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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.

© Parliamentary copyright 2003

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