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“My body is a pebble to them, they tend it as waterTends to the pebbles it must run over, smoothing them gently.”Tulips, by Sylvia Plath

Come. Step into the door. Spin inward as if on a roundabout, while a couple cradling their newborn spin outward. This door delivers you into the atrium, behind a new widow who is looking for the bereavement office. One revolving door. A carousel of care. Cradle to grave.

As we approach January 2023, it seems apt to reflect on past learnings and plans for new beginnings. January is thought to derive from the Roman deity Janus, who represents both endings, transitions, and beginnings as well as doorways, thresholds, and gates. The god has two faces, one looking forwards and the other backwards. As The Lancet Respiratory Medicine enters the year of its 10th anniversary, we thought it appropriate to publish a Series on digital health—an area that has been growing for several decades, but has moved to the forefront of health-care delivery during the COVID-19 pand...

Sharing graphs during our interview that show higher rates of premature mortality in Black people than in all other racial and ethnic groups in New York City (NYC), Michelle Morse comments: “That to me is the ultimate example of how racism impacts health; Black people are dying young for no reason other than the net impact of racism.” Morse is the Deputy Commissioner for the Center for Health Equity and Community Wellness (CHECW) and inaugural Chief Medical Officer (CMO) at the NYC Department of Health and Mental Hygiene, NY, USA.

Nada Al-Nashif, who became UN Deputy High Commissioner for Human Rights in 2020, has had a long career in which she has focused on the mobilisation of knowledge for inclusive, just, and sustainable societies. Under her leadership, the Office of the UN High Commissioner for Human Rights (OHCHR) is spearheading the Agenda Towards Transformative Change for Racial Justice and Equality, which provides a roadmap for making concrete positive changes in the lives of Africans and people of African descent.