The Lancet  |  May 18, 2023

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Audre Lorde said, “There is no thing as a single-issue struggle because we do not live single-issue lives.”1 The O’Neill–Lancet Commission on Racism, Structural Discrimination, and Global Health posits racism as one of the most consequential transnational phenomena to impact the health and lives of afflicted communities globally. This Commission aims to explore the axis of discrimination across structural determinants of health at intranational, international, and supranational levels and our objectives are shown in the panel. There is ample evidence of racism among health-care-provider behaviour in many contexts and as the cause of physical injury due to racial violence.2, 3, 4 Further, the Lancet Series on racism, xenophobia, discrimination, and health5 joined earlier scholarship to characterise pathways of discrimination in health systems and other structures. The Commission will deepen the existing scholarship and explore racism and discrimination within global public health practice, policies, governance, and legal systems that are determinants of racial and ethnic health disparities.

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