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We took a different and perhaps broader approach, using the City and East London general practice database. We hold data on ethnicity, derived by proportional allocation of data from the 1991 census to the postcode distribution of patients on practice lists,3 and data on prescribing for asthma (prescribing analysis and cost (PACT) data) for all practices in east London from 1992 to 1994.4 Our results confirm that significantly lower rates of prescription of drugs for asthma occur in practices with higher percentages of patients of Afro-Caribbean
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