1089

Notes and News

AIRBORNE TRANSMISSION OF VARIOLA VI[RUS IN the aftermath of the incident in Birmingham last suma photographer in the medical school died of smallpox, the Health and Safety Executive issued a summons against the University of Birmingham for failing to protect the health of its ernployees. The case-which held up the publication of the Shooter report on the incident-began on Oct. 22, and on Nov. 6 Birmingham magistrates dismissed the charges. The dead woman’s union, the Association of Supervisory, Technical and Managerial Staffs, may bring a civil action on behalf of the family and of other technicians in the medical school. Brief daily accounts of the hearing, in the Birmingham Post, leave the impression that one factor in the magistrates’ decision may have been the likelihood of airborne spread of virus from the smallpox laboratory, which the dead woman is not thought to have visited. The possibility was, in effect, discounted in evidence from smallpox experts Prof. Alan Downie, Prof. K. R. Dumbell, and Prof. K. McCarthy. The Shooter team (Prof. R. A. Shooter, Dr C. C. Booth, Sir David Evans, Mr J. R. MacDonald, Dr D. A. J. Tyrell, and Sir Robert Williams) thought differently. Their report will be published "very soon" by the Department of Health and Social Security, but only if the H.S.E. decides not to appeal against the Birmingham magistrates’ decision. Professor Shooter and his colleagues recognise that experts feel that "normal working conditions would not be likely to generate sufficient amounts of airborne virus for infection to occur". However, in the Birmingham laboratory "procedures being employed were far from satisfactory"--e.g., the use of an aspirator outside the safety hood to remove culture fluid from petri dishes. Smallpox virus "could have become airborne", and tests and observations had suggested one possible route from the virus laboratory to a telephone room that the smallpox victim had used. Professor Shooter and his colleagues also expressed "deep concern at the failure to follow agreed safety rules of the Department of Medical Microbiology". The world may be on the verge of being officially declared free of smallpox, but this does not make the issue of viral transmission merely academic. The courts, magistrate or higher, are hardly likely to be able to decide the issue, and the scientific messages and organisational lessons in the Shooter report apply to many pathogens other than variola. mer, in which

DR SEMYON GLUZMAN A PUBLIC meeting held in London on Nov. 11 was part of the campaign to secure freedom for victims of psychiatric abuse in the U.S.S.R. It was particularly associated with the name of Dr Semyon Gluzman’ and it was sponsored by: Amnesty International; Campaign Against Psychiatric Abuse (C.A.P.A.); South Place Ethical Society; The 35’s-Women’s Campaign for Soviet Jewry; and the Working Group on the Internment of Dissenters in Mental Hospital (secretary, Helena Abram, 13 Armitage Road, Golders Green, London NW11 8QT). The chairman was Mr Peter Cadogan (general secretary, South Place Ethical Society) and the meeting was addressed by: Dr David Clark (consultant psychiatrist, Fulbourn Hospital, Cambridge); Dr Marina Voikhanskaya formerly a psychiatrist in Leningrad); Mr Vladimir Bukovsky who wrote with Dr Gluzman A Manual on Psychiatry for Dissidents) ; Dr F. Weinberger (a Munich psychiatrist); Dr Sidney Bloch (of the Department of Psychiatry, University of Oxford, and coauthor with Mr Peter Reddaway of Russia’s Political 1 Editorial. Dr Semyon Gluzman. Lancet 1979; ii: 946.

Hospitals2); and Mr David Markham (the actor and human rights campaigner). About 400 people attended the meeting and many signed a statement in support of a telegram urging the release of Dr Gluzman and others which had been sent to Mr Brezhnev, Mr Nikolai Shchelokov (U.S.S.R. Minister of Internal Affairs), and Academician G. V. Morozov (Serbsky Institute of Forensic Psychiatry, Moscow). The telegram was signed by Prof. Ralf Dahrendorf, Mr Joseph Grimond, Lord Janner, Prof. D. A. Pond, Lord Rawlinson, Lord Sainsbury, Prof. Leonard Schapiro, Lord Soper, and the Rt. Rev. A. M. Stockwood, Bishop of Southwark. The latest news bulletin of the Working Party on the Internment of Dissenters in Mental Hospitals includes names and addresses of some of those interned and of Soviet officials, doctors, and institutions to whom those who support the campaign may care to write. REPLACING DESIGNATED AREA ALLOWANCES FOR thirty years the lynchpins of an N.H.S. policy encouraging general practitioners to practise in underdoctored areas have been the power of statutory medical practices committees to restrict entry into practices in areas of small average list size and the payment by the Health Departments of designated area allowances to those practising in areas of high list size (2500 or more). A working-party’ has concluded that simple arithmetic criteria for deciding what areas are "under-doctored" are too restrictive: "localities with comparatively low average list sizes

be under-doctored and localities with may not always be actually as underdoctored as the list size would indicate". The present system of designated area allowances is inequitable, when account is taken of the many factors that contribute to work-load; nor do the allowances significantly improve the distribution of medical manpower. However, no better formula can be devised, and the designated area allowances, when phased out, should not be replaced by another system of automatic payments by reference to statistical criteria. Instead, the emphasis should shift, the working-party recommends, to extending and making more flexible the initial practice allowances-i.e., providing help to younger entrants in the early years. On detail, the workingparty is imprecise, but it does suggest that the broader definition of work-load to be used should be such that 25% of the population would be defined as living in areas of heavy workload. can

...

comparatively high lists

University of London Mr Denis F. Hawkins, reader in obstetric therapeutics in the Institute of Obstetrics and Gynaecology at Hammersmith Hospital, has been appointed to the chair of obstetric therapeutics at

the Institute of Obstetrics and Gynaecology.

graduated in medicine from University College Hospital Medical at University College London, and Harvard Medical School. After clinical posts at Hammersmith Hospital and University College Hospital, he was appointed professor and chairman of obstetrics and gynxcology at Boston University School of He

School, and studied pharmacology

Medicine in 1965. In 1968 he became senior lecturer in the Institute of Obstetrics and Gynaecology.

Royal College of Nursing Rejects TUC Affiliation Members of the College have defeated by 3742 votes to 2849 a

motion that it should seek affiliation to the Trades Union the motion to the annual in April this year by the

Congress. A resolution to submit general meeting had been passed RCN’s Representative Body.

Working Party on Under-doctored Areas (chairman, Mr R. Cattran): draft report. Department of Health and Social Security, Nov. 15, 1979. 2. Bloch S, Reddaway P. Russia’s Political Hospitals: the abuse of psychiatry in the Soviet Union. London: Gollancz, 1977. See Birley J. L. T. The closed society and its enemies. Lancet 1977; ii: 184-86. 1.

1090 Welsh National School of Medicine Prof. Reginald Hall has been chair of medicine. Professor Hall

graduated

from the

appointed University

to

of the Week

Diary

the School’s

of Durham in 1956.

Nov.

Sunday,

18

To

24

18th

LARYNGOLOGY AND OTOLOGY, Royal National Throat, Nose and Ear Hospital, 300/332 Gray’s Inn Road, London WC1X 8EE 10.15 A.M. Mr N. Shah: Problems of Deafness in Childhood.

INSTITUTE

OF

19th

Monday,

ROYAL COLLEGE OF SURGEONS OF ENGLAND, Lincoln’s Inn Fields, London WC2A 3PN el Biomineralization. (Arnott demon4.30 P.M. Dr E. Katchburian: Cells

and

stration.) INSTITUTE 4.30

OF

P.M.

DERMATOLOGY, St. John’s Hospital for Diseases of the Skin, Lisle Street, Leicester Square, London WC2H 7BJ

Prof. M. W. Greaves: The Pharmacology of Normal Skin.

Tuesday, 20th INSTITUTE

OF

DERMATOLOGY,

.

4.30 P.M. Dr R. Dawber: Hair Physiology. INSTITUTE OF NEUROLOGY, The National Hospital, Queen Square, London WC1N 3BG 5.30 P.M. Prof. Dr J. Droogleever Fortuyn (Groningen): Posture, Ventilation and Well-being.

Wednesday, 21st

International

Diary

Course entitled 4th Annual Review and Updating of the Immunoand Practice of Allergy: San Diego Hotel, San Diego, California, March 24-26, 1980 (Edith Bookstein, Office of Continuing Education, M-017, UCSD School of Medicine, La Jolla, California

logy

92093). Council Symposium on Drug Receptors and their Effectors: Middlesex Hospital Medical School, Cleveland Street, London Wl, March 31-April 1, 1980 (Mrs J. Kruger, c/o Department of Pharmacology, University College London, WC1E 6BT).

Biological

International Symposium on the Influence of Nutrition upon Naval and Maritime History: National Maritime Museum, Greenwich, London, April 17-18, 1980 (Conference Officer, National Maritime Museum, Greenwich, London SE 10 9NF). 14th World Congress on Rehabilitation: Winnipeg, Canada, June 23-27, 1980 (International Department, Royal Association for Disability and Rehabilitation, 25 Mortimer Street, London WIN 8AB).

International

symposium on GABA and Glutamate as TransmitCagliari, Italy, May 19-24, 1980. (Dr G. Di Chiara, Institute of Pharmacology, Via Porcell 4, 09100 Cagliari).

ters:

INSTITUTE OF NEUROLOGY, 6 P.M. Dr E. J. Thompson: A Defect in Duchenne Myogenesis. 7 P.M. Dr M. Baraitser: Carrier Detection in Duchenne Muscular Dystrophy. INSTITUTE OF ORTHOPEDICS, Royal National Orthopoedic Hospital, 234 Great Portland Street, London Wl1 6 P.M. Mr A. J. Partridge: Cerclage. 7 P.M. Mr J. A. Fox: Traumatic Vascular Surgery. INSTITUTE OF PSYCHIATRY, de Crespigny Park, Denmark Hill, London SE5 5.30 P.M. Dr S. Crown: The Dangers of Psychotherapy. ROYAL FREE HOSPITAL SCHOOL OF MEDICINE, Pond Street, London NW3 2QG 5 P.M. Dr 0. James: Pharmacokinetics and the Liver. CLINICAL RESEARCH CENTRE, Northwick Park Hospital, Watford Road, Harrow, Middlesex HA13UJ 1 P.M. Dr M. Piper: Geriatric Case Presentation. JOHN RADCLIFFE HOSPITAL, Headington, Oxford OX3 9DU 5 P.M. Prof. K. D. Bagshawe: What Can We Do With Tumour Markers? THE MEDICO-CHIRURGICAL SOCIETY OF EDINBURGH, 8 P.M. (Royal College of Physicians, 9 Queen Street, Edinburgh), Dr K. Little: Accident and Emergency. ROYAL MEDICAL SOCIETY Students’ Centre, Bristo Street, Edinburgh EH8 9AL 8.00 P.M. Mr P. The Establishment of Human Pregnancies by Embryos Grown in Vitro.

Steptoe:

Thursday,

22nd

ROYAL COLLEGE OF SURGEONS OF ENGLAND, 4.30 P.M. Prof. H. N. Whitfield: The Diagnosis of Pelvi-uretenc Junction Obstruction. (Huntenan Lecture.) ST. MARY’S MEDICAL SCHOOL, Norfolk Place, London W2 1PG 5.15 P.M. Prof. P. Mollison: Rh-Haonolytic Disaese-A Disappearing Problem. MANCHESTER MEDICAL SOCIETY, 4.30 P.M. (Stopford Building, Medical School), Dr D. A. Robinson: The Re-

gion’s Germs-1979.

Friday,

23rd

ROYAL COLLEGE OF RADIOLOGISTS, 4.30 P.t. (66 Portland Place, London WIN 4AD), Dr R. 0. Murray: Reflections on the Diagnosis and Treatment of Bone Tumours. (44th Skinner Lecture.) UNIVERSITY OF LIVERPOOL,’ 5 P.M. (Royal Liverpool Hospital, Daulby Street, Liverpool L7 8XP), Mr C. E. Ackroyd: Indications and Techniques for Internal Fixation.

Saturday, 24th 7th international symposium on Drugs Affecting Lipid Metabolism: Milan, May 28-31, 1980. (Fondazione Giovanni Lorenzini, Via Monte Napoleone 23, 20121 Milan). lst international multidisciplinary conference on Traditional and Alternative Medicine: Amsterdam, July 7-12, 1980. (Medicina Alternativa, P.O. Box 27131,1002 AG Amsterdam).

Congress of Obstetrics and Gynaecology: Edinburgh, July 8-11, 1980. (Congress Office, Royal College of Obstetricians and Gynaecologists, 27 Sussex Place, Regent’s Park, London NW1 4RG). 22nd British

Satellite symposium (in association with the World Conference on Clinical Pharmacology and Therapeutics) on Therapeutic Drug Monitoring: University of Surrey, Guildford, England, Aug. 1-2, 1980. (Prof. Vincent Marks, Dep. of Biochemistry, University of Surrey,

Guildford, Surrey GU2 5XH).

UNIVERSITY OF LIVERPOOL, 9 A.M. (Royal Liverpool C. E. Ackroyd:

Hospital, Daulby Street, Liverpool Safety Belts and R.T.A.’s. NUFFIELD ORTHOPEDIC CENTRE, Oxford 8.30 A.M. Dr G. Ardran: Dose Problems in Radiology. 9.30 A.M. Dr B. Shepstone: Bone and Joint Scintigraphy.

L7

8XP),

Mr

Corrections at

Long-term Continuous Subcutaneous Insulin Infusion in Diabetic: Home.-Dr J. C. Pickup and his colleagues inform us that DJ

E. M. Kohner’s name ticle (Oct. 27,p.870).

was

omitted from the list of authors of their

ar

Incidence and Significance of Antibodies to Delta Antigen in Hepa; titis B Virus Infection.-In this article by Dr Mario Rizzetto and colleagues (Nov. 10, p. 986), the fourth sentence under reagents shoulc read "Reference antiserum to HBsAg/adw (guineapig) was obtained and not "Reference antiserum to HBsAg/adw PI ..." This ha! been corrected in the North American edition. ...

Cimetidine in renal-transplant recipients.

1089 Notes and News AIRBORNE TRANSMISSION OF VARIOLA VI[RUS IN the aftermath of the incident in Birmingham last suma photographer in the medical sch...
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