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  1. The Triumvirate
  1. Correspondence to The Triumvirate ; nicholas.hart{at}gstt.nhs.uk

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The European Respiratory Society meeting in Paris in September provided an opportunity for the respiratory journal editors to meet. We discussed key issues such as the working group, led by David Lederer, that has produced a manuscript which will act as an instruction for authors’ policy document and details the expectations of all respiratory, sleep and critical journals in terms of the methodology for cohort studies and causal inference (https://www.atsjournals.org/doi/abs/10.1513/AnnalsATS.201808-564PS). With all this hard work, it was important that we did some sightseeing…

Eiffel Tower

The Eiffel Tower is a wrought iron lattice tower and named after Gustave Eiffel, its designer. The tower is considered as an engineering masterpiece. Exceptional engineering achievement is not necessarily required when considering improved cookstove design to reduce biomass exposure, but it may have significant clinical impact on adult women and children in low/middle-income countries. Megha Thakur reports a systematic review and meta-analysis specifically investigating this question (see page 1026). Improved cookstoves had no demonstrable impact on respiratory infections and severe pneumonia in children or on birth weight, miscarriages, stillbirths and infant mortality. However, improved cookstove design was associated with a reduction in COPD in adult women. Perhaps we need Gustave to …

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