The Epidemic Intelligence Service, by Douglas H. Hamilton, traces the history of the Centers for Disease Control and Prevention’s Epidemic Intelligence Service, with details about the service’s response to actual and potential epidemic outbreaks.
Allison Bickford, a science student, discusses multidrug-resistant tuberculosis epidemics in New York and Russia in the 1990s. On the verge of global eradication 20 years ago, TB is now one of the leading infectious causes of death in the world.
Physicians who treat children with Down's syndrome should ensure that their parents fully understand the children's capabilities and long-term prognosis and counsel them on the appropriate actions to take regarding their children's care.
Health care policy changes are needed to minimize the risk to physicians responding to public health emergencies and aid in their longer-term responsibility of protecting and promoting the nation's health.
The Model State Emergency Health Powers Act proposes state legislation that should be enacted to ensure an adequate and coordinated response to public health emergencies.
Many public health officials are calling for mandatory vaccination against smallpox for all emergency medical workers, but the possibility of adverse reactions to the vaccine raises questions of compensation for those injured.
Physicians treating adolescents need to give them the information to make intelligent and responsible decisions regarding sexual activity and reassure them of patient confidentiality.