Race and racism are based in history, and how humans thought about the physical differences. Early conceptions of these differences were focused on physical adaptations across geographies around the world. This thinking evolved over time: explanations for these differences changed as human history and science evolved. The associations between disease and race grew closer over time, however the extent to which this can be explained by science is limited. Listen to learn more about this evolution, and the impact that this has on today’s medical practices.Guests include Erica Charters, Professor of the Global History of Medicine at the University of Oxford, Carlos López Beltrán, Senior Researcher at Instituto de Investigaciones Filosóficas, National Autonomous University of Mexico, and Alexandre White, Assistant Professor in the Johns Hopkins Department of Sociology and in the Department of the History of Medicine.

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Jessamy and Gavin are joined by Prof. Gita Mishra, life course epidemiologist at the University of Queensland, to discuss her work on understanding early menopause. How many women does early menopause affect? How can we improve gaps in care? What are the consequences of early menopause, and what does menopause onset look like around the world?For more on this article and to read our recent Series on menopause, please visit:https://www.thelancet.com/series/menopause-2024?dgcid=buzzsprout_tlv_podcast_generic_lancet

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Whose knowledge is represented in our health research, policies, and practice? Who is heard, listened to and believed in our health system, and why? There are differences in not only whose perspectives are represented in society, but also what knowledge is valuable. On this episode of the Race & Health Podcast in collaboration with The Lancet Voice, we explore the concept of epistemic injustice: the idea that knowledge and systems of knowledge production favour the perspectives of those at the top of the social hierarchy. We will explore how epistemic injustice works, what this means for representation in research, services, and policies, and ultimately, how this relates to racism and health.

This episode's guests include Dr Seye Abimbola, Associate Professor and Principle Research Fellow at the University of Sydney, Dr Rageshri Dhairyawan, Consultant in Sexual Health and HIV Medicine at Barts Health NHS Trust and an Honorary Senior Lecturer at Queen Mary University of London, and Dr Naidu Thirusha, Head of Clinical Psychology at King Dinuzulu Hospital and an Associate Professor in the School of Nursing and Public Health at University of KwaZulu-Natal.

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In 2022, WHO’s African Region saw 233 million cases of malaria, with 580,000 deaths. 80% of those deaths are children under 5. The phase 3 trial of the new R21/Matrix-M malaria vaccine was published in The Lancet this month, and the results suggest a turning point in the fight against malaria. Gavin is joined by Professor Sir Adrian Hill, one of the creators of the vaccine, to discuss the process the vaccine went through, the history of malaria vaccine research, and what the future holds.Read the phase 3 trial here:https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(23)02511-4/fulltext?dgcid=buzzsprout_tlv_podcast_generic_lancet

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In this episode, Delan Devakumar and guests shed light on how the social construction of race and its operators take a physiological toll of chronic exposure to racism. They discuss maternal and child health, the concept of race and biology, and how constant microaggressions, systemic inequalities, and overt discrimination can lead to a sustained state of stress that goes far beyond mere emotional distress. There are also  recommendations for applying anti-racism in everyday life, and how we can strive for a future where everyone, regardless of their background, can live a healthy and fulfilling life.

Guests include Dr. Ndidiamaka Amutah-Onukagha, the Julia A. Okoro Professor of Black Maternal Health in the Department of Public Health and Community Medicine at Tufts University School of Medicine, Dr. Arline Geronimus, Professor of Health Behaviour and Health Education at the University of Michigan, and Dr. Jonathan Wells, Professor of Anthropology and Paediatric Nutrition at the Population, Policy & Practice Department at UCL.

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Michael Marmot, Professor of Epidemiology at University College London, Director of the UCL Institute of Health Equity, and Past President of the World Medical Association, joins Gavin and Jessamy to discuss the centrality of health issues to UK politics, what the upcoming election should be fought on, and the role of equity and equality in UK health outcomes.

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Eugenics is a concept closely tied to what makes us unwell, and its roots in race medicine amplifies the drivers of racial health inequities, ableism, and white supremacy. Though scientifically flawed, eugenic thinking is present throughout modern-day society and politics. We can see eugenic thinking in policies and protocols throughout the pandemic, through mental health, and much more. In the third episode of our collaboration with the Race & Health podcast, we learn about how eugenics was created, how it has been employed, and how today’s public health world is still riddled with this divisive concept. Guests include Dr Ayah Nuriddin, who is the Cotsen postdoctoral fellow in the Society Fellows, a lecturer, and in the Council of the Humanities in African American Studies at Princeton University, Angela Saini, an award-winning journalist and author of books, including Superior, the Return of Race Science, and Professor Marius Turda, professor of biomedicine and director of the Centre for Medical Humanities at Oxford Brookes University.

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Editor-in-chief of The Lancet Richard Horton joins Jessamy and Gavin to discuss his highlights (and lowlights!) of 2023, and looks forward to an important 2024 for global health.

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How does historically divisive discourse and the political systems and institutions that grow from them reinforce inequities? Learn more about these issues with our guests Gustavo Andrey de Almeida Lopes Fernandes, Professor of Public Policy at the A Escola de Administração de Empresas de São Paulo da Fundação Getulio Vargas, Brazil, Alexandra Haas, the executive director of Oxfam Mexico, and Martin McKee, a Professor of European Public Health and Medical Director at the London School of Hygiene and Tropical Medicine. This episode will discuss how populist narratives demonise migrants, feed back into public health, and more.You can find out more about the Race & Health network here, and listen to their previous series of podcasts:https://www.raceandhealth.org/about

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What are the benefits of urban green and blue spaces for health? Ruth Hunter from Queen’s University Belfast, Northern Ireland, UK, and Thomas Astell-Burt from the University of Wollongong, New South Wales, Australia, talk to Lauren Southwell and Heather Brown about the importance of these spaces and the challenges in translating their potential benefits into improved health outcomes.You can see all of our Spotlight content relating to health and climate change here:https://www.thelancet.com/lancet-200/health-climate-change?dgcid=buzzsprout_tlv_podcast_lancet200_hccFind out more about how The Lancet is marking its 200th anniversary with a series of important spotlights here:https://www.thelancet.com/lancet-200?dgcid=buzzsprout_tlv_podcast_lancet200_hcc

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