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lancet_03-2017

Article

Dilemmas in access to medicines: a humanitarian perspective

James Smith

2017

We challenge the assertion made by Govind Persad and Ezekiel Emanuel (Aug 27, p 932) that “expanding access to less effective or more toxic [antiretroviral] treatments rather than requiring the...

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Article

When free is not fair: the case of vaccine donations

James Smith

2017

On Oct 10, 2015, Médecins Sans Frontières (MSF) rejected Pfizer’s proposed donation of 1 million doses of its branded pneumococcal conjugate vaccine (PCV). The news caused a stir in the...

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Article

Palliative care in humanitarian medicine

James Smith

2017

Palliative care interventions have historically been neglected in the practice of humanitarian medicine. This may come as a surprise, since it is a sombre reality that medical...

Article

Palliative Care in Humanitarian Crises

James Smith

2016

Medical humanitarian organizations don’t generally deal well with death. This may come as a surprise, since it’s a sombre reality of this line of work that frontline staff are often witness to...

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Article

Voices in global health: present realities, future challenges

James Smith

2016

2016 will already be remembered as a year of great setbacks in the pursuit of global health and wellbeing; mass social upheaval in the Middle East and north Africa, driven by conflict and a legacy of ...

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Article

Borders and migration: an issue of global health importance

James Smith

2016

The movement of people has featured throughout human history; so substantial is the legacy of migration that the freedom of movement within and across borders was enshrined in article 13 of the UN...

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Article

Deplorable conditions in French ‘Refugee Camp’

James Smith

2015

The suffering endured by refugees and other exiles in the northern port town of Calais, France, has been the subject of significant media attention in recent months. Renewed interest in the plight of ...

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Article

Cancer care for refugees

James Smith

2014

Along with other non-communicable diseases, cancer is now recognised as a major challenge for humanitarian health providers and for those who finance their programmes. The recent Policy Review of...

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Article

Exploring alternative narratives: the prioritisation of polio in northern Nigeria

James Smith

2014

Tara Mangal and colleagues present compelling evidence that lends support to the suggestion that the efficacy of the oral poliovirus vaccine varies depending on its composition, thus reinforcing...

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Article

“From the American People”: the US Farm Bill and the reform of emergency food aid

James Smith

2014

On Nov 8, 2013, Typhoon Haiyan made landfall in the Philippines. Winds of up to 235 km/h cut through the province of Eastern Samar as the storm progressed westwards and further towards the centre of...

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Article

The sound of silence: global health challenges from the front

James Smith

2012

There are no sirens. Nor is the silence disrupted by the rush of feet or frantic blue lights. Instead, our enduring patients arrive at the hospital gates on foot, most having travelled for many...

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