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Latest Centre Publications

An overview of the most recent papers and reports produced by members of the Centre for 21st Century Public Health.

Implementing sustainable liver health in Europe: a second EASL-Lancet Commission

Professor Harry Rutter co-authored this Lancet Commission and was co-chair of the working group on the structural determinants of liver health.


A globe showing countries in Europe

This 2026 Lancet Commission on liver health in Europe evaluates progress since its 2021 report and finds that liver disease remains a major and growing public health challenge driven largely by preventable risk factors. It shows that cirrhosis and liver cancer together cause about 780 deaths per day in Europe (≈3% of all deaths), with liver cancer mortality rising by more than 50% since 2000, while cirrhosis mortality remains persistently high. The Commission highlights that the burden is closely linked to lifestyle, social inequalities, and commercial determinants (e.g., alcohol and unhealthy diet), and that current policy implementation has been insufficient despite clear evidence on prevention. It concludes that stronger, coordinated policy action could substantially reduce disease burden (potentially nearly halving it), improve life expectancy, and deliver large economic benefits, emphasising prevention, cross-sector policy change, and better implementation of existing recommendations.

Developing Guidance on Assessing and Managing Conflicts of Interest for a Complex Public Health Research Consortium

This paper was authored by Dr Amber van den Akker, Dr Alice Fabbri and Professor Anna Gilmore and colleagues from the LHGP Research Consortium, and published in the journal of Research Management and Administration.


Black and white of laptops at a table and individual taking notes

The paper examines how conflicts of interest (COIs) in public health research are often inadequately addressed through disclosure alone and describes the development of a more robust COI policy for a large, multi‑institutional research consortium. Using a reflective case study approach, the authors document the practical steps, challenges, and considerations involved in creating and implementing this policy within a project focused on the commercial determinants of health. The paper offers actionable guidance to strengthen research governance and better safeguard the integrity of collaborative public health research

The Lancet Commission on improving population health post-COVID-19

Professor Harry Rutter co-chaired this Commission published in The Lancet.


From above, people walking on the street

This Commission identifies that three interconnected global threats, non-communicable diseases, infectious disease outbreaks, and environmental degradation, continue to worsen despite international commitments. These threats share underlying drivers rooted in political and economic systems that prioritise growth over health and sustainability, disproportionately harming people in low-income settings. To address this, authors examined the physical environment and transport, agriculture and food, and energy systems, developing ten objectives and evidence‑based recommendations through reviews, expert input, and economic modelling. Their findings highlight how intertwined factors, such as land clearing for palm oil, unhealthy diets, ecosystem destruction, and climate change, simultaneously fuel disease and environmental crises. The Commission emphasises that meaningful progress requires transforming the environments that shape population behaviour, rather than relying on individual choice, and calls for governments and businesses to take systemic action. Their priority recommendations focus on replacing harmful policies, strengthening institutions and civil society, and building capacity for integrated responses, with measurable progress needed by 2030.

Safeguarding governance and advancing policy at the nexus of climate and health: a commercial determinants of health perspective

Authored by PhD student Dan Hunt and Dr Britta Matthes, this paper was published in the Journal of Climate Change and Health


Black and white image of protest with people holding large signs on climate action and health

Climate change is weakening the political, economic, social, and technological systems needed for effective health governance, forcing governments to divert resources toward emergency responses and creating vulnerabilities that commercial actors can exploit. Dan Hunt and Dr Britta Matthes highlight that this destabilisation enables corporate influence over health policy, particularly as climate driven economic insecurity affects GDP, employment, and supply chains. The paper reveals how some commercial actors take advantage of these conditions—for example through casualised labour or raising prices for essential medicines during crises—and notes that over 70% of post industrial CO₂ emissions originate from just 78 corporate and state entities. It also emphasises the longstanding denial and delay strategies used by fossil fuel, plastics, and agrichemical industries to obstruct climate policy.

Flue-cured tobacco in Zimbabwe: a particularly harmful commodity requiring the attention of tobacco control

Authored by Dr Rosemary Hiscock, Dr Britta Matthes and Dr Michael Bloomfield, this paper was published in the British Medical Journal.


Black and white image of drying tobacco leaves

New research by the University of Bath’s Tobacco Control Research Group reveals that flue cured Virginia tobacco production in Zimbabwe causes severe environmental and economic harm, including the annual destruction of around 60,000 hectares of Miombo woodland and economic conditions that trap smallholder farmers in dependence on tobacco companies. The study explains that farmers rely on contracts that provide loans for agrochemicals but limit them to selling only to the contracting company, which controls prices and keeps earnings too low for farmers to protect woodlands or diversify into other crops. The curing process itself requires large amounts of wood fuel and contributes to climate change, while tobacco companies promote an image of sustainability that does not reflect the reality experienced by farmers.

Talking to your child about weight

A guide and videos for parents and caregivers, developed from research led by Professor Fiona Gillison, supporting sensitive conversations with children about their weight.


Image of step on weighing scales

Researchers at the University of Bath have produced a series of short, evidence based films to help parents navigate sensitive conversations with children about weight, offering practical strategies drawn from lived experiences. The videos build on a written guide led by Professor Fiona Gillison and created with input from parents, healthcare professionals, charities, and academics, forming the first evidence based resources designed for both parents and clinicians. These materials aim to reduce parents’ fear of causing harm, provide clear guidance on when and how to talk about weight, and support children who may be worried about their weight or experiencing bullying. Clinicians involved highlight the importance of sensitive, skilful conversations to avoid shame while ensuring children receive support.