUE 10278, P968, MARCH 13, 2021

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Transformational learning to decolonise global health

Amali U Lokugamage,Sarah H M Wong,Nathan M A Robinson,Sithira D C Pathberiya

doi : 10.1016/S0140-6736(21)00371-8

CORRESPONDENCE| VOLUME 397, ISSUE 10278, P968-969, MARCH 13, 2021

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Deepening community-aligned science in response to wavering trust in science

Michio Murakami,Masaharu Tsubokura

doi : 10.1016/S0140-6736(21)00358-5

CORRESPONDENCE| VOLUME 397, ISSUE 10278, P969-970, MARCH 13, 2021

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Haiti's kidney transplantation unit

Jacques Maurice Jeudy,Gaetano Ciancio

doi : 10.1016/S0140-6736(21)00353-6

CORRESPONDENCE| VOLUME 397, ISSUE 10278, P970, MARCH 13, 2021

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Department of Error

doi : 10.1016/S0140-6736(21)00563-8

DEPARTMENT OF ERROR| VOLUME 397, ISSUE 10278, P970, MARCH 13, 2021

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Department of Error

doi : 10.1016/S0140-6736(21)00451-7

DEPARTMENT OF ERROR| VOLUME 397, ISSUE 10278, P970, MARCH 13, 2021

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Semaglutide 2·4 mg once a week in adults with overweight or obesity, and type 2 diabetes (STEP 2): a randomised, double-blind, double-dummy, placebo-controlled, phase 3 trial

Melanie Davies,Louise F?rch,Ole K Jeppesen,Arash Pakseresht,Sue D Pedersen,Leigh Perreault,Julio Rosenstock,Iichiro Shimomura,Adie Viljoen,Thomas A Wadden,Ildiko Lingvayfor the STEP 2 Study Group

doi : 10.1016/S0140-6736(21)00213-0

ARTICLES| VOLUME 397, ISSUE 10278, P971-984, MARCH 13, 2021

This trial assessed the efficacy and safety of the GLP-1 analogue once a week subcutaneous semaglutide 2·4 mg versus semaglutide 1·0 mg (the dose approved for diabetes treatment) and placebo for weight management in adults with overweight or obesity, and type 2 diabetes.

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Identification of vulnerable plaques and patients by intracoronary near-infrared spectroscopy and ultrasound (PROSPECT II): a prospective natural history study

David Erlinge,Akiko Maehara,Ori Ben-Yehuda,Hans Erik B?tker,Michael Maeng,Lars Kj?ller-Hansen,Thomas Engstr?m,Mitsuaki Matsumura,Aaron Crowley,Ovidiu Dressler,Gary S Mintz,Ole Fr?bert,Jonas Persson,Rune Wiseth,Alf Inge Larsen,Lisette Okkels Jensen,Jan Erik Nordrehaug,?yvind Bleie,Elmir Omerovic,Claes Held,Stefan K James,Ziad A Ali,James E Muller,Gregg W Stonefor the PROSPECT II Investigators

doi : 10.1016/S0140-6736(21)00249-X

ARTICLES| VOLUME 397, ISSUE 10278, P985-995, MARCH 13, 2021

Near-infrared spectroscopy (NIRS) and intravascular ultrasound are promising imaging modalities to identify non-obstructive plaques likely to cause coronary-related events. We aimed to assess whether combined NIRS and intravascular ultrasound can identify high-risk plaques and patients that are at risk for future major adverse cardiac events (MACEs).

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Hearing loss prevalence and years lived with disability, 1990–2019: findings from the Global Burden of Disease Study 2019

GBD 2019 Hearing Loss Collaborators

doi : 10.1016/S0140-6736(21)00516-X

ARTICLES| VOLUME 397, ISSUE 10278, P996-1009, MARCH 13, 2021

Hearing loss affects access to spoken language, which can affect cognition and development, and can negatively affect social wellbeing. We present updated estimates from the Global Burden of Disease (GBD) study on the prevalence of hearing loss in 2019, as well as the condition's associated disability.

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Mediastinal melioidosis masquerading as malignancy of the lung

Sze Shyang Kho,Yoke Fun Ho,Swee Kim Chan,Siew Teck Tie

doi : 10.1016/S0140-6736(21)00200-2

CLINICAL PICTURE| VOLUME 397, ISSUE 10278, E8, MARCH 13, 2021

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Enhancing anti-tumour efficacy with immunotherapy combinations

Funda Meric-Bernstam,James Larkin,Josep Tabernero,Chiara Bonini

doi : 10.1016/S0140-6736(20)32598-8

REVIEW| VOLUME 397, ISSUE 10278, P1010-1022, MARCH 13, 2021

Several tumour types are responsive to immunotherapy, as shown by regulatory approvals for immune checkpoint inhibitors. However, many patients either do not respond or do not have durable clinical benefit. Thus, there is great interest in developing predictors of response to immunotherapy and rational combination therapies that can enhance efficacy by overcoming primary and acquired resistance. In this Review, we provide an assessment of immunotherapy response biomarkers that can identify patients who will benefit from monotherapy rather than from combinations. We review the rationale for combination therapy and different strategies, including combinations with chemotherapy, targeted therapy, radiation therapy, intratumoural therapies, other immunomodulators, and adaptive cell therapy, including chimeric antigen T-cell receptors and other novel T-cell receptor-based therapies. There are many combination partners in development; therefore, a programmatic approach is needed to develop a framework for biomarker-driven combination therapy selection.

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Challenges in ensuring global access to COVID-19 vaccines: production, affordability, allocation, and deployment

Olivier J Wouters,Kenneth C Shadlen,Maximilian Salcher-Konrad,Andrew J Pollard,Heidi J Larson,Yot Teerawattananon,Mark Jit

doi : 10.1016/S0140-6736(21)00306-8

HEALTH POLICY| VOLUME 397, ISSUE 10278, P1023-1034, MARCH 13, 2021

The COVID-19 pandemic is unlikely to end until there is global roll-out of vaccines that protect against severe disease and preferably drive herd immunity. Regulators in numerous countries have authorised or approved COVID-19 vaccines for human use, with more expected to be licensed in 2021. Yet having licensed vaccines is not enough to achieve global control of COVID-19: they also need to be produced at scale, priced affordably, allocated globally so that they are available where needed, and widely deployed in local communities. In this Health Policy paper, we review potential challenges to success in each of these dimensions and discuss policy implications. To guide our review, we developed a dashboard to highlight key characteristics of 26 leading vaccine candidates, including efficacy levels, dosing regimens, storage requirements, prices, production capacities in 2021, and stocks reserved for low-income and middle-income countries. We use a traffic-light system to signal the potential contributions of each candidate to achieving global vaccine immunity, highlighting important trade-offs that policy makers need to consider when developing and implementing vaccination programmes. Although specific datapoints are subject to change as the pandemic response progresses, the dashboard will continue to provide a useful lens through which to analyse the key issues affecting the use of COVID-19 vaccines. We also present original data from a 32-country survey (n=26?758) on potential acceptance of COVID-19 vaccines, conducted from October to December, 2020. Vaccine acceptance was highest in Vietnam (98%), India (91%), China (91%), Denmark (87%), and South Korea (87%), and lowest in Serbia (38%), Croatia (41%), France (44%), Lebanon (44%), and Paraguay (51%).

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