Journal of Public Health Policy

, Volume 28, Issue 3, pp 341–355

High-Impact Medical Journals and Peace: A History of Involvement



The aim of this study is to explore the positions of five leading general medical journals (The Lancet, British Medical JournalBMJ, Journal of American Medical AssociationJAMA, New England Journal of MedicineNEJM, and Annals of Internal MedicineAIM) toward the issues of collective violence. We calculated the proportion of war-related articles in the total number of articles published in these five high-impact journals, and in the total number of articles indexed in PubMed during the last 60 years. The results showed a continuous increase in the proportion of war-related articles. Our findings suggest that the leading general medical journals have taken an active editorial stance toward the issues of war and peace. We conclude that high-impact medical journals can make an important contribution to efforts aimed at reducing the risks and consequences of war and violence.


medical journals peace through health war and conflict 


  1. Kleinert S, Horton R . Doctors cannot escape politics, and neither can medical journals. Eur J Nucl Med. 2000;27 (Suppl):S13–S15.Google Scholar
  2. Daniels A . The politics of medicine. Q J Med. 2003;96:695–697.CrossRefGoogle Scholar
  3. World Health Assembly. World Health Assembly Resolution 49.25. Prevention of violence: a public health priority. 49th World Health Assembly, Geneva; 1996 May 25.Google Scholar
  4. Krug EG, Dahlberg LL, Mercy JA, Zwi AB, Lozano R., (ed.) World Report on Violence and Health. Geneva: World Health Organization; 2002.Google Scholar
  5. Smith R . The Moral questions of war. British Med J. 2003;326:0. Available at, accessed 26 September 2006.CrossRefGoogle Scholar
  6. Delamothe T . How political should a general medical journal be? British Med J. 2002;325:1431–1432.CrossRefGoogle Scholar
  7. Sambunjak D, Ivanis A . Survive, help, learn: experience of a medical journal in war and post-war times. J Pub Health Policy. 2006;27:124–135.CrossRefGoogle Scholar
  8. Marusic A, Marusic M . What can medical journal editors do in war? Lancet. 2002;360 (Suppl):s59–s60.CrossRefGoogle Scholar
  9. Marusic A, Marusic M . Small scientific journals from small countries: breaking from a vicious circle of inadequacy. Croat Med J. 1999;40:508–514.Google Scholar
  10. Wager E . Getting Research Published: An A to Z of Publication Strategy. Oxford: Radcliffe Publishing; 2005.Google Scholar
  11. Doll R, Joules H, Esterman A, Leys D, Gilligand I, Pollock M, et al. Prospect of war. Lancet. 1951;1:170.CrossRefGoogle Scholar
  12. Special Study Section, Physicians for Social Responsibility. The medical consequences of thermonuclear war. N Engl J Med. 1962;266:1126–1155.Google Scholar
  13. Maddocks I . Evolution of the physicians’ peace movement: a historical perspective. Health Hum Rights. 1996;2:88–109.CrossRefGoogle Scholar
  14. Forrow L, Blair BG, Helfand I, Lewis G, Postol T, Sidel V, et al. Accidental nuclear war – a post-cold war assessment. N Engl J Med. 1998;338:1326–1331.CrossRefGoogle Scholar
  15. Lundberg G . Hiroshima. JAMA. 1983;250:617.CrossRefGoogle Scholar
  16. Cole TB, Flanagin A . Violence – ubiquitous, threatening, and preventable. JAMA. 1998;280:468.CrossRefGoogle Scholar
  17. Lown B, Chazov EI, Foege WH, Ul-Majeed S, Reddy RJ . An appeal for nuclear sanity: an open letter to: Prime Minister Atal Behari Vajpayee of India: Prime Minister Nawaz Sharif of Pakistan. JAMA. 1998;280:467.CrossRefGoogle Scholar
  18. Landmines and cluster bombs – picking up the pieces [editorial]. Lancet. 2002;359:273.Google Scholar
  19. Landmines and their victims remain priorities [editorial]. Lancet. 2004;364:2070.Google Scholar
  20. Reed Elsevier and the arms trade [editorial]. Lancet. 2005;366:868.Google Scholar
  21. Pearn J . Landmines: time for an international ban. British Med J. 1996;312:990–991.CrossRefGoogle Scholar
  22. Cobey JC, Raymond NA . Antipersonnel land mines: a vector for human suffering. Ann Intern Med. 2001;134:421–422.CrossRefGoogle Scholar
  23. Roberts L, Lafta R, Garfield R, Khudhairi J, Burnham G . Mortality before and after the 2003 invasion of Iraq: cluster sample survey. Lancet. 2004;364:1857–1864.CrossRefGoogle Scholar
