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The gross inequalities in health that we see within and between countries present a challenge to the world. That there should be a spread of life expectancy of 48 years among countries and 20 years or more within countries is not inevitable. A burgeoning volume of research identifies social factors at the root of much of these inequalities in health. Social determinants are relevant to communicable and non-communicable disease alike. Health status, therefore, should be of concern to policy makers in every sector, not solely those involved in health policy. As a response to this global challenge, WHO is launching a Commission on Social Determinants of Health, which will review the evidence, raise societal debate, and recommend policies with the goal of improving health of the world's most vulnerable people. A major thrust of the Commission is turning public-health knowledge into political action.

"OBJECTIVE: This report highlights the health characteristics of four age groups of older adults-55-64 years, 65-74 years, 75-84 years, and 85 years and over-providing estimates by sex, race and Hispanic origin, poverty status, health insurance status, and marital status. METHODS: The estimates in this report were derived from the 2000-2003--National Health Interview Surveys' Family and Sample Adult questionnaires. Estimates are based on interviews with 39,990 sample adults aged 55 years and over. RESULTS: Overall, prevalence rates for fair or poor health, chronic health conditions (with the exception of diabetes), sensory impairments, and difficulties with physical and social activities increased with advancing age, doubling or even tripling between the age groups 55-64 and 85 years and over. About one in five adults aged 55-64 years were in fair or poor health, rising to about one-third of adults aged 85 years and over. Men and women were about equally likely to be in fair or poor health across the age groups studied, but women were more likely to have difficulty in physical or social activities. Sociodemographic variations in health were noted across the age groups studied, with the most consistent and striking results found for poverty status and health insurance coverage. Poor and near poor adults and those with public health insurance were, by far, the most disadvantaged groups of older adults in terms of health status, health care utilization, and health behaviors. CONCLUSIONS: Health status, health care utilization, and health-promoting behaviors among adults aged 55 and over vary considerably by age and other sociodemographic characteristics. Identifying these variations can help government and private agencies pinpoint areas of greatest need and greatest opportunity for extending years of healthy life among the Nation's seniors." ; by Charlotte A. Schoenborn, Jackline L. Vickerie, and Eve Powell-Griner. ; Caption title. ; "April 11, 2006." ; Also available via the World Wide Web.

A number of corporations around the world are promising that self-driving cars are just around the corner. They aren't simply building, testing, and refining vehicles, however. They are also seeking to shape our expectations, goals, and values surrounding the technology. They are telling us what automated vehicles will look like, how they will be integrated into society, what problems they will solve, and how our lives will change. If we as citizens, consumers, or the general public would like to entertain other possibilities, we need to consider and reflect on alternative ideas.
This article looks back at 80 years of visions of automated vehicles in the United States for examples of alternative ways to think about the technology. It highlights automated vehicles from four different time periods - the late 1930s/early 1940s, the 1950s, the 1990s, and the early 2000s - examines the futures that were promoted in those efforts. It analyses each of these future visions by exploring three questions: What does the technology look like? Why should it be built? And what organizations should help to create it? By exploring different visions of an automated vehicle future we can better see the paths that are currently not being presented to us and decide for ourselves whether visions from the past might be a better roadmap to the future we want to build.

Argues that presidential popularity and successful relations with the Congress are not strongly related.

Worldwide air quality has worsened in the last decades as a consequence of increased anthropogenic emissions, in particular from the sector of power generation. The evidence of the effects of atmospheric pollution (and particularly fine particulate matter, PM 2.5 ) on human health is unquestionable nowadays, producing mainly cardiovascular and respiratory diseases, morbidity and even mortality. These effects can even enhance in the future as a consequence of climate penalties and future changes in the population projected. Because of all these reasons, the main objective of this contribution is the estimation of annual excess premature deaths (PD) associated to PM 2.5 on present (1991–2010) and future (2031–2050) European population by using non-linear exposure-response functions. The endpoints included are Lung Cancer (LC), Chronic Obstructive Pulmonary Disease (COPD), Low Respiratory Infections (LRI), Ischemic Heart Disease (IHD), cerebrovascular disease (CEV) and other Non-Communicable Diseases (other NCD). PM 2.5 concentrations come from coupled chemistry-climate regional simulations under present and RCP8.5 future scenarios. The cases assessed include the estimation of the present incidence of PD (PRE-P2010), the quantification of the role of a changing climate on PD (FUT-P2010) and the importance of changes in the population projected for the year 2050 on the incidence of excess PD (FUT-P2050). Two additional cases (REN80-P2010 and REN80-P2050) evaluate the impact on premature mortality rates of a mitigation scenario in which the 80 % of European energy production comes from renewables sources. The results indicate that PM 2.5 accounts for nearly 895,000 [95 % confidence interval (95 % CI) 725,000-1,056,000] annual excess PD over Europe, with IHD being the largest contributor to premature mortality associated to fine particles in both present and future scenarios. The case isolating the effects of climate penalty (FUT-P2010) estimates a variation +0.2 % on mortality rates over the whole domain. However, under this scenario the incidence of PD over central Europe will benefit from a decrease of PM 2.5 (−2.2 PD/100,000 h.) while in eastern (+1.3 PD/100,000 h.) and western (+0.4 PD/100,000 h.) Europe PD will increase due to increased PM 2.5 levels. The changes in the projected population (FUT-P2050) will lead to a large increase of annual excess PD (1,540,000, 95 % CI 1,247,000-1,818,000), +71.96 % with respect to PRE-P2010 and +71.67 % to FUT-P2010) due to the aging of the European population. Last, the mitigation scenario (REN80-P2050) demonstrates that the effects of a mitigation policy increasing the ratio of renewable sources in the energy mix energy could lead to a decrease of over 60,000 (95 % CI 48,500-70,900) annual PD for the year 2050 (a decrease of −4 % in comparison with the no-mitigation scenario, FUT-P2050). In spite of the uncertainties inherent to future estimations, this contribution reveals the need of the governments and public entities to take action and bet for air pollution mitigation policies.

THE PURPOSE OF THIS PAPER IS TO ANALYSE THE IMPACT ON THE FOREIGN POLICIES OF AFRICAN STATES, OF THEIR PARTICIPATION IN THE COMMONWEALTH. IN THE LATTER PART OF THE PAPER, SOME GENERAL QUESTIONS THAT AROSE IN THE PROCESS ARE DISCUSSED. IN PARTICULAR, CONSIDERATION IS GIVEN TO (I) THE GENERAL IMPLICATIONS OF THE COMMONWEALTH FOR AFRICAN FOREIGN POLICY, AND (II) THE ROLE OF INTERNATIONAL ORGANIZATION GENERALLY AS INSTRUMENTS OF POLICY FOR DEVELOPING STATES.