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Based on fieldwork in Bibiyana, northeast Bangladesh, this article compares the transnational charity offered to known individuals by migrant, UK-based families with the philanthropic efforts of the multinational company Chevron, which operate a large gas field in the neighbourhood. Applying Fassin's notion of the ‘politics of suffering’ to both types of exchange, the article argues that the two types of giving are underlain by incommensurate moral economies. While in instances of transnational charity, social inequality and the compassion felt towards the suffering of known people, or ‘our own poor’, underscore the exchanges, in the philanthropic efforts of &#x2018.community engagement’ the inequality of giver and receiver is repressed and the exchange is animated by a moral economy. The latter is rooted in Christianity, in which compassion guides actions towards the suffering of unknown, anonymous strangers. [ABSTRACT FROM AUTHOR]

Using the Department for International Development's recent White Paper on Development as a case study, this article critically reassesses Escobar's notion of development discourse. Rather than being monolithic and static, as Escobar and others have implied, the writers argue that changes can and do take place within development organizations. Not only does the White Paper clearly signal a new direction in policy; it also results both from changes within DFID - in personnel and in the balance of power between interest groups - and between DFID and civil society. [ABSTRACT FROM AUTHOR]

A personal narrative is presented which explores the author's experience of being a general practitioner (GP) who were out to tender.

Dealing with excess death in the context of the COVID-19 pandemic has thrown the question of a 'good or bad death' into sharp relief as countries across the globe have grappled with multiple peaks of cases and mortality; and communities mourn those lost. In the UK, these challenges have included the fact that mortality has adversely affected minority communities. Corpse disposal and social distancing guidelines do not allow a process of mourning in which families and communities can be involved in the dying process. This study aimed to examine the main concerns of faith and non-faith communities across the UK in relation to death in the context of the COVID-19 pandemic. The research team used rapid ethnographic methods to examine the adaptations to the dying process prior to hospital admission, during admission, during the disposal and release of the body, during funerals and mourning. The study revealed that communities were experiencing collective loss, were making necessary adaptations to rituals that surrounded death, dying and mourning and would benefit from clear and compassionate communication and consultation with authorities., Competing Interests: Competing interests: LB is a member of SAGE SPI-B committee, Ethnicity Subgroup and Independent SAGE., (© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY. Published by BMJ.)

Objectives: This Liverpool Healthy Lung Programme is a response to high rates of lung cancer and respiratory diseases locally and aims to diagnose lung cancer at an earlier stage by proactive approach to those at high risk of lung cancer. The objective of this study is to evaluate the programme in terms of its likely effect on mortality from lung cancer and its delivery to deprived populations., Methods: Persons aged 58-75 years, with a history of smoking or a diagnosis of chronic obstructive pulmonary disease (COPD) 2 according to general practice records were invited for lung health check in a community health hub setting. A detailed risk assessment and spirometry were performed in eligible patients. Those with a 5% or greater five-year risk of lung cancer were referred for a low dose CT 3 scan., Results: A total of 4 566 subjects attended the appointment for risk assessment and 3 591 (79%) consented to data sharing. More than 80% of the patients were in the most deprived quintile of the index of multiple deprivation. Of those attending, 63% underwent spirometry and 43% were recommended for a CT scan. A total of 25 cancers were diagnosed, of which 16 (64%) were stage I. Comparison with the national stage distribution implied that the programme was reducing lung cancer mortality by 22%., Conclusions: Community based proactive approaches to early diagnosis of lung cancer in health deprived regions are likely to be effective in early detection of lung cancer., (Copyright © 2019. Published by Elsevier B.V.)