  24. Burnham G, Lafta R, Doocy S, Roberts L . Mortality after the 2003 invasion of Iraq: a cross-sectional cluster sample survey. Lancet. 2006;368:1421–1428.CrossRefGoogle Scholar
  25. MacQueen G, Santa Barbara J, Neufeld V, Yusuf S, Horton R . Health and peace: time for a new discipline. Lancet. 2001;357:1460–1461.CrossRefGoogle Scholar
  26. Santa Barbara J, MacQueen G . Peace though health: key concepts. Lancet. 2004;364:384–386.CrossRefGoogle Scholar
  27. MacQueen G, Santa Barbara J . Peace building through health initiatives. British Med J. 2000;321:293–296.CrossRefGoogle Scholar
  28. Vaas A . Peace through health. British Med J. 2001;323:1020.CrossRefGoogle Scholar
  29. Neufeld V, Yusuf S . The McMaster–Lancet health and peace conferences. Lancet. 2004;364:311–312.CrossRefGoogle Scholar
  30. Lancet. 2002;360 (Suppl 1). Available at, accessed 26 September 2006.
  31. JAMA. 1998;280:396–488. Available at, accessed 16 September 2006.
  32. British Med J. 1997;315. Available at, accessed 26 September 2006.
  33. Flanagin A . Medical journals are socially responsible about war. British Med J. 2001;322:930.CrossRefGoogle Scholar
  34. Flanagin A . Human rights in the biomedical literature: the social responsibility of medical journals. JAMA. 2000;284:618–619.CrossRefGoogle Scholar
  35. Jabbour S . The answer is not to be found in readers’ surveys. Response to Delamothe. British Med J Rapid Response. 2002. Available at, accessed 26 September 2006.
  36. Herrera Taracena G, Guillermo A . We cannot be apolitical. British Med J. 2003;326:820.CrossRefGoogle Scholar
  37. Vasenwala M . Not at all! British Med J Rapid Response. 2002. Available at, accessed 26 September 2006.
  38. Ben-Zwi O . Violence as a health issue. Bridges. 2004/2005;1:14–16. Available at, accessed 26 September 2006.Google Scholar
  39. Rapid Responses to Halileh S . Need for medical services for Palestinians injured in West Bank is urgent and Hartling O. Health consequences of Israeli settlements in occupied lands. British Med J. 2002;324:361.CrossRefGoogle Scholar
  40. Jimba M . Difficulties of doing research during armed conflicts. Lancet. 2003;361:1132.CrossRefGoogle Scholar
  41. Marusic M, Misak A, Kljakovic-Gaspic M, Fister K, Hren D, Marusic A . Producing a scientific journal in a small scientific community: an author-helpful policy. Int Microbiol. 2004;7:143–147.Google Scholar
  42. Sambunjak D . Press releases and email notices increase local and global visibility of a small medical journal. Learn Publ. 2006;19:267–271.CrossRefGoogle Scholar
  43. Horton R . Croatia and Bosnia: the imprints of war – I. Consequences. Lancet. 1999;353:2139–2144.CrossRefGoogle Scholar
  44. Horton R . Croatia and Bosnia: the imprints of war – II. Restoration. Lancet. 1999;353:2223–2228.CrossRefGoogle Scholar
  45. Sox HC . A triage algorithm for inhalational anthrax. Ann Intern Med. 2003;139:379–381.CrossRefGoogle Scholar
  46. Webb GF . Being prepared: modeling the response to an anthrax attack. Ann Intern Med. 2005;142:667–668.CrossRefGoogle Scholar
  47. Hupert N, Bearman GM, Mushlin AI, Callahan MA . Accuracy of screening for inhalational anthrax after a bioterrorist attack. Ann Intern Med. 2003;139:337–345.CrossRefGoogle Scholar
  48. Bravata DM, McDonald KM, Smith WM, Rydzak C, Szeto H, Buckeridge DL, et al. Systematic review: surveillance systems for early detection of bioterrorism-related diseases. Ann Intern Med. 2004;140:910–922.CrossRefGoogle Scholar
  49. Fowler RA, Sanders GD, Bravata DM, Nouri B, Gastwirth JM, Peterson D, et al. Cost-effectiveness of defending against bioterrorism: a comparison of vaccination and antibiotic prophylaxis against anthrax. Ann Intern Med. 2005;142:601–610.CrossRefGoogle Scholar
  50. Bartrip PWJ . Mirror of Medicine: A History of the BMJ. Oxford: British Medical Journal and Clarendon Press; 1990.Google Scholar
  51. Smith R . Can medical journals lead or must they follow? Med J Aust. 2005;183:665–668.Google Scholar

Copyright information

© Palgrave Macmillan Ltd 2007

Authors and Affiliations

  1. 1.Croatian Medical Journal, School of Medicine, Zagreb UniversityZagrebCroatia

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