Hi all
I am running a two and a half day course PGEA 15 hrs at the Moller
Centre in Cambridge on the 26th 27th 28th March. Its a good interactive
programme attached as plain text (as people seem to have difficulty when
i just attatch them as Word 7). 15hrs PGEA applied for.
It is heavily subsides by EQUIP for North Essex GPS but so far we have
not enough applicants. So I'm opening it to all comers at £199 all
inclusive. So if you're short of points phone asap!
Yomi
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Date: Sat, 28 Feb 1998 23:36:41 -0000
Reply-To: [log in to unmask]
Sender: gp-uk
From: "Patrick Pearson" <[log in to unmask]>
Subject: Re: Pertussis
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-----Original Message-----
From: Nicholas Foster <[log in to unmask]>
To: 'INTERNET:[log in to unmask] <[log in to unmask]>
Date: 28 February 1998 23:25
Subject: RE: Pertussis
Doug
We have received notification form the Public Health Labs to be on the
lookout for more Pertussus, however we were not given any guidance on how
to test for it, what symptoms to look for etc. Can you provide some
guidance?
Dr Nick Foster
Kegworth Surgery, Leicestershire, England
E-mail address: [log in to unmask]
Doug Jenkinson wrote:
Keyworth Health Centre, Bunny Lane, Keyworth, Nottingham NG12 5JU.
[log in to unmask] V. 0115 937 3527 F. 0115 937 6781
I believe notifications have shown a rise recentlly and it has been said
officially that this represents a cyclical peak.
This peak occurred after an interval of six rather than four years and is
small. Nevertheless I am sure there has
been a lot about over the last couple of years as I have made a special
study of it for 20 years in the Keyworth practice
and I saw about 50 cases in 1996 and about 30 in 1997 (pop 11,000).
My notification rate is currently 80 to 100 times the rate for England and
wales and I think the
reason is that at present most cases are missed. It is not too difficult
to diagnose if you suspect it
and know what to look for symptomwise but I know that it does NOT cause a
"dry hacking cough for weeks".
Incidentally, I have a documented series of about 600 cases of whooping
cough now and I am still
waiting to see my first subconj haemorrage from it! Another of life's
little mysteries.
So what are your diagnostic criteria for pertussis or do you do swabs on all
these patients. It sounds a bit like thoses parents who bring their kids in
with a non-specific viral rash and tell me the fruit of their loins has got
german measles for the 3rd time..
If the incidence really is that high it suggests that the vaccine isn't very
good and it could also be a nice little earner for notifying all thoses
infectious diseases.
Patrick Pearson
Surgery
The Longcroft Clinic Tel 01737 359332
Banstead, Surrey Fax 01737 370835
SM7 3HH
Home
20 Myrtle Road Tel 0181 643 8680
Sutton, Surrey
SM1 4BX
e-mail [log in to unmask]
" nil illegitimi carborundum"
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