Francis Ruiz
francisjruizhe.bsky.social
Francis Ruiz
@francisjruizhe.bsky.social

HTA and beyond...Global Health and Development, LSHTM. http://iDSIhealth.org

Economics 59%
Public Health 17%

Over one-third of cancer cases are preventable, massive study finds www.nature.com/articles/d41...
Over one-third of cancer cases are preventable, massive study finds
A large fraction of cancers are linked to two modifiable habits: tobacco smoking and alcohol consumption.
www.nature.com

Reposted by Francis Ruiz

@chrisdillow.bsky.social wrote a good piece on the same question recently, focusing on regulatory capture.

I don’t disagree with Chris - regulatory capture is a problem - I just think the main issues are more prosaic (and fixable!)

And tbh I think “politician capture” might be the bigger problem
On regulatory capture
Why regulators work for the companies they oversee, and what to do about it.
chrisdillow.substack.com
Homicides in England and Wales are at lowest level since 1977 www.bbc.co.uk/news/article... #BrokenBritain
Homicides at lowest level in nearly 50 years, ONS statistics show
The 499 cases of murder and manslaughter in the year to September are the lowest in England and Wales since 1977.
www.bbc.co.uk

Reposted by Francis Ruiz

🏘️ Housing modifications to protect against malaria have high upfront costs for people in #Uganda

Despite their benefits, many people including most vulnerable households wouldn't be able to afford it without support @lshtm-malaria.bsky.social

Read more 🔽
www.lshtm.ac.uk/research/cen...
Trump: "I should have gotten the Nobel prize for each war...I saved millions and millions of people...and don't let anyone tell you that Norway doesn't control the shots. It's in Norway. Norway controls the shots. It's a joke. They've lost such prestige.“
Mark Carney's speech really is terrific: full text is here and very much worth your time.
The Carney doctrine
Open comment thread on the PM's Davos speech
paulwells.substack.com

Keeping children safe from climate-driven diarrhoeal disease means acting on many fronts: #water 💧, #health ⚕️, #agriculture 🌾, #UrbanPlanning 🏢, and social support. SPRINGS maps adaptation #interventions & how they reduce risks. 📊

Full document: bit.ly/3NCMZhg

Reposted by Francis Ruiz

Keeping children safe from climate-driven diarrhoeal disease means acting on many fronts: #water 💧, #health ⚕️, #agriculture 🌾, #UrbanPlanning 🏢, and social support. SPRINGS maps adaptation #interventions & how they reduce risks. 📊

Full document: bit.ly/3NCMZhg

Reposted by Francis Ruiz

🌍 Climate resilience is not a cost. It is a competitiveness strategy.

Extreme weather already costs Europe €40–50bn every year 📉.
Investing in resilient 🌾 agriculture, ⚡ energy and 🚧 transport avoids far greater losses and strengthens long-term competitiveness 💶📊. www.eea.europa.eu/en/newsroom/...
HM Treasury is requesting input into its Green Book Discount Rate Review, and we need your help.

If you have an interest in Social Discounting, please complete the following survey: york.qualtrics.com/jfe/form/SV_...

2) Forward this link to interested parties.

Deadline: Feb 27th
Qualtrics Survey | Qualtrics Experience Management
The most powerful, simple and trusted way to gather experience data. Start your journey to experience management and try a free account today.
eur03.safelinks.protection.outlook.com

Reposted by Francis Ruiz

A little pushback on the UK-US pharmaceuticals deal adding to the picture that we don't really know much about what has been agreed or what it will mean. www.ft.com/content/4a90...
NHS drug costs should not rise for years, medicines watchdog says
Jonathan Benger tells FT that giving in to US pressure would be a ‘huge backwards step’
www.ft.com

Reposted by Francis Ruiz

ICYMI: In @financialtimes.com Francis Ruiz argues if cost of new UK-US pharma deal comes out of existing #NHS budgets:

"...it could lead to lives lost as more cost-effective treatments are crowded out to make way for expensive new drugs.”

#PublicHealth

giftarticle.ft.com/giftarticle/...
Europe races to placate pharma as Donald Trump turns up the pressure
Tariff deals with the US have bought time but investment momentum is elsewhere
giftarticle.ft.com

“That means making sure that the totality of the government’s huge research and development investment portfolio – not just that done in defence – is shaped by considerations of defence and security. Making the IP generated available right across government.”
Air Chief Marshal Sir Richard Knighton delivered his first Annual Defence Lecture as Chief of the Defence Staff at RUSI yesterday. Key focus: building national resilience through a whole of society approach. Read more on our website: https://bit.ly/3YuToxb

Reposted by Francis Ruiz

Air Chief Marshal Sir Richard Knighton delivered his first Annual Defence Lecture as Chief of the Defence Staff at RUSI yesterday. Key focus: building national resilience through a whole of society approach. Read more on our website: https://bit.ly/3YuToxb

Reposted by Francis Ruiz

Plans to give government ministers more power over NICE risks opening the door to political interference in decisions over new treatments, health economists have warned.

@francisjruizhe.bsky.social @bmj.com @lshtm.bsky.social
www.bmj.com/content/391/...
Ministers seek power to control NHS drug approvals to support US pharma deal
Plans to give ministers more power over the UK drug watchdog risk opening the door to political interference in decisions over new treatments, health economists have warned. The plans, subject to con...
www.bmj.com

“The proposed change would enable ministers to direct NICE to use a specific cost-effectiveness threshold in the development of its guidance and recommendations…” @lshtm-gheco.bsky.social (Deadline for responses: 13 Jan)

www.gov.uk/government/c...
Changes to NICE regulations: cost-effectiveness threshold - consultation document
www.gov.uk
On the UK-US pharmaceutical deal I'm afraid this does look like two nasty trends coming together to make a very bad agreement for the UK - namely Whitehall power to make deals with no scrutiny, and companies working with countries to coerce others. www.theguardian.com/commentisfre...
What will be the cost of Keir Starmer’s new medicines deal with Donald Trump? British lives | Aditya Chakrabortty
More than £3bn that could have been used for UK patients will go to big pharma for its branded products, says Guardian columnist Aditya Chakrabortty
www.theguardian.com
NEW: Hospital productivity growth is beating the government’s targets. So why hasn't the NHS made more progress on cutting elective waiting times?

In a new @theifs.bsky.social comment, we examine what’s driving the divergence between two of the government’s biggest NHS priorities.
1/11
NEW: Strong productivity growth and increasing funding has meant English hospitals have been delivering much more elective (pre-planned) care.

So why isn't the waiting list going down more quickly?

🧵 @maxwarner.bsky.social and Olly Harvey-Rich examine what's going on:

Reposted by Francis Ruiz

What's fuelling global surge in #measles?

@benk-d.bsky.social tells The Independent cuts have hampered response to vaccine #misinformation & clear evidence #austerity measures in certain areas are “correlated with declining vaccine uptake”.

👉 www.independent.co.uk/news/world/m...
Crumbling health systems fuelling global surge in measles, scientists warn
Experts say that a ‘generational decline in living standards’ could be behind waning rates of vaccination
www.independent.co.uk

Reposted by Francis Ruiz

Rapid Reaction: LSHTM experts respond to US vote to end hepatitis B #vaccine recommendation for newborns

They warn more babies in the US will become infected with the virus, which is associated with liver #cancer

#PublicHealth

👉 www.lshtm.ac.uk/newsevents/n...

Reposted by Francis Ruiz

With his positive contribution, Koum is not exceptional. Refugees+asylees in the United States contributed $124 billion more in taxes than they took in benefits, during 2005–2019, at all levels of government.

aspe.hhs.gov/reports/fisc...

Benefits to new immigrants are an investment, not a handout.
The Fiscal Impact of Refugees and Asylees at the Federal, State, and Local Levels from 2005-2019
Between 1990 and 2022, the United States welcomed over 2.1 million refugees and accepted over 800,000 asylees. While the purpose of granting visas to refugees and asylees is humanitarian, they do impa...
aspe.hhs.gov

Reposted by Francis Ruiz

Risks of universal #ProstateCancer screening could outweigh benefits

Bernard Rachet & Suping Ling explain evidence doesn't justify population-wide screening for all men but highlights need for better data, screening methods & support.

www.lshtm.ac.uk/newsevents/n...
Great culture can save lives. Literally.

Amazing letter in today’s @thetimes.com about Tom Stoppard

Reposted by Francis Ruiz

Amongst the many possible announcements in today's budget, one we'll be keeping an eye out of for is a deal over what the NHS pays for branded new medicines.

Our Senior Policy Analyst @sallygainsbury.bsky.social set out what's at stake for the NHS in her interview with Healthcare Management.
A bitter pill to swallow
While headlines have been dominated in the run-up to this month's Autumn Budget by the final securing of an agreement between the DHSC and Treasury to pay the £1bn...
www.healthcare-management.uk
Obviously a heck of a lot to digest from the Covid inquiry but this one rings true with our experience at the time. Stronger multi disciplinary expertise might have helped show the interconnections and trade offs between health, economics, geography and societal impacts
www.bbc.com/news/article...

Reposted by Francis Ruiz

6/ Our message is clear: Health security must be treated as national security. Hospitals, labs, and health data systems are critical infrastructure, and need to be defended.

Some particularly resonant lines in that speech- worth reading in full
It's linked to 'why is Labour's policy agenda so unpopular' - although 'open vs closed' is a terrible way of naming it, the last nineteen years have proved Tony Blair's basic analysis of what the dividing lines of politics would become exactly right:
Full text of Tony Blair's speech to the TUC
'Over the coming months, we will be conducting a debate and refining policy on the basis of it. Participate in it. Organised labour has a crucial role to play.'
www.theguardian.com

Reposted by Francis Ruiz

It's linked to 'why is Labour's policy agenda so unpopular' - although 'open vs closed' is a terrible way of naming it, the last nineteen years have proved Tony Blair's basic analysis of what the dividing lines of politics would become exactly right:
Full text of Tony Blair's speech to the TUC
'Over the coming months, we will be conducting a debate and refining policy on the basis of it. Participate in it. Organised labour has a crucial role to play.'
www.theguardian.com