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For those following this discussion you might be interested in a recently published HSE Contract Research Report [445/2002] "Suvey of Occupational Health Support" - prepared by the IOM for HSE. A few of you may find some of the conclusions disturbing; some may find the conclusions interesting; some perhaps disappointing! What is clear, though, there is a huge mountain out there for all of us to climb if we are to make any lasting impact for those with real, unmet, OH needs. Dennis M