Dear All,We often talk about the problem of lack of access to new antibiotics. In late 2021, for example, we explored data showing that multi-year delays in access to new antibiotics were common even in high income countries (19 Aug 2021 newsletter with YouTube discussion). But as we'll learn today, that analysis considers only one possible facet of "lack of access." In an instructive new paper, Baraldi, Ardal, Aho, Popescu, and Melaku have given us a powerful new analytical framework showing that there are at least six (6!) possible meanings of "Lack of Access" to antibiotics (and see just before my signature a discussion of the UNSLAP acronym for same). Here are the links you need:The paper by Baraldi et al.: "The multifaceted nature of lack of access to antibiotics: types ofshortage and specific causes, consequences, and solutions"Clinical Microbiology and Infection, https://doi.org/10.1016/j.cmi.2024.11.012, 2024.A 2003 white paper summarizing indicators used as part of the Millennium Development Goals (MDGs), the predecessor to the current UN Sustainable Development Goals (SDGs):The white paper (the relevant text is on page 97)The MDG websiteThe SDG website (the SDGs replaced the MDGs in 2015)So, what are the 6 variations on the idea of "Lack of Access"? The paper by Baraldi et...