BMJ : British medical journal
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China is undergoing rapid motorisation--motor vehicle registrations are growing at a rate of 10%-20% a year. Road trauma is already a major public health problem, and road deaths, officially estimated to be around 50,000 a year, will almost certainly rise with increasing motorisation. China, with its millions of bicycles, currently has one of the most environmentally friendly transportation systems on the planet. However, as the trend towards car travel continues, the problems of congestion and environmental pollution so evident in the West will also become critical public health issues in China.
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The NHS reforms have come to mean all things to all men (and women). Identifying a market oriented purchaser-provider split as the conceptual heart of the reforms is still, however, useful. ⋯ Hitherto most criticism of the reforms from the health policy and management community (as opposed to the professions and the public) has been tactical rather than fundamental. There are serious problems for the NHS associated both with the NHS market and with current, often tacit, strategies for the future of the service.
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To study the association between upper and lower respiratory viral infections and acute exacerbations of asthma in schoolchildren in the community. ⋯ This study supports the hypothesis that upper respiratory viral infections are associated with 80-85% of asthma exacerbations in school age children.