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[Correspondence] Coca-Cola’s multifaceted threat to global public health

The Lancet Editorial (Oct 3, p 1312) correctly identified that Coca-Cola’s goals differ greatly from those of the public health and research institutions that it funds.1 All organisations concerned with public interest need to guard against conflict of interest from Coca-Cola’s vast marketing campaigns to safeguard public health. One such marketing campaign involves advertisements at public schools in Uganda (figure), which illustrates Coca-Cola’s predatory use of corporate funding, in the name of “corporate social responsibility”, to target children in a setting of inadequate public funding for education.

[Perspectives] Physician turned physicist

In the first quarter of the 19th century, the natural philosophers Humphry Davy, Thomas Young, and William Hyde Wollaston dominated science in the UK. Strangely, all three died in 1828–29. But whereas Davy and Young are remembered, Wollaston is largely forgotten; a biography by a friend fizzled out in the 1850s, and his manuscripts disappeared until 1949. Yet, as The Lancet stated in 1888: “although [Wollaston] later on abandoned the practice of the healing art for physical research, his genius and his achievements must ever remain prized and treasured ornaments of the profession”.

[Perspectives] Healthy planet, healthy people

I first met Tony McMichael over the nappy changing table at a parent run child care cooperative in Chapel Hill, NC, USA, in 1972. He was an assistant professor of the University of North Carolina at Chapel Hill and he and his wife Judith had a young daughter. Tony was a rising star in epidemiology. I was a postgraduate student from London, also with a new baby, working on my masters thesis in social medicine. I was pleased to find a fellow jogger, although Tony was much more serious about running than I ever was.

[Comment] Offline: Japan’s daring gamble in an age of apprehension

How do you persuade a President or Prime Minister to take health seriously? The most common approach is one we use in The Lancet every week. We try to explain the burden of disease, disability, and risk facing people today and in the future. We hope to move the hearts and minds of policy makers by appealing to their sense of outrage. How can they bear the fact that so much unnecessary suffering exists among the populations to whom they are directly responsible? We try to publish research that offers solutions to these burdens.

[Editorial] Biomedical research in the USA: at the dawn of a golden age?

On Dec 16, 2015, at the request of Congress, the US National Institutes of Health (NIH)—the largest source of medical funding in the world—officially released the NIH-Wide Strategic Plan, Fiscal Years 2016–2020: Turning Discovery Into Health. The plan is framed around NIH’s mission of seeking and applying knowledge to enhance health, lengthen life, and reduce illness and disability in the context of future challenges and opportunities. It focuses on four essential, interdependent objectives: advancing opportunities in biomedical research in exploration of fundamental science, discovery of treatments and cures, and advancement of health promotion and disease prevention; fostering innovation by setting NIH priorities; enhancing scientific stewardship; and excelling as a federal science agency by managing results of scientific investments, outputs, training approaches and grant review process.

[Comment] Protocol review at 1997–2015

Stimulated by Muir Gray and others, critical appraisal of the scientific literature excited widespread interest in the 1990s. A natural extension of the critical examination of research papers was to question the quality of research protocols. In response to questions about the peer-review process for research grants, and concern about whether the process discouraged innovation,1 The Lancet was asked to consider publishing protocols. We did this, in an abridged form, from January, 1997.2 Our decision was based on a desire to get closer to authors, accelerate time to publication, and to reduce bias against well-designed and adequately powered randomised controlled trials of important questions that showed no difference in outcomes.

[Comment] Time for a prepublication culture in clinical research?

In 1969, Franz Ingelfinger wrote in The New England Journal of Medicine about the journal’s “definition of a ‘sole contribution’”.1 The journal’s masthead had stated a clear condition for any manuscript’s consideration: “Articles are accepted for consideration with the understanding that they are contributed for publication solely in this journal.”1 In other words, a given paper could be published exclusively in The New England Journal of Medicine, and nowhere else. This policy, known as the “Ingelfinger rule”, has had a major role in determining the ethos of publication in clinical research, and was revisited at least three times.

Tribunal snuffs out latest bid against plain packaging

The tobacco industry has lost out in its latest attempt to kill off Australia’s world-leading plain packaging laws.

A bid by tobacco giant Philip Morris to have plain packaging ruled invalid under the terms of Australia’s bilateral investment treaty with Hong Kong has been rejected by the Permanent Court of Arbitration sitting in Singapore.

The ruling is the latest setback for tobacco companies fighting a rearguard action against plain packaging measures, which are being adopted by a growing number of countries, including Britain and Ireland, after coming being enacted in Australia in 2012.

Under the laws, tobacco products must be sold in plain packets carrying graphic health warnings.

The measure has been vehemently opposed by the tobacco industry, which has claimed it infringes on copyright and will drive an increase in trade in illicit tobacco products.

Related: MJA – Association between tobacco plain packaging and Quitline calls: a population-based, interrupted time-series analysis

The arbitration ruling means the tobacco industry is running out of legal options to challenge plain packaging.

Soon after the legislation was passed in late 2011, British American Tobacco launched action in the High Court, but its bid was rejected.

Several tobacco-producing countries have also launched action against the legislation under the auspices of the World Trade Organisation, and this bid remains outstanding.

In its latest Position Statement on Tobacco Smoking and E-cigarettes, the AMA said tobacco companies had used packaging to convey messages around social status, values and character, and there were signs that forcing producers to use plain packaging was having an effect rates of smoking.

Related: MJA – The Australian’s dissembling campaign on tobacco plain packaging

A group of studies published in the British Medical Journal found that plain packaging reduced brand appeal and image, and indicated that the proportion of smokers who wanted to quit jumped 7 percentage points following the introduction of plain packaging.

The AMA said that although the measure has not been in place long enough to establish strong evidence of effectiveness, “preliminary research is very promising”.

In addition, it said there was no evidence that plain packaging had led to an increase in the consumption of illicit tobacco.

Adrian Rollins

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[Comment] A call for abstracts from China

The Lancet and the Chinese Academy of Medical Sciences (CAMS) held their first Health Summit in Beijing on Oct 30–31, 2015. The overall high quality of the research presented signified the beginning of a new era for medical science in China. To support the growth of medical research in China, accelerate the country towards its goal of Healthy China 2020, and also strengthen the international collaborations between Chinese researchers and scientists elsewhere, we plan to turn The Lancet–CAMS Health Summit into a premier national event in China’s scientific calendar and invite abstract submissions from China for The Lancet–CAMS Health Summit 2016, which will be held on Oct 30–31, 2016.