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House of Lords
Session 2002-03
Publications on the internet
Science and Technology Committee Publications

Science and Technology - Fourth Report

Here you can browse the report which was ordered by the House of Lords to be printed 2 July 2003.


CONTENTS
  • EXECUTIVE SUMMARY
  • PREFACE AND SUMMARY OF RECOMMENDATIONS
  • Acknowledgements
  • Summary of Recommendations
  • CHAPTER 2: BACKGROUND AND REPORT STRUCTURE
  • Chapter summary
  • What infection is
  • Burden of infection: extent of the problem
  • How to tackle infection
  • CHAPTER 3: DIAGNOSIS AND TREATMENT
  • Chapter summary
  • Background
  • General Practitioners
  • Basing diagnosis on symptoms or laboratory investigation
  • Near patient tests (NPTs)
  • Contact nurses: tracing people in the community
  • Hospital doctors
  • Laboratory scientists
  • Conclusions
  • CHAPTER 4: PREVENTION AND CONTROL
  • Chapter summary
  • Prevention
  • Vaccination

  • Public acceptance of vaccines
  • Secure supply of vaccines
  • Social conditions and behaviour

  • Control activity
  • Community control

    Hospital Control

  • Conclusions
  • CHAPTER 5: SURVEILLANCE
  • Chapter summary
  • What is surveillance?
  • Surveillance at present
  • Maintaining the information base: public health laboratories

    Surveillance is unrepresentative

  • Passive and active surveillance techniques
  • Priority setting
  • Under-reporting of infection
  • Surveillance in primary care: sentinel practices
  • Innovative systems, sources and analysis of information

    Integrating surveillance

  • Divided responsibilities
  • Animal and food-borne infection
  • CHAPTER 6: INFORMATION SYSTEMS - NECESSARY SUPPORT
  • Chapter summary
  • Background
  • Encouraging reporting: electronic submission of information
  • Analysing information
  • Sharing information
  • Disseminating information to health care professionals
  • Warning: IT is not sufficient
  • CHAPTER 7: TRAINING AND EDUCATION
  • Chapter summary
  • Training of infection specialists
  • Microbiologists, Infectious Disease Physicians and epidemiologists

    Environmental health officers

  • Education of health professionals other than infection specialists
  • Communication, education and the public
  • Schools

    Confidence in Government and Scientists

    The media

  • CHAPTER 8: RESEARCH AND DEVELOPMENT
  • Chapter summary
  • Development of vaccines and diagnostics
  • Research into Delivery
  • CHAPTER 9: COLLABORATION AND COORDINATION
  • Chapter summary
  • Inter-departmental and inter-organisational collaboration
  • Government

  • Clarifying lines of communication and accountability
  • Health Protection agency

  • Broadening and deepening expertise
  • Mothers, anthropologists and insect experts
  • Infection centres: improving communication, developing teams and expertise

  • International collaboration
  • Trade

    Europe

    Appendix 1: Members of Sub-Committee I and Declaration of Interests

    Appendix 2: Call for Evidence

    Appendix 3: Acronyms used in this report

    Appendix 4: List of witnesses

    HL 138-I - Oral Evidence and Written Evidence from 18 February 2003

    Oral Evidence

    Tuesday 15 October 2002-Department of Health
    Tuesday 29 October 2002-Academy of Medical Sciences
    Tuesday 5 November 2002-Dr Nick Beeching, Professor Roger Finch and Dr Stephen Wright
    Tuesday 26 November 2002-Dr Derrick Crook, Dr Mike Kelsey and Dr Robert Spencer
    Tuesday 3 December 2002-Dr David Brown, Professor Paul Griffiths, Dr Deenan Pillay and Dr Maria Zambon
    Tuesday 10 December 2002-Mr Nigel Emery, Dr Ruth Gelletlie, Dr Jeremy Hawker and Dr Philip Monk
    Tuesday 17 December 2002-Professor Brian Duerden and Professor Angus Nicoll, Public Health Laboratory Service
    Tuesday 28 January 2003-Sir Kenneth Calman, Mr Pallab Ghosh and Dr Gerry Bryant
    Tuesday 4 February 2003-Mrs Jane Howard, Professor Paul Little, Mrs Christine Perry and Mrs Gini Williams
    Tuesday 25 February 2003-Professor Bill Reilly and Professor Chris Thorns
    Tuesday 4 March 2003-Professor Pete Borriello, Dr Julie Logan and Dr Stephen Reeders
    Tuesday 11 March 2003-Dr Steve Chatfield, Mr Ian Kingston and Dr Liz Miller
    Thursday 13 March 2003-Sir John Pattison, Dr Mike Catchpole, Dr James Paton and Mr Graham Spittle
    Tuesday 18 March 2003-Mr Shaun Brogan, Mr Robert Naylor and Dr Martyn Wake
    Thursday 20 March 2003-Dr Martin Donaghy, Dr Roland Salmon and Dr Brian Smyth
    Tuesday 25 March 2003-Dr Diana Dunstan, Dr Peter Dukes, Dr Pat Goodwin and Dr Val Snewin
    Tuesday 1 April 2003-Sir William Stewart and Dr Pat Troop
    Tuesday 8 April 2003-Ms Hazel Blears MP, Dr Graham Bickler, Dr Vicki King and Dr Ailsa Wight

    WRITTEN EVIDENCE

    Note: References in the text of the Report are as follows:

      (Q) refers to a question in Volume II (HL Paper 138-I)

      (I, p) refers to a page in Volume I (HL Paper 23)

      (II, p) refers to a page in Volume II (HL Paper 138-I)

    The evidence is reproduced on a CD-Rom that accompanies the hard copy of this report and can be accessed on www.parliament.uk/hlscience.


     
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