Medicine and Science from The BMJ

10 Lords revolting

Seth Berkley, CEO of GAVI (formerly the “Global Alliance for Vaccines and Immunisation”), talks to Rebecca Coombes about the future of vaccination funding. Also this week, the Health and Social Care bill, set to change the English NHS, is about to enter the House of Lords before becoming law. We find out which areas will receive most scrutiny from members of the Upper House from liberal democrat peer Baroness Shirley Williams of Crosby, a leading critic of the changes.

Regulating education, and respiratory infections

The Health and Social Care Bill for England has now reached the House of Lords. With the proposed demise of deaneries, questions still remain about how medical training will be carried out in the future. Niall Dickson, chief executive of the General Medical Council, explains how the council hopes to maintain professional standards whatever the outcome, and what changes to postgraduate education are on the horizon. Also this week, James Chalmers takes us through the steps in treating a non-responding presumed lower respiratory tract infection.

Climate, health, and security

Hugh Montgomery, director of the University College London Institute for Human Health & Performance, talks about the space where climate, health, and international security meet. Christabel Owens, head of mental health research at the Devon Partnership NHS Trust, explains why warning signs for suicidal thoughts may not be visible to those best placed to spot them.

Decriminalisation of drugs in Portugal

In 2001 Portugal abolished all criminal penalties for personal possession of drugs – effectively decriminalising their use. Health journalist Nigel Hawkes talks to João Goulão, Portugal’s drug tsar, to find out how effective this policy change has been.Also, the General Medical Council is introducing revalidation for doctors. Part of that revalidation will require input from a doctor’s colleagues and patients. We hear from John Campbell, Peninsula College of Medicine and Dentistry, about possible independent factors that could affect the scores.

Watching receptionists, watching weight

One way of tackling obesity is by attending a weight loss club, such as WeightWatchers . There are many such schemes available on the NHS, but which one is the most effective? We find out the results of an RCT that aims to find out. Also this week, ethnographic studies aren’t just limited to lost tribes. We find out what observation of receptionists in general practice surgeries uncovered.

Undernutrition in India

Tessa Richards (BMJ’s analysis editor) and Duncan Jarvies (BMJ’s multimedia producer) talk to Veena Rao (adviser at Karnataka Nutrition Mission, India) about the issue of undernutrion in the country.And David Payne (BMJ’s web editor) gives us a run-down of the new bmj.com.

Sudden death in epilepsy; NAFLD mortality

Mariana Lazo, from Johns Hopkins Bloomberg School of Public Health, tells us how non-alcoholic fatty liver disease has affected all cause mortality in the US. Also, Ley Sander, from University College London, discusses the problem of sudden death in epilepsy.

Evolved to run

This week’s podcast is from UKSEM, the big sports and exercise medicine conference in London. Daniel Lieberman, an evolutionary biologist from Harvard, explains how we have evolved to run. Steven Blair, University of South Carolina, explains how physical inactivity is having serious effects on our health. Finally Karim Khan, BJSM’s editor, tells us how much exercise gives you the most bang for your buck.If you’re interested in sports medicine, then have a listen to the BJSM podcast, where your can find more interviews with world leaders in sports medicine - http://podcasts.bmj.com/bjsm

AIDS at 30

To mark World AIDS Day, the WHO has issued a report outlining policy successes and failures in the diagnosis and treatment of HIV/AIDS. Yves Souteyrand, the co-ordinator of the report, joins us to discuss its findings and how to combat the disease in the future.Alan White, professor of men's health at Leeds Metropolitan University and the author of a new European report into men's health, explains why we need to look at men differently.Finally, renowned surgeon Atul Gawande launches the BMJ's 2011 Christmas appeal, in aid of charity Lifebox, by describing how a cheap reliable pulse oximeter costing £160 should be available in all operating theatres. You can donate at www.lifebox.org/donations

Brain drain

How much does it cost sub-Saharan countries to train all the doctors who end up working in the UK, US, Canada, and Australia? Edward Mills from the University of Ottawa explains his economic analysis of healthcare migration. Also Hungarian health minister Miklós Szócska talks about his country's challenges and plans when it comes to improving health outcomes, currently among the worst in Europe.