For updates and additional information on the The Lancet
Commission on Global Surgery, refer to the following:
A political environment in transition
The current political environment is poised for
change. Attention is transitioning from the United
Nations’ Millennium Development Goals—a set of
eight goals to advance global health and development with target end dates of 2015—to the new and
somewhat broader post-2015 Sustainable Development Goals (SDGs), Universal Health Coverage
(UHC), and challenging commitments to equity
and the end poverty. 28,29 The only health-related
SDG is to “ensure healthy lives and promote
well-being for all at all ages.”29 The World Bank
and WHO have targeted 80 percent coverage of
essential health care services by 2030 as a measure of UHC. 9 The World Bank also aims to end
extreme poverty by 2030.30 None of these goals is
attainable without including surgery as an integral component of a functional health care system. Focus on these goals, therefore, creates an
unprecedented occasion to recognize the necessity of universal access to safe, affordable, surgical and anesthesia care in realizing widespread
improvements in global health.
As noted previously, the commission report and
first round of supporting research and teaching
cases will be published in April in conjunction
with the first launch in London, April 27 and 28. 31
This will be followed by the first North American
launch in Boston, May 6 and 7. 32 These events will
provide opportunities for discussion of LCoGS’
work and findings, offer attendees a chance to
deliberate ways to improve global surgical care
delivery, and strategize solutions for how surgical
organizations such as the ACS can work together,
as World Bank president Jim Yong Kim, MD, PhD,
stated in his address at the inaugural commission
meeting, “to build a shared vision and strategy
for global equity in essential surgical care.” 10 ♦
22. Mahler H. Surgery and health for all: Address to the XXII
Biennial World Congress of the International College of
Surgeons. June 29, 1980; Mexico City, Mexico. Available at:
Accessed February 1, 2015.
23. Luboga S, Macfarlane SB, von Schreeb J, et al. Increasing access
to surgical services in sub-Saharan Africa: Priorities for national
and international agencies recommended by the Bellagio
Essential Surgery Group. PLoS Medicine. 2009; 6( 12):e1000200.
24. Increasing access to surgical services in resource-constrained
settings in sub-Saharan Africa. Bellagio Essential Surgery Group
Meeting final report. 2008. Available at: www.essentialsurgery.
pdf. Accessed February 1, 2015.
25. Jamison DT, Breman JG, Measham AR, et al. Disease Control
Priorities in Developing Countries, Second Edition. Washington,
DC: Oxford University Press and The World Bank; 2006.
26. University of Washington. Department of Global Health.
Disease control priorities (DCP3). Available at: www.dcp-3.org.
Accessed January 23, 2015.
27. Powell AC, Casey K, Liewehr DJ, Hayanga A, James TA, Cherr
GS. Results of a national survey of surgical resident interest in
international experience, electives, and volunteerism. J Am Coll
Surg. 2009;208( 2):304-312.
28. United Nations. News on millennium goals. Available at: www.
un.org/millenniumgoals/. Accessed February 23, 2015.
29. United Nations. Open working group proposal for
sustainable development goals. Available at: https://
February 23, 2015.
30. The World Bank. The World Bank Annual Report 2013. Available
AnnualReport2013_EN.pdf. Accessed February 24, 2015.
31. The Royal Society of Medicine. Lancet global surgery
commission launch. Available at: www.rsm.ac.uk/events/
global-surgery-commission-launch.aspx. Accessed February 12,
32. The Lancet Commission on Global Surgery. Global surgery
2030: Building a movement for sustainable, resilient health
systems. Available at: www.globalsurgery.info/global-
surgery-2030/. Accessed February 1, 2015.