Home and away : narratives of migration and estrangement.

This article examines the relationship between migration and identity by complicating our notion of what ‘home’ means, both for the narrative of ‘being at home’ and for the narrative of ‘leaving home’. It offers, not a migrant ontology, but a consideration of the historical determination of patterns of estrangement in which the living and yet mediated relation between being, home and world is partially reconfigured from the perspective of those who have left home. This reconfiguration does not take place through the heroic act of an individual (the migrant), but through the forming of communities that create multiple identifications through collective acts of remembering in the absence of a shared knowledge or a familiar terrain. The article interweaves a variety of different texts: short stories by Asian women in Britain, autobiographical reflection, theoretical constructions of migrancy and literature from two very different nomadic or migrant communities, the Global Nomads International and the Asian Women’s Writing Collective. The article provides a critique of recent theories of migrancy - and nomadism - as inherently transgressive, or as an ontological condition (where what we have in common is the loss of a home). The author argues that it is through an uncommon estrangement that the possibility of migrant communities comes to be lived. That is, it is the uncommon estrangement of migration that allows migrant subjects to remake what it is they might yet have in common

Prevalence, years lived with disability, and trends in anaemia burden by severity and cause, 1990–2021: findings from the Global Burden of Disease Study 2021

Background: Anaemia is a major health problem worldwide. Global estimates of anaemia burden are crucial for developing appropriate interventions to meet current international targets for disease mitigation. We describe the prevalence, years lived with disability, and trends of anaemia and its underlying causes in 204 countries and territories. Methods: We estimated population-level distributions of haemoglobin concentration by age and sex for each location from 1990 to 2021. We then calculated anaemia burden by severity and associated years lived with disability (YLDs). With data on prevalence of the causes of anaemia and associated cause-specific shifts in haemoglobin concentrations, we modelled the proportion of anaemia attributed to 37 underlying causes for all locations, years, and demographics in the Global Burden of Disease Study 2021. Findings: In 2021, the global prevalence of anaemia across all ages was 24·3% (95% uncertainty interval [UI] 23·9–24·7), corresponding to 1·92 billion (1·89–1·95) prevalent cases, compared with a prevalence of 28·2% (27·8–28·5) and 1·50 billion (1·48–1·52) prevalent cases in 1990. Large variations were observed in anaemia burden by age, sex, and geography, with children younger than 5 years, women, and countries in sub-Saharan Africa and south Asia being particularly affected. Anaemia caused 52·0 million (35·1–75·1) YLDs in 2021, and the YLD rate due to anaemia declined with increasing Socio-demographic Index. The most common causes of anaemia YLDs in 2021 were dietary iron deficiency (cause-specific anaemia YLD rate per 100 000 population: 422·4 [95% UI 286·1–612·9]), haemoglobinopathies and haemolytic anaemias (89·0 [58·2–123·7]), and other neglected tropical diseases (36·3 [24·4–52·8]), collectively accounting for 84·7% (84·1–85·2) of anaemia YLDs. Interpretation: Anaemia remains a substantial global health challenge, with persistent disparities according to age, sex, and geography. Estimates of cause-specific anaemia burden can be used to design locally relevant health interventions aimed at improving anaemia management and prevention. Funding: Bill & Melinda Gates Foundation