Recent escalations in the ever simmering tension between India and Pakistan brought us closer to conflict - conflict between two nuclear powers.
For a long time doctors have campaigned for nuclear disarmament, and Chris Zielinski, president of the World Association of Medical Editors, makes the case for returning WHO's mandate to measure the potential impact of nuclear war.
Also the militarization of the region is detrimental to the health and wellbeing of the populations in both India and Pakistan. co-chairs of The BMJ's South Asia editorial board, Sanjay Nagral and Zulfiqar Butta, explain why a focus on the daily material and health needs of citizens is the way to change political rhetoric in the region.
Gordon Guyatt, distinguished professor at McMaster University, was one of the people responsible for starting GRADE - which is a structured system for assessing the quality of evidence in systematic reviews and clinical practice guideline. Gordon thinks that process has become too complicated - so he’s now championing “Core GRADE”. He joins us to explain why.
Reading list
Ending nuclear weapons, before they end us
Why Core GRADE is needed: introduction to a new series in The BMJ
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40:15
Malaria free China, an academic medicine revolution, and retracted data's impact
China was declared malaria free in 2021 - and we'll hear how persistence was key to their success, and what new technologies are available to help the rest of the world become malaria free, from Regina Rabinovich, director of the Malaria Elimination Initiative at the Barcelona Institute for Global Health.
Sonia Saxena, professor of primary care at Imperial College London, and Miguel O’Ryan, dean of the medical faculty of the University of Chile join Kamran to talk about what broke academic medicine, and why it's time for a revolution.
New research shows that data from retracted papers is still having an alarming effect on clinical practice. Chang Xu, Hui Liu, and Fuchen Liu from the Naval Medical University in Shanghai, and Suhail Doi from Qatar University, join us to talk about their study which has maped retracted papers impact on systematic reviews and clinical guidelines.
Reading list
Malaria control lessons from China
Vision 2050: a revolution in academic medicine for better health for all
Investigating the impact of trial retractions on the healthcare evidence ecosystem (VITALITY Study I)
- An example of the BMJ's approach to updating metaanalysis after a study retraction
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36:36
The problem of prognostication in assisted dying.
The UK government is debating legislation to allow assisted dying in England and Wales, which puts doctors at the forefront of deciding if their patient will be eligible for a medically assisted death - the key criteria being a 6 month prognosis. But is making a 6 month prognosis actually clinically reliable?
To discuss we're joined by a panel of experts on end of life;
Scott Murray, emeritus professor of primary palliative care at the University of Edinburgh
Simon Etkind, assistant professor of palliative care at the University of Cambridge
Nancy Preston, professor of supportive and palliative care, Lancaster University
Suzanne Ost, professor of law, Lancaster University
Reading list
Assisted dying and the difficulties of predicting end of life
Breaching the stalemate on assisted dying: it’s time to move beyond a medicalised approach
Also in this episode, we dim the lights and raise the curtains - there is a public fascination with doctors who kill and the stage show turned podcast, ‘An Appointment with Murder’, takes a deep dive into the crimes of GPs John Bodkin-Adams and Harold Shipman.
Kamran is joined by Harry Brunjes and Andrew Johns to talk medical murder.
An Appointment With Murder on Apple Podcasts
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30:48
Trump is trying to destroy universities - Ashish Jha, Dean of Public Health at Brown University
Kamran Abbasi interviews Professor Ashish Jha, Dean of Public Health at Brown University and former COVID-19 pandemic advisor to President Biden.
Watch this interview on our YouTube.
Trump’s second term has touched everything in the US political sphere - and health is no exception. With research funding for medicine and science weathering under Trump’s storm of cuts, how can Americans who care about public health and data navigate a course through the swells?
Professor Jha discusses how to resist an anti-vaccine resurgence, and comments on revisionist narratives that drive ill-conceived public health policies.
02:20 The MAHA movement and RFK Jnr.
07:40 Does evidence still matter?
13:35 Trump administration is helping China
15:10 Policymaking in Trump’s shadow
23:35 Where do universities go from here?
28:48 Censorship, research funding and academic freedom
33:35 Health inequalities within America
36:20 A resurgent anti-vax message
41:24 What Ashish’s got wrong about the pandemic response
45:31 When is enough for research data?
47:14 Future hope and how to pushback in smart ways
Reading list:
Professor Jha’s December 2024 editorial on the Trump admin’s plans for American healthcare coverage
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50:19
Reducing benefits will not get disabled people back to work, and explaining overdiagnosis
The UK’s chancellor has announced a £5bn cut to benefits, much of which will be borne by those on long-term disability allowance. Gerry McCartney, professor of wellbeing economy at Glasgow University explains about why these cuts will not only hurt the most vulnerable, but will be counterproductive to the government's wish to get people back to work.
Also, Suzanne O'Sullivan, consultant neurologist and author, joins us to talk about her new book "Age of Diagnosis". The book used clinical cases to explore the issues of medicalisation, and Suzanne explains why overdiagnosis doesn't mean that care isn't needed.
Reading list;
UK welfare reforms threaten health of the most vulnerable
Guardian edited extract from "The Age of Diagnosis: Sickness, Health and Why Medicine Has Gone Too Far"
UK