The Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019 provides a rules-based synthesis of the available evidence on levels and trends in health outcomes, a diverse set of risk factors, and health system responses. GBD 2019 covered 204 countries and territories, as well as first administrative level disaggregations for 22 countries, from 1990 to 2019. Because GBD is highly standardised and comprehensive, spanning both fatal and non-fatal outcomes, and uses a mutually exclusive and collectively exhaustive list of hierarchical disease and injury causes, the study provides a powerful basis for detailed and broad insights on global health trends and emerging challenges. GBD 2019 incorporates data from 281 586 sources and provides more than 3•5 billion estimates of health outcome and health system measures of interest for global, national, and subnational policy dialogue. All GBD estimates are publicly available and adhere to the Guidelines on Accurate and Transparent Health Estimate Reporting. From this vast amount of information, five key insights that are important for health, social, and economic development strategies have been distilled. These insights are subject to the many limitations outlined in each of the component GBD capstone papers.

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The life-skills' programme was effective during one school year, especially in terms of learning and developing communication and assertiveness skills. However, self-esteem and decision-making skills did not present a statistically significance difference. Programme implementation must thus be redirected and the life-skills' programme should be implemented throughout all high-school years.

Es premonitorio el haber tomado interés previamente en la descripción de cómo la corrupción afecta el sistema de salud y los demás sistemas en el Perú y el mundo, tema que nos lleva a reflexionar lo que está ocurriendo en el sistema de salud y sus efectos en otros sistemas en estos tiempos del coronavirus COVID-19 (SARS-CoV-2). 1,2 Este es un tipo de virus ARN mutado y que pasó, aparentemente, de murciélago a humanos y que nos ha ocasionado más daño de lo que nosotros ocasionamos en la naturaleza.3 A la fecha se tiene mas de un millón de casos y mas de 58 000 fallecidos en el mundo.

La saLud púbLica en eL perú y eL cOVid-19