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The H1N1 influenza pandemic exposed strengths and weaknesses of the global plan in place to deal with emerging infectious disease threats. This article reviews and critiques the H1N1 pandemic response. A number of viruses have pandemic potential. For example, the coronavirus responsible for the severe acute respiratory syndrome (SARS), which first appeared in southern China in November 2002, caused 8096 cases and 774 deaths in 26 countries before coming to a halt by July 2003 mainly owing to isolation and quarantine. 1 In terms of persistence, versatility, potential severity, and speed of spread, however, few viruses rival influenza virus. Endemic in a number of species, including humans, birds, and pigs, influenza virus causes annual outbreaks punctuated by occasional worldwide pandemics, which are characterized by sustained community spread in multiple regions of the . . .

Long Covid DefinedMembers of the National Academies of Sciences, Engineering, and Medicine describe the process and rationale for the development of the 2024 definition of persistent Covid-19 symptoms (long Covid).

Harvey Fineberg calls for a forceful, focused campaign to eradicate Covid-19 and outlines six steps to mobilize and organize the nation to crush the curve by early June.

Unless we attend to the major sources of waste and impediments to performance in our health system, the United States will remain vulnerable to an excessively costly system that delivers incommensurate health benefit. A new type of thinking is essential if mankind is to survive and move toward higher levels. — Albert Einstein 1 America's health system is neither as successful as it should be nor as sustainable as it must be. The Patient Protection and Affordable Care Act of 2010 (ACA) introduces the prospects for major reforms in payment for and organization of care, in prevention and population health, and in approaches to continuous improvement. Yet it remains under legal assault and a cloud of controversy. Even if it is fully implemented, the ACA will not represent a complete solution to the core . . .

The education of health professionals substantially changed before, during, and after the COVID-19 pandemic. A 2010 Lancet Commission examined the 100-year history of health-professional education, beginning with the 1910 Flexner report. Since the publication of the Lancet Commission, several transformative developments have happened, including in competency-based education, interprofessional education, and the large-scale application of information technology to education. Although the COVID-19 pandemic did not initiate these developments, it increased their implementation, and they are likely to have a long-term effect on health-professional education. They converge with other societal changes, such as globalisation of health care and increasing concerns of health disparities across the world, that were exacerbated by the pandemic. In this Health Policy, we list institutional and instructional reforms to assess what has happened to health-professional education since the publication of the Lancet Commission and how the COVID-19 pandemic altered the education process.

Recognizing that technological and methodologic advances could improve on the pace, generalizability, and costs of innovation in health and medicine, the National Academy of Medicine has helped steward the evolution of a continuously learning health system.

The climate research community uses atmospheric reanalysis data sets to understand a wide range of processes and variability in the atmosphere, yet different reanalyses may give very different results for the same diagnostics. The Stratosphere–troposphere Processes And their Role in Climate (SPARC) Reanalysis Intercomparison Project (S-RIP) is a coordinated activity to compare reanalysis data sets using a variety of key diagnostics. The objectives of this project are to identify differences among reanalyses and understand their underlying causes, to provide guidance on appropriate usage of various reanalysis products in scientific studies, particularly those of relevance to SPARC, and to contribute to future improvements in the reanalysis products by establishing collaborative links between reanalysis centres and data users. The project focuses predominantly on differences among reanalyses, although studies that include operational analyses and studies comparing reanalyses with observations are also included when appropriate. The emphasis is on diagnostics of the upper troposphere, stratosphere, and lower mesosphere. This paper summarizes the motivation and goals of the S-RIP activity and extensively reviews key technical aspects of the reanalysis data sets that are the focus of this activity. The special issue The SPARC Reanalysis Intercomparison Project (S-RIP) in this journal serves to collect research with relevance to the S-RIP in preparation for the publication of the planned two (interim and full) S-RIP reports.

Renowned physician-psychiatrist and humanitarian David Allen Hamburg, who dedicated his life to relieving suffering and reducing the risk of global conflict, died on 21 April 2019 at age 93. His research on human development, stress, and behavior recast understanding of important sources of mental illness. Throughout his career, he shaped institutions and sought ways to bring people together for the causes of health, science, and world peace.

The Nimbus 7 Limb Infrared Monitor of theStratosphere (LIMS) instrument operated from 25 Octo-ber 1978 through 28 May 1979. Its version 6 (V6) profileswere processed and archived in 2002. We present severaldiagnostic examples of the quality of the V6 stratospheric species distributions based on their level 3 zonal Fourier co-efficient products. In particular, we show that there are smalldifferences in the ascending (A) minus descending (D) or-bital temperature–pressure orT(p) profiles (theirA−Dval-ues) that affect (A−D) species values. SystematicA−Dbi-ases inT(p) can arise from small radiance biases and/or fromviewing anomalies along orbits. There can also be (A−D)differences inT(p) due to not resolving and correcting forall of the atmospheric temperature gradient along LIMS tan-gent view-paths. An error inT(p) affects species retrievalsthrough (1) the Planck blackbody function in forward calcu-lations of limb radiance that are part of the iterative retrievalalgorithm of LIMS, and (2) the registration of the measuredLIMS species radiance profiles in pressure altitude, mainlyfor the lower stratosphere. There are clearA−Ddifferencesfor ozone, H2O, and HNO3but not for NO2. Percentage differences are larger in the lower stratosphere for ozone andH2O because those species are optically thick. We evaluateV6 ozone profile biases in the upper stratosphere with the aid of comparisons against a monthly climatology of UV–ozone soundings from rocketsondes. We also provide resultsof time series analyses of V6 ozone, H2O, and potential vor-ticity for the middle stratosphere to show that their average(A+D) V6 level 3 products provide a clear picture of the evolution of those tracers during Northern Hemisphere win-ter. We recommend that researchers use the average V6 level3 product for their science studies of stratospheric ozone andH2O, while keeping in mind that there are uncorrected non-local thermodynamic equilibrium effects in daytime ozone inthe lower mesosphere and in daytime H2O in the uppermoststratosphere. We also point out that the present-day Soundingof the Atmosphere using Broadband Emission Radiometry(SABER) experiment provides measurements and retrievalsof temperature and ozone that are nearly free of anomalousdiurnal variations and of effects from gradients at low and middle latitudes